It is unfortunate for those who were laid off. But, when Quest comes knocking at the door with a fat paycheck, the owners probably didn't lose sleep over it. So, the commodification of lab services continues. But the expansion isn't just metro areas. A former colleague of mine who does solo pathology in a very rural area has started to get solicitations in the mail from some company (can't remember the name) asking if he's interested in selling out his practice. The environment is changing even in the remote areas where pathologists once felt insulated as the tentacles of the mega-labs and health care networks continue to wrap around whatever they can...