AT NATIONAL or local meetings, stories abound about poor insurance reimbursements and the general decline of the state of medicine. While seemingly about money, what these discussions actually reflect is frustration over a loss of autonomy. However, while few have escaped the squeeze of (mis)managed care, how many have seized a leadership initiative to reverse the process? In abdicating our roles of physicians as community leaders, we have tacitly endorsed a culture of legislated medicine dictated by poorly informed politicians. Law is trumping sound medical practice. What have you done about it lately?