As for Leonard Vance, he tried twice to get his license reinstated. Both times the board denied the petition. Last I heard, he was working as a consultant for a medical malpractice insurance company, reviewing claims and helping them decide which cases to contest. The irony was not subtle. A man whose care had injured patients was now helping insurers assess harm from negligent care. But medicine and law are both full of people who land on their feet unless someone nails those feet to a record that follows them.