American singer-songwriter and lyricist Bob Dylan began singing “the times, they are a changin'” in 1964-and the times have continued to change. With today’s O&P landscape being vastly different from what it looked like five, ten, or 15 years ago, these words couldn’t be truer. As a whole, the O&P industry represents a relatively small portion of healthcare in the United States. According to figures released by the Amputee Coalition, there are about two million Americans living with limb loss. And, according to the Centers for Medicare & Medicaid Services (CMS) National Health Expenditure Projections 2011-2021, of the nearly $3 trillion spent on U.S. healthcare in 2012, O&P represented less than 1 percent of those dollars. Less than five cents of every U.S. healthcare dollar spent goes to “other medical services,” of which O&P is a part.