In response to the COMPACCS study13 and a growing recognition of the positive impact of the presence of an intensivist in facilitating improved outcomes for critically ill populations, a 2005 report,14 requested by the US Congress, was provided by the Health Resources and Services Administration. This report,14 entitled “The Critical Care Workforce: A Study of the Supply and Demand for Critical Care Physicians” reviews many of the above “perfect storm” issues that are beyond the scope of this editorial. Based on training and demographic trends, the supply of intensivists will be expected to demonstrate a 48% increase between 2000 and 2020. Meanwhile, the growth and aging of the population alone will increase demand for adult intensivist services by approximately 38% between 2000 and 2020. This increase, however, assumes that intensivists continue to treat only a third of critically ill patients. Further, it assumes that supply and demand were in balance in 2000, which is an assumption that, in the opinions and experiences of the authors of this editorial (including one critical care medicine subspecialty fellowship program director), is false. According to this government report,14 if the proportion of ICU patients whose care is directed by an intensivist were to increase from one third to a more optimal level of two thirds, this represents a demand 129% above the projected supply. Thus, both the supply side and the demands of an aging population's needs place some of the most vulnerable patients within the US health-care system on a collision course with time.