I have been in the healthcare setting for several years now. Over the years I have seen several changes in reguards to job duties. An example: when I worked as a CNA we were not allowed to catheterize or draw blood, now they can (if trained to do so). Another example would be nursing. Years ago nurses use to be able to take two cups of coffee and set down with the patient and discuss their concerns. As we all know this is not the case. It use to be only physicians could care for Centrals. Now nurses are able. Where will this job advancement stop? The reason I am writing this is: A physician that I know was on capital hill about a month ago trying to maintain the physicians leadership ability. Currently, the gov't wants to exit the need for Anesthesiologists and fully utilize Nurse anesthetists. If they are successfull, where will this stop? I am very much for job advancement, but where does it stop? I am concerned that the anesthesiologist may be a thing of the past. I really feel that NA, NP and PA's are excellent resources but there needs to be a physician to lead the team. What is your opinion?