To all crna/murse/b-iatches . . .
Despite what you might think right now, and how cool it might feel to think that you are flying free and "practicing medicine" on your own (which as a nurse is not currently legal), it is in your best interest to maintain the status quo.
You say anesthesiology is nursing. If this is so, which it is not, then the shell shock you will feel as your salary is cut by more than 60% will be amazing.
Think about it, if another provider, non-physician, nurse can provide anesthetic care, nursing care . . . then why will nurses command the current CRNA salaries that they currently earn. Medicare will stop paying for anesthetic care all together. It will be rolled into the cost of the OR and be factored into the overhead, the CRNA will be billed similar to the janitor who turns the room over by mopping the blood off the floor. If the CRNA has a problem with this . . . don't let the door hit you on the way out.
Something like this might happen, there will be "anesthetic nurses" that have even less training than a CRNA that take vitals as propofol infuses. They will be cheap, probably every nurse will sign up for this, and get some BS certification where they answer 30 mcq's and earn a CANM (certified anesthetic nurse monitor, hypothetically speaking). Basically they call someone if the vitals get out of wack, likely a physician anesthesiologist. These CANMs will directly compete against CRNA's.
Physician anesthesiologists will still be required for the few major vascular cases, peds cardiac cases, TEE and other high risk cases. As physicians we are well trained, and although most of us don't want to do critical care or moonlight in the ER or whatever . . . if we want to our medical license and perhaps an extra year of training will allow us to do so, and to do it well. Meanwhile the CRNA's are reduced to the simple nurses that they are. If the anesthesia ship sinks, it seems that CRNA's have the most to loose. Think about it, making 6 figures as a NURSE and crying because you want more? Whining because you require supervision for the rest of your career. Sure, working in the OR might get you an extra 5-10K each year, but not what you get now.
I actually don't understand the AANA and all the PITA crna's that float around here. They must really feel that they have something to prove, must really feel inadequate about something. The more I look at it, the more I think I am going to go to law school, give all the CRNAs the big F-U and work on policy and litigation supporting physicians.
Ok, end of my rant, but as I see it, all is not well for the CRNA's and I suspect the AANA knows this, which is the reason they are lobbying and trying to expand the practice.