I only just saw this. Given the discussion regarding patients' surgical outcome titles in the Big File, I think this goes hand in hand.
Yes, I fully agree that patients would benefit from creating a rating system for surgeons (but also for their centers, their teams, the whole pre-and post-op experience) and this shows Harrison's open-mindedness regarding what patients may or may not say regarding 'spine surgeons near and far'.
Kudos, Rich. In the meantime, allowing patients to clearly announce the tone of their experiences in their 'Surgical Outcome' titles seems coherent with what you want to do--and what would be beneficial for all. Why change course?