Are AAs capable of delivering an anesthetic without an MDA? NO! Prohibited by law through A$A design to guarantee an MDA billing opportunity every time an AA touches a patient. Are CRNAs capable of delivering an anesthetic without an MDA? YES! As a matter of routine every day nationwide for decades. Not propaganda, just the cold hard indisputable truth. You claim AAs have "better training programs". Please produce the study data to support your claim. Not your opinion, just the study data. Name of article/journal and date of publication would be helpful. Your "far reaching comparisons" are as ridiculous as the rest of your statements regarding CRNAs.