Obviously this has nothing whatsoever to do with Dr Malone’s access to medical journals but is intended as a reminder to all those other less prominent doctors of what can befall them if they attempt to break from the prevailing orthodoxy. Many good physicians in practice by themselves or in small partnerships can not survive financially if the “powers that be” come after them. The suspension of billing rights under medicare or other large insurance provider, revocation of hospital rights, suspension of prescription authority, or any number of things could destroy an otherwise successful business. The message is don’t rock the boat; don’t poke the bear.