Could it be that members don’t think that it makes a difference who their leaders are? Consider what happened at APA’s Institute on Psychiatric Services in Chicago this October. At the conclusion of the Opening Session, after my presidential address, I invited the audience of several hundred to stay for a forum with the candidates for president-elect. After brief statements by each candidate, members had an opportunity to ask any question they liked of both contenders. However, as soon as the Opening Session concluded, there was a mad dash for the doors, as if some pharmaceutical company was giving out free umbrellas in the hallway. Thirty or so members stayed, and the discussion was frank and—I thought—helpful. But 30 members represented only a tiny fraction of the people in the room a few minutes before.