What gives? What gives the American Board of Internal Medicine the ability to take away years of schooling, mountains of prior testing, sleepless nights of residency, and months of study for initial board certification that we all had to pass? What gives the American Board of Internal Medicine the authority to magically uncertify a physician's for not purchasing their maintenance of certification program? What gives the American Board of Internal Medicine the right to take away over 25 years of my expertise with catheter ablation or pacemaker implantation when they've never once examined the quality of my work or spoken with my patients? What gives the American Board of Internal Medicine the right to tell insurance companies and hospitals when my board certification expires so those companies can suddenly refuse to make payments or revoke my hospital privileges claiming my skills as a physician have expired? The American Board of Internal Medicine says it's developing new strategies for physician testing in the name of improved patient care. But what gives for those physicians it is desertified and are now jobless. Removing physicians with years of patient care experience because they refuse to pay a fee or perform needless computer tasks is not in the best interest of patient care, safety, or quality. So what gives?