Thank you very much for your post. I also agree with you that both ANA and AMA has same goal of providing qualitative, affordable, and best care to the public and promote their health and well-being. As you mentioned that AMA has a strong opinion of providing care by a physician –led team, however I believe that both physician and nurse practitioners and even physician assistant can work collaboratively as a team to accomplish the common goal. The AMA should not really be threatened by the advanced practice nurses because we are not here to replace or take away their position. I feel that the AMA is still worried about losing their authoritative position. There is a great need to open communication and education among other health care professionals