Similarly, I submit to you, no single issue should lead a member to resign from APA. In an association of 35,000 members, it is inevitable that some members will disagree with almost any position or action that APA takes. And, since we are governed by human beings, sometimes those positions or actions in fact will be wrong. However, there is no other organization that can represent the breadth of American psychiatry and fight for the things that are important to all of us. Without APA, or with an Association that is markedly reduced in size, psychiatry would be without a voice that commands attention on Capitol Hill, in the White House, at the regulatory agencies, in state legislatures, and in the courts. How will any of us—or our patients—be better off if that comes to pass?