The AMA is typical of old orginizations.
Organizations seem to have a natural life of about a century. The first half of an organization’s life the professional staff is lean and dedicated to building the organization. The members are enthustic about the organization’s mission. They recruit new members and the organization grows. The elected officers are believed in and support the mission of the organization. The operations of the organization are funded by member’s dues and similar direct member support.
During the next quarter of the organization’s years the professional staff grows, office buildings are purchased and extensive infrastructure is created. The members and officers remain dedicated and enthustic but less so than in the