If “this is all bad and will only get worse” is the APC threshold for “derangement syndrome”, there are an awful lot of people here guilty of BDS and ODS. Remember when wearing a bicycle helmet was cause for mass hysteria? Point being, we should be able to call a spade a spade here. It is apparent that we have an administration that is making decisions without fully understanding the consequences and that such ill advised “excursions” have the potential to have dire consequences for our profession. Maybe it’ll all work out in this case (I sincerely hope it does), but I would prefer a little more measure from the people who have been entrusted with making such consequential decisions.