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Interesting that there is no mention of the millions the CRNA spends to lobby politicians and "peer review" journal to push there agenda. In most state capitals the nursing lobby is the most powerful and nurses are now one of the highest paid professionals in the country, making in most cases more than doctors on a per hour worked basis. Power lobby and good marketing. But not improved training. It is a sad day in America when more education is looked down upon and called unnecessary and short cuts and a lack of education is called "efficiency" . We are all doomed in the USA with this type of thinking.