It is clear from the Psychiatric News report that this meeting was as fruitless and absent of substance as was the original suit itself. Despite the report that Dr. Harold Eist retains "inveterate optimism," which I had not realized extended to negotiations with managed care companies, the facts are that the MCO representatives sat and listened to a justified litany of criticisms and complaints about the way they do business, and they responded that they would like to improve relations with their clinicians, but offered no specific suggestions for change. I am reminded of a similar meeting in December 1997 that included the top management of Magellan/Green Spring (held at the company’s request), together with the top leadership of APA. During this meeting the same complaints were very directly laid out, and this meeting also was followed by no positive changes (in fact, the problems worsened!). I should mention that at the time of that meeting, I also was a member of the Magellan Professional Advisory Board. I had a role in brokering the meeting, at that time still sharing with Dr. Eist some optimism about negotiating with managed care. I resigned from that advisory board in 1998 when I became convinced that the advisory board, which included many distinguished colleagues, really functioned as a Potemkin Village for Magellan, providing both criticism and cover, but which could not point to a single constructive or positive change in the way the company did its business.