Im a bit shocked that you have this odd theory and view. In 2030 rheumatologists will be suffering under an unreasonable demand for diagnostic and treatment for services. This report was suppose to engender discussion, solutions and planning. Clearly you will not be part of the solution. You should study the situation, and if you are so convinced that there will be no shortage you should publish your results for others to see. Otherwise talk is cheap. Bone up dude! JJC