It’s proven through history, pass or be passed up. Right now, through world economics, countries want to either take over or exceed everyone else’s economics. China wants to the world super power through technology and residuals it involves military power. Eventually, when anesthesia assistant become more and more popular, they will want to break away from the “assistant” title and become independent. The beginning stages is the “anesthetist” title. You can parallel the struggles through the sectarian battles of the Arabic countries. Who is right who is wrong? To try to understand the motivations of crnas, AAs, and the anesthesiologists is probably a better angle than to approach it with a narcisstic attitude of the word “crazy”