Right all you janitors out there or underacheivers if you can do it do it. Or maybe education either CRNA or AA does play a role maybe hmmm. Maybe MDA. In other words you can choose to be for the greater good. Volunteer to go on a medical mission or volunteer. But do not preach to me as a CRNA who has worked and been very WELL educated like yourself that we should not make COMPETITIVE WAGES NOT MORE THAN MDA. grow up and realize that reimbursement as well as need drives salaries not greed.