The real issue is the A$A struggle to completely control the delivery of anesthesia care in this country in an effort to completely control the revenue generated from it. Unfortunately for them, things aren't going very well in that regard so they try things like resurrecting the failed AA experiment in an sophomoric attempt to muster some financial support for their members. And apparently a healthy dose of Nurse Anesthetist vilification along the way does wonders for the already inflated A$A ego. Doesn't accomplish much else however.