National Medical Enterprises, Inc., a $4 billion operator of hospitals and psychiatric treatment centers, faced criminal probes for practices such as widespread overbilling and fraudulent diagnoses to extend patients' hospital stays. Investigators found that NME's top management urged hospital administrators to adopt "intake" goals designed to lure patients into hospitals for lengthy and unnecessary treatments. Hospital staffers were also urged to admit fully half of all patients who came in for an evaluation. Suppose a hospital staffer at NME refused to admit patients for whom she felt treatment was unnecessary. Could her refusal be considered insubordination? If the same staffer considered exposing fraudulent diagnoses to an outside agency, what whistle-blowing precautions would she be wise to consider before going public with her case?