Amazing response! From the VP of Communications no less! Just speculating, but if ICER is as tough and no nonsense as their reputation seems to be, and they are all about consumer protection and controlling costs and seeing themselves as a sort of guardian of the public trust, and still in the process of building their reputation, then I could see them having the attitude of a very strict professor. Like an A is for perfection, so no one gets an A, and very few A-minuses. Just a complete guess and nothing more on my part.