You have been whipped in this message board so badly by CRNAs that you are reduced to delusional comparisons of the AANA to Nazis, communists, and Muslim extremists? Truly pathetic! Congratulations on representing your profession in such a positive light. Are you implying that AAs are capable of working outside the ACT? You claim "CRNAs are not trained to work out side the ACT"? What planet do you live on? Incidentally,the AAs have a very strong well funded lobby/union. It's called the A$A.