I've always had a good chat with my DAMEs about CASA and life. The general feel I get is that Its not worth the effort to be a DAME for the return. Most say they only do it for some interest in the field and the rigmarole associated with it has made many leave recently or retire early. In my area I've gone from double digit DAMEs locally to 1, and he's still 20 minutes away in a major city. Two of those that still practice medicine and left that I have spoken to since have said it was directly related to the rules and procedures, ie CASA, that they left. I've also had local GPs that looked into an approval and then gave it a big nope when they read what was involved.