And the day nurses start doing surgery, that will be the day they will get equally reimbursed. Who's fault is it they passed law calling for equal pay for what they call equal work. It's not just a anesthesiology problem, it's going on in all practices where mid levels are encroaching. So once we as Physicians sound the alarm they can get a NP or MD for an equal amount of cost, who do you think they'll see? You know the answer. Please stop making this an Anesthesiology only problem. People like you posting negativity of the "battle is over" before we have even waged the war, is far from the truth.