To hear Gregory Ferch tell it, the meeting was a moment of clarity. He discovered what he didn't know. What he couldn't know. Because the law would not let him. Ferch, a Boise chiropractor, had received notice from Regence BlueShield of Idaho that the health insurance company was cutting back its payments for "adjustments" — his most common procedure — to 1990s levels. Ferch and a handful of fellow chiropractors met with the medical director for Regence. Ferch asked whether the medical director's salary was the same as it had been in the 1990s. The room went silent, Ferch says, and he decided to track down exactly how much Regence paid its leadership.