As I stated before, smokescreens and deliberate diversions that clearly point out that you haven't a clue do not diminish or explain away the central issue regarding AAs. AAs exist for one reason and one reason alone, to insure a guaranteed by law billing opportunity for their MDA masters. The A$A makes sure in every state in which they purchase AA practice rights with PAC money that an AA will NEVER touch a patient without an MDA thereby insuring an MDA billing opportunity EVERY time an AA touches a patient. AA state practice laws aren't written this way by accident. They are purposely written this way to insure and guarantee an MDA billing opportunity EACH and EVERY time an AA has anything to do with an anesthetic. The guaranteed billing opportunity is the sole reason for A$A support of the long failed AA experiment. Whether you like it or not, these are the cold hard indisputable facts.