Catherine, you are in the great company of Joel Kremer (who offered up the same Osler quote). Interestingly what I'm hearing from you and many of our leaders is that overall clinical skills trump many of the labs or imaging techniques that too many clinicians cling to. Wouldn't it be great if they paid rheumatologists double for each clinical encounter and that any further assessments (lab, X-ray, MRI, etc) would have to be ordered and paid for by the rheumatologist?