I stated that CRNA's who think that working independently of a doctor are dangerous. You want data, then why don't you be the FIRST to Do a study of anesthetics provided for the past 30 years on patients asa class 3 and above where no doctor was involved. That includes where the surgeon was not involved in what medications are to be adminstered. They don't exist. Everyone out there having surgery would prefer to have a MD at least involved in the anesthetic then a nurse like yourself who thinks they are better than a doctor. As for what cases i can and can't do, i've done everything from truama to hearts to tonsils. I don't have a MDa in watching over what i do and what i give, that is NOT the roll of the ACT approach and you know it. The team is better since if a problems occurs during a case there is more that just one person fixing the problem. You are right, I am the doctors assistant, just like a nurse is, I work with the MDA not against them so i don't cry about not making the same money they do since i didn't put in the 8 years of med school. I did however put the same amount of time that you did to do the same job you do and make the same amount of money that most of your collegues do. Ya, you can work without an MDA in smaller hosps. and feel like you are the doctor, good for you. That is simply because the hospital and or surgeons dont' make the revenue to afford having an anesthesiolgist available 24/7, so they choose the cheaper route of using you. Well medicare is cutting reimbusment and malpractice rates are raising. It's going to suck real bad for you independent crna's who are only paying about 5k a year for malpractice, when the insurance companies realizes that since there is no surgeons license over yours, they'll raise your rates to the same as MDA's...thats over 20k. So why don't you tell everyone what kind of procedures or cases that you seem to do that AA's can't?