In the early 1980’s, which the advent of “managed care,” Dr. Peeno moved from clinical work to executive positions in a variety of health care corporations, including an insurance company, an HMO, and a hospital. In the early 1990’s, she left this corporate work to focus on the ethical issues emerging from changes in health care organization, financing and delivery. Dr. Peeno’s struggle to bring these issues to public and professional attention is the subject of a movie, Damaged Care, first aired in 2002 by Showtime and Paramount, and now used all over the country in medical and health care ethics classes. A clip from her 1996 Congressional testimony recently appeared in the movie, Sicko.