If healthcare.com publishes a statement about a physician that is false(written not by a patient), that is written as a fact(e.g does not answer patients questions), which was published due to their negligence(didn't confirm this was a real patient), and can cost you up to $100k in damages because you are in the middle of negotiating your contract - ISN'T THIS THE LEGAL DEFINITION OF DEFAMATION?! Why aren't physicians subpoenaing healthgrades.com and suing them for defamation? healthgrades.com doesn't actually verify that the posters are your real patients! For all you know your competitors could just want to throw dirt on you or your colleague could be planning to burn you. If there are false negative posts about you on healthgrades.com it can have direct financial impact on your practice or on your contract negotiations.