I've long believed that the medical staff needed an overhaul. The problem is that Ryan wasn't GM during that time... I'd love to see the medical staff get the boot. But when you're new to the GM spot and have about 5,000 other things to worry about (like assembling a roster and determining strengthes/weaknesses of the org) before the season starts, it's impossible to do everything right off the bat. If I was in JR's spot, I'd also want some time to analyze what is wrong and where changes need to be made. All of that takes time and it's not as if Ryan has the time to sit down in the middle of the season, figure out who needs to go, interview capable candidates, and make a change. He's busy running a team, getting ready for the draft, making roster changes, etc. Now that the season is near an end, he might want to keep the current staff on just so he isn't rushed finding a new hire to replace them. After all, players still need these doctors on a daily basis. If you fire a guy, you better have a new guy on staff the next day. After this disaster, do you really want a decision like that to be rushed? None of us know what is happening behind the scenes and while it may have filled an emotional need to see the entire staff fired last January, it wouldn't have been the intelligent thing to do. Like most here, I'm all for sweeping changes to be made. The only difference is that I have a reasonable timeline in mind to do it. I'd love for it to have been done immediately but that probably wouldn't have been a good idea. These things take time. If big changes aren't made before Spring Training starts next season, I'll be the first in line complaining.