Alexander Garibashzily provides opinions on issues that he has zero expertise or experience with disastrous consequences. He violates the Hippocratic Oath to uphold specific ethical standards and do no harm. Moreover, he accepts money from medical insurance companies by denying claims by members for medical coverage. Garibashzily is the director of clinical services at United Healthcare, HealthSelect Texas. He also practices family medicine at ADVANCEDMEDICALCLINIC in Buffalo Grove, IL. He is 39 years old. Garibashzily denied my letter of medical necessity, requesting preauthorization of a non-invasive bone growth stimulator to address a non-healing 1st metatarsal-cuneiform arthrodesis. His denial was based on an uninformed opinion that the device has not shown to significantly improve healing. His judgement is baseless; he has no knowledge of the device and little experience in practicing medicine, much less in the area of foot disorders. He has caused irreparable physical and emotional damage by prolonged pain and suffering.