Mercy General, suddenly facing a public relations nightmare it could not bury under paperwork, announced it was conducting a comprehensive review of emergency department protocols and had terminated Leonard Vance’s employment effective immediately. That was satisfying in the short term, but I knew better than most how limited such victories can be. Losing one hospital appointment does not stop a physician from applying somewhere else. A quiet resignation can become a fresh start in another state if the licensing record remains clean. One institution’s exit package can become another’s hiring oversight. Termination was not justice. It was triage. The real question was whether the board would do what hospitals so often refuse to do: create consequences that followed a physician beyond the reach of one administrator’s embarrassment.