Reading, understanding and implementing USP 797 is a bit like eating an elephant. You cannot do it all it once, and you may not want to do it at all

that is a quote from Edward Lamb, 

Sterile Compounding Guidelines: Standards, Equipment and Contracting.  In that article, Lamb suggest that 

pharmacy practitioners must commit to consistently compounding medications that are beneficial and safe.  I agree.  The problem I think developed and is continue to develop is a fierce competition of everyone wanting to make more and more money in the compounding business, thus making it harder for even the good compounders to focus on safety.  They are having to worry about just staying in business at this point.  It appears that we are going to see more and more of the mega compounders whether the federal legislation is passed.  But because of this explosion of more people getting in the marketing, companies buying up smaller compounders, etc., this just solidifies fact that the federal legislation should become law and regulate those who voluntarily agree to be outsourcing facilities.