If you see a systemic problem and you see lack of change, then you are left with no other choice but to start filing a letter of investigation, notifying the facility that you're investigating a particular problem. And that leads to a potential enforcement action and I know that that's where they're at now. They're starting to fill out the paperwork getting into the next phase, because the carrier's not changing the way they're doing their business.

-Linda Goodrich

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