Family Physicians remain critical to the system of emergency care in this country. This conclusion is supported by the Institute of Medicine report on the state of emergency care in the United States. The data collected by Dr. Camargo further support this. In most rural or suburban emergency departments in this country, patients will find Family Physicians doing what they have always done, stepping up to meet the needs of their communities in whatever capacity is necessary. Most of us have dedicated large portions of our careers to providing high quality and readily accessible emergency care to our communities.  Many of us have undergone the rigorous process of achieving additional certification through the BCEM. Many of us remain active members of ACEP, but we have seen the support once afforded us by organized emergency medicine erode rapidly over the last two decades.