I am concerned about the future of anesthesiology for physicians. It seems the short won victory regarding physician supervision may soon be lost again. It seems as part of the resolution, governors can "opt-out" of the physician supervision rule if it is in the best interest of the people of that state. Now it seems that Idaho, Iowa, and Nebraska have already decided to opt-out, allowing CRNAs to practice independently. And with this, it is rumored that many other states are lining up to do the same. I received the newsletter from the president of the ASA this weekend and it is starting to look bleak. What do you all think?