Any community under duress is likely to find itself plagued by disagreements, infighting, and polemicizing. It’s a normal response to a difficult situation—especially one in which there are no easy answers to the challenges being faced. I think of this each time that I attend management-focused meetings (such as those of the AHRA or the RBMA) in which nonclinician businesspeople point to radiologists as the source of imaging’s current problems; at clinical conferences, physician thought leaders cite the increased focus on business-based priorities, such as productivity and efficiency, as the real issue.