Bob, We have a choice of proceeding simply as concerned individuals. As such we would avoid the bureaucratic paperwork of a legal organization, but we would incur all the risks of joint and several liability. Notwithstanding the paperwork it entails, I much favor forming a non-profit organization, analogous for example to the Physicians for Social Responsibility, some of the environmental groups such as Greenpeace or the Sierra Club, or some of the consumer activist groups. The efficient way to proceed is to go to the governmental agency which archives such articles of organization in whichever state one chooses to incorporate, get copies of the articles of incorporation and by-laws of ones models, and modify these to suit ones needs. The signatures of three individuals, one of whom must be a resident of the state in which one incorporates, are required. Filing fees are nominal. The incorporators select the initial members of the corporation, presumably themselves. The bylaws state the criteria for the admission of other members. About ten years ago, I successfully organized such a non-profit organization (Cambridge Glaucoma Foundation, Inc) and obtained tax exemption for it from the IRS. When I discovered that fund-raising was repugnant to me, I let it die. For our purposes, a non-profit organization would have the additional advantage of being eligible for funding by other non-profit Foundations, as well as by the Health Care Financing Administration itself. The officers and members of a non-profit organization, barring gross indiscretion, should be practically immune from civil liability. I would recommend including in the by-laws, provisions permitting the annual meeting to be conducted by tele-conferencing, and provisions also permitting officers of the corporation who are not attorneys to represent it in court. Both of these provisions are untested. If they were sustained by the courts, much would be gained. If they were stricken, little would be lost. I myself favor as broadly based a membership as feasible, not limited to physicians, or for that matter, to health-care professionals. I would be willing to participate in and contribute my own efforts (but only a limited amount of money) to such an organization so long as it remained focussed upon protecting the physician's freedom, unfettered by administrative constraints, not to exploit, but to care for his/her patient with the same devotion and singlemindedness with which the physician would care for a member of his/her family. I know that some subscribers to this List do not value that freedom and believe that it must be subordinated to economic considerations. We particularly need their help to work out practical compromises. It is very important that we be practical and constructive and that our efforts should help to move our country toward a resolution of the present health-care crisis. An initial project of our proposed organization might be to determine whether any of the practices that offend us are actionable under the federal False Claims Acts, which have been commonly used for blowing whistles on defense contractors. It being a holiday in Massachusetts, the libraries are closed, and I do not have a copy of the U.S. Code at hand. However I know that the False Claims Act permits an individual or a corporation to file with the United States Attorney's office a complaint alleging that the defendant had made false claims to the United States government for the purpose of obtaining federal funds. Arguably false or misleading advertising that induced patients to join a Health Plan would be subject to the strictures of that act. Certainly failure to comply with the terms of the regulations under which such funds were paid would be actionable. The United States attorney (i.e. Janet Reno) then has ninety days within which to adopt such a claim and prosecute it on behalf of the federal government. The penalty is three times the sum fraudulently obtained. If the government declines to prosecute the charge, the complaining party may prosecute the claim on its own, but is liable for the defendant's legal expenses, if the defendant prevails. If the government wins the case, the original complainant receives ten percent of the penalty recovered. If the complainant wins the case on behalf of the government, the complainant receives, I believe, up to twenty five percent of the sums recovered. It would be eminently proper, in my opinion, for a corporation such as the one we contemplate, to use any such funds to defray its operating expenses; although obviously, it is silly for us to count our chickens before they are hatched.