Defamation. Endangerment to medical staff. And loss of business. All are directly traced to erroneous ratings. In my case, they have me medically practicing over 100 miles from where I really practice. And their site lists nothing but the zero type ratings, ratings that are typically done by disgruntled drug addicts. They, many times, know the net well, and how to disuse it. Thus, we will NEVER ever be able to trust uninvestigated email entries = what healthgrades accepts. True reviews are available to patients through real HMO type audits of real practitioners, real patients and real visits. Everyone should be frightened of something like healthgrades, which is essentially a smear blog, without any responsibility and no recourse for the "graded".