So many of these posts assume the AMA did not "do its job" in the run up to this regulation. I think they made a huge, if unsuccessful, effort to prevent this from happening. As for throwing them all out because they didn't do something you thought they could have done, I would like to say that I have never missed an election for Congress where I live, and I am yet to vote for someone who won the election from my district. (I have always voted for a major party candidate, too.) My point: just because your system doesn't work exactly the way you want, it doesn't mean that it is a poor system.