This month, I present a situation in which gastroenterologists have been incorporated into a money-raising plan to support a university hospital's medical education program. This issue of whether such a plan could be enacted is addressed. Provided the bylaws contain no prohibitions and the plan itself is not unreasonable or unfair, it appears that successful enactment is likely. The issue of equal protection is presented as it applies to the enactment of this plan to gastroenterologists. Finally, a few of the down side effects of the plan are presented. It would be safe to say that as the economics of health care delivery continue to evolve, situations like the one presented herein will arise.