Anytime you have the upper echelon of elected officials and their employees that are a bunch of firmly entrenched old chronies (no disrespect meant to you older guys, so dont take it wrong) who are satisfied with mediocrity, and content to have things just rock along like they have for years, you might as well forget about change, because it aint gonna happen... not until the VOTING MEMBERSHIP, who continues to elect these guys year after year, steps up and says enough is enough. Faced with what he has to deal with, I dont blame Koranda for leaving. When you beat your head against a wall, one of two things happens; the wall crumbles, or you get a headache and quit. The vision of where the AMA needs to be headed is totally and completely lost on the present leadership.