If the recent deregulation of respiratory therapy in Michigan illustrates anything it is this: in the current healthcare arena anything can happen! Budgets are tight everywhere. Currently, the Michigan Society for Respiratory Care is scrambling to get the decision reversed. The AARC is actively supporting their efforts. It is often much harder and more costly to undo an action than to prevent it in the first place. I truly hope that Michigan remains an isolated incident; that other states do not follow suit. This situation underscores the need for constant vigilance. We can take nothing for granted, not even hard won professional status. We must demonstrate and advocate our value at all levels clinical, administrative and legislative. If we fail to take our situation in hand, others may decide our fate on our behalf. Stay aware, get involved!