The success and rapid expansion of NPs and all APRNs have become a threat to the traditional way that health care is delivered in this country. APRNs have felt the political maneuverings of some (not all) physician organizations as they attempt to hold onto their power and dominance in the health care marketplace. This resistance to APRNs by some organized physician groups is the quintessential definition of politics: the struggle for ascendancy or dominance among groups with different power relationships and agendas. Politics introduces nonrational, divisive, and self-interested agendas into the policymaking process. APRNs must acknowledge that it is highly rational for people and organizations to use the power of government to achieve what they cannot accomplish alone.