Randy Robbins, MD

So I think it's changed the face of anesthesia when you look at it from a compensation standpoint, when you look at it from a labor force standpoint.

And for the first time, honestly, I feel like in decades or maybe forever, we're seeing ASCs really, really struggling to

to find coverage for anesthesia.

So I think that's going to be probably the single biggest piece of anesthesia of ASC concern over the next, gosh, decade plus, because I don't see, I don't see that changing much from an anesthesia manpower standpoint.

Secondly, I think you look at public policy and healthcare, you know, what are the different bills going to do?

What are the different, you know, politicians going to try to put forth that, that

put pressure on medicine in America.

I think we do a great job with providing care to patients.

I do think that there's a lot of pressure put on physicians and how they do that and where they cut those costs for saving standpoint.

They seem to always come after the physicians.

And I think that's going to continue to put more pressure on physicians.

And I think you have to start worrying about physician burnout and what it's going to do and how that's going to affect

kind of overall, not just ASC anesthesia specifically, but, you know, surgeons and primary care and everything across the board, they just can't keep making less, working harder.

You know, I heard a physician today quote that she said, you know, we always have a desire to do more with less.

And I kind of challenged that a little bit.

I said, I don't know that it's a desire to do more with less.

I think, unfortunately, we're just being demanded to do more with less on an almost day-to-day basis.

I think the other thing for me that is a huge piece of just overall success for physicians and for facilities and for ASCs and for everyone in industry and across the board is just kind of physician communication.

I think there are very, very few people that speak physician that are not physicians.

And I don't think physicians do a very good job speaking physicians.