Loved the quote from Mark Twain! We have are monthly bullseye graphs at work to show the staff their performance by patient surveys. Taking all things in factor what is this really saying? It is more likely that a dissatisfied patient will respond and fill out the survey. So the negative will be pointed out, pain control, physician communication and response time being the largest complaint typically. Is the bullseye 100% correct, absolutely not. In your post, I see how the general public would think if I take Fosamax, I will only have a 50% chance of having a hip fracture by taken Fosamax. If advertising was more up front and truthful a lot less sales would occur.