GO AWAY!!???? I haven't had this much fun since a ran a shotgun for Uncle Sam's Navy back in '66 !!
This business of license independent practice seems to alient a lot of folks...and not just the doas, but the AAs and not a few CRNAs as well. I reckon it's not for everyone, but for those who want it, why are all the rest of you guys so upset that some of us want it and are doing it??
A couple of times in the past 30+ years, I worked with doas and a couple of them became pretty good friends....funny how a round of golf every now and then allows folks to get to be friends and friendly....I even two of then really let down their guard and tell that CRNAs (and now AAs) are the real reason they went into anesthesia....just so someone ELSE could make them a wonderful living.
Any way, so what's the big deal with practicing chronic pain management....you think docs were born knowing this stuff or it was infused into them by the Almighty??? For Pete's sake, buy some books and start reading this stuff....it's not magic, Dude, it's health care. In the 30 years I've been helping patients in this area, I've had lots of docs refer their problem patients and some of them I actually helped....fancy that.
My suggestion.....we all need to take a step back, take a big ol' breath, and work, I mean REALLY work at getting along with each other. Why?? 'Cause if we don't, the insurance industry and the doas are going to eat us alive....and then, we'll surely be equals....equally HOSED.