IMO the AAP's guidance on that page is extremely valuable and covers a comprehensive list of well thought out considerations. My biggest concern is that much of it will require significant increases in funding, strong leadership at all levels, and time for careful planning to implement according to those guidelines. Those challenges are not insurmountable, but are we doing enough to meet those goals, or are we rushing into decisions prematurely based on other factors which are clearly against the AAP's guidance?