To the Editor:--Reves et al. [1]presented a picture of the oversupply of providers in anesthesiology. In the same article, they recommended extending the duties of anesthesiologists to yet another group of non-physician personnel (i.e., physician assistants and technicians). Is this a solution to an oversupply problem? With such ingenious solutions, we do not need managed care to lower the value of our services.

Ali Afrassiabi, M.D., Department of Anesthesiology, University of Southern California, 1200 North State Street, Room 14–901, Los Angeles, California 90033.

(Accepted for publication July 18, 1996.)

Reves JG, Rogers MC, Smith LR: Resident workforce in a time of U.S. health-care system transition. ANESTHESIOLOGY 1996; 84:700-11.