In the past year we have made some tremendous gains. Pauline Anderson’s Physician Health Programs: More Harm Than Good? opened the door to exposing the financial exploitation and abuse of doctors by PHPs and their preferred drug and alcohol testing and treatment facilities. This was the first mainstream medical new article to address the problems with PHPs. They have no oversight or accountability. The FSPHP rebuttal to Medscape Medical News was dismissive and did not meaningfully answer any of the specific concerns. Logical fallacy and half-truths were presented but the direct and substantive questions remain unanswered. Ever siince BMJ Editor Jeanne Lenzer’s “Physician health programs under fire” was published in the BMJ there has been nothing but silence.