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Mr. Knowlton, Thank you for an honest, and well reasoned response to the Trojan Horse of "Patient Safety" that the ASA continues to attempt to sell to the public. You have eloquently and accurately placed the realities of anesthesia outcomes where they ought to be; founded in science rather than PR rhetoric. The truly unfortunate issues are the tremendous loss of resources and professional discord this has generated. Our patients and economy would be much better served by paying attention to the science rather than the political rhetoric of any trade organization. Thanks once again for having the integrity and courage to publically state your arguement in favor of autonomous/cooperative CRNA practice. Best regards, Art Zwerling, CRNA, DNP, DAAPM Elkins Park, PA