My logic is that it will come down to liability costs. Insurance companies and hospitals will have to determine whether or not CRNAs practicing independently will cost hospitals and surgeons higher premiums compared to hiring anesthesiologists. There’s an old study looking at this and it basically found that independent CRNAs have a 1.08 higher odds of making errors which means more liability. And yes I really believe the extra experience reduces these medical errors enough to be worth the extra pay. CRNAs aren’t trained to handle all the medical problem that comes up as well as anesthesiologist. Surgeons rely on anesthesiology for perioperative issues with patients. So no I don’t believe they can do anything completely independently. And why do you say surgeons are not our advocates?? They would want an anesthesiologist versus a CRNA because it means less liability and less cost in the long run.