At the risk of being labeled as an ABR sycophant...I am a volunteer for ABR writing items for the written test, participating in the Angoff procedure and an oral examiner although I am not a Board member nor do I hold any leadership positions on the written/oral exam committees. My original post was to push back against the idea that ABR trustees were paid. I have been to the ABR offices in Tucson on many occasions. I did not count but I am confident that there are more than 21 employees that work there full time. Someone needs to answer the phones, etc. Plus the executives of ABR do this as a full time job. If you compare the level of reimbursement for ABR executives it is much lower than (for example) ABIM executives. As has been made clear over several years the ABIM made lots of mistakes. The ABR is not blameless but in many instances they can only respond to the ABMS dictates. I think the changes in Part IV requirements that the ABR has made over the last decade lifts a significant burden from busy practitioners. The "test" for MOC will change as well (I think for the better).
MOC may be a business but I much prefer that radiation oncologists pull the strings rather than ignorant, nanny-staters who spend time in the nation's capital.