Many physicians across the country are still struggling with whether to remain independent or be employed by a health system (see 1, #57). While we have decried many of the employment transactions as having no content (see 1, #54) the real issue for most physicians is in which context -- their current setting, a larger group practice, a new network,  alignment with a health system or employment by a health system -- they stand the best chance of being able to clinically integrated effectively with their colleagues (See 1, #70, #67). In "Is Physician Employment by Health Systems an Answer?" Alice elucidates the real questions for oncologists in particular, but the analysis is relevant to all physicians.