It is really quite simple. We do not live in a free country. We only think we are free. We are being ruled over by tyrants (those that want control of a process but do not want responsibility for controlling that process) , *ssholes (those that speak for others without that person's permission) and sophists (those that argue to win regardless of the truth). In addition, Medical Boards are actually adding on complaints to a complaint issued against a pain doctor. Any one can complain against any one nowadays even if that person never was a patient or ever even saw the pain doctor. These days are no different than the witch hunts of long ago. And the fervor to which the witch hunters yearn to burn is mostly motivated by additional hidden agendas of government expansion, third party payers using government slogans to deny care to complex outpatients and plain old regulatory fiefdoms wishing to have their own bureaucratic job promotion program going. This is the age of Stalin.