Please correct me if I am wrong, but it is my understanding that CRNA services (NOT involving supervision or medical direction by an anesthesiologist) are compensated at nearly or exactly the same rate by insurance companies and the government as an anesthesiologist is compensated. Further it is my understanding that Medicare payments to physicians are based on resource-based relative value scale (RBRVS) which is calculated based on a variey of factors including the complexity of the duties, but also the number of years of education of the PHYSICIAN providing service. So my question is why does the government and insurance companies compensate CRNAs at the same rate which they pay for anesthesiologists? Even assuming CRNAs were physicians, based on the lower number of years of training alone they should be paid less. An analogous situation would be if a paralegal provides service vs. an attorney or a dental assistant provides service vs. a dentist. Even if they do exactly the same procedure, I would not expect to pay the same.