Jack, I appreciated the passionate and sobering message. I feel very fortunate to have been steered toward rheumatology, for all of the reasons you state. All of us in the field need to continue to identify talented, motivated young people to come into this challenging and rewarding life. It certainly would be nice if the external challenges of insurance, bureaucracy and funding were fewer, but in the end, none one else has as much interest in our specialty, and the well-being of our patients as we. Eric