I would not stand against the concept of internal review. I think it is necessary for any profession. Yet, if I were to identify a major detriment of a Health Care Ethics Committee it would be the composition of its members. Most of the committees that investigate possible ethics violations in health care are comprised of health care professionals. These stakeholders in the field make it less likely that they would indict one of their own. I think that in order for such a committee to have validity, they must be composed of some outsiders who are relatively distanced from the challenges of being so closely associated with the health care profession and yet offering indictments to it. At the same time, I think that the issue of enforcement is something that needs to be investigated. Health Care Ethics Committees can make suggestions or recommendations. It seems to me that there needs to be more in way of actual enforcement power in order for the committee to be viewed as something more significant than a legislating body or extension of the industry. I think that these would constitute as deficiencies or detriments to the current construction of health care ethics committees.