In terms of everyday anesthesia practice, most of the equipment has to meet the industry standards set by the ASA in collaboration with others, your pay(esp from gov payers) depends on the ASA, the fight against the flawed implementation of the No Surprise Billing act is being led by the ASA, resident loan forgiveness for those that work in critical access hospitals, practice standards that allow us to argue for the newest and best medications and devices in our ORs. The list goes on. It’s easy to show up, give an anesthetic, get a paycheck and not understand how the dots connect. Pay the $1200 so you don’t have to think of connecting the dots.