Yes, our profession has emboldened CRNAs more than probably any other profession has their mid-levels... But, this fight will be joined by MOST medical specialties as their own mid-levels push for great scope of practice.... This is a major silver lining in that a more unified, concerted effort by state medical societies can work together with broad language supporting physician leadership. This is already happening, and it's a good thing. Will it succeed? Probably in some ways and others not. It's the cost of doing business in American medicine today. Get used to it.