Counsel for a health care provider defendant in a dispute over the quality of peer review presented complex arguments before the Pennsylvania Superior Court. For at least one justice, however, the issue might come down to the use of a comma.

Defense attorney John Conti of Dickie, McCamey & Chilcote told the justices during an oral argument session April 4 that allowing plaintiffs in the case Reginelli v. Boggs access to the requested review materials would have a chilling effect on rural hospitals contacting with specialty medical practices, and would ultimately be a detriment to the public.