personally i think i would probably be ok with increasing the doctor anesthetist ratio to something like 1:6, but i would never in a million years feel comfortable with getting rid of md anesthesiologists. from many of the postings on here i get the feeling that some crna's think that they should be the only anesthesia providers and there is no need to have MD's. to me that's the equivalent to saying that we should just get rid of surgeons and let surgical NP's or PA's replace them.....it seems insane.