Respectfully. clearly not everyone keeps up with the literature during the year, or spends at least a couple of hours weekly to learn something new. For those, a conference is possibly the only way to stay educated. This is the 21st century; there are tons of information sources on the Internet, and, for critical care, blogs that beat the heck out of anything I have seen at a conference.
I don't go to national conferences for tourism. Hence, I don't care whether they are in Hawaii or Boston. But spending $3K on a conference is ridiculous, in this day and age. And that doesn't cover the better courses. For that money, one can get 200 hours of audio-digest, or 8 years of ptemasters (if bought in July), or access to many-many question banks, or 3 entire board review courses etc., with a much-much better educational value, on demand and at one's fingertips. The ASA meeting and even the membership are becoming a very bad value for anybody who pays out of pocket for them. $1K/year just to be an ASA and state society member? Seriously? For a $120/year journal that has more advertising and academic fluff than practical stuff that's pertinent to my practice? Because the advocacy is not there for the little guy, so why would this little guy bother financing them? They are just burning and wasting money, obviously; just look at those $25MM headquarters and $12MM in "equipment". Plus
$3.5MM/year just for "executive compensation" of a non-profit, with some chief officers making $300K, and the CEO making $685K (see page 51)??? Plus another $11MM for the non-executive employees? Plus spending at least $4MM, i.e. 10% of the annual budget, on grants to its foundations and pets (FAER, AQI etc.), including at least $400K spent annually on a museum? (Take pictures, put them on the Internet with pertinent explanations, put the items in storage, and save $390K.)
Even when about networking, due to the sheer size of the conference, there is much less opportunity than one would think. I missed the meet and greet at San Diego and, as a consequence, I saw exactly 4 people from my former program during the ASA. Now subspecialty conferences may be a different thing, depending on the society. But I am not going to any of the megaconferences again, except maybe as part of a group.
I do encourage residents and fellows to go, at least once or twice, especially if it's in their neck of the woods. But, as an attending, anything more frequent than once in 5-10 years is probably a waste of time and money. Unless one has the CME money to spend anyway. I don't.