We would have to at least double the membership dues and would have fewer resources at our disposal. We would have to hire outside consultants to provide all of these services for us. But it could be done. Whether or not EMRA houses their headquarters within or contracts with other companies is just geography and personnel. The answer to this question is much more complex.
Emergency medicine is in a fragile state.
We have come a long way in establishing emergency medicine as a unique and independent specialty, and like any new specialty, we are still working to improve our status within the house of medicine. We continue to face the reality that even today there are those who believe anyone can practice emergency medicine and that specific EM residency training is not necessary. We still face influential organizations that strategically fight landmark legislation that protects emergency patients and access to care. The worst thing we can do is show the outside world that there is internal strife and no unity within our specialty. During my residency I have read a lot about ACEP that paints the organization as this unreachable machine with its own agenda, not caring about the individual emergency physician.