force ▁During ▁his ▁ten ure ▁as ▁president ▁of ▁the ▁A CC , ▁between ▁ 2 0 0 2 ▁and ▁ 2 0 0 3 , ▁F ye ▁tack led ▁some ▁of ▁the ▁effects ▁of ▁Cl inton ▁health ▁care ▁plan ▁of ▁ 1 9 9 3 , ▁which ▁had ▁highlight ed ▁the ▁high ▁number ▁of ▁special ists ▁and ▁a ▁need ▁for ▁general ists , ▁with ▁the ▁result ▁that ▁between ▁ 1 9 9 4 ▁and ▁ 2 0 0 0 , ▁fellow ship ▁appoint ments ▁fell ▁by ▁nearly ▁a ▁third . ▁He ▁stated ▁in ▁an ▁interview ▁that ; ▁▁ ▁managed ▁care ▁had ▁a ▁“ gate keeper ” ▁model , ▁which ▁prevent ed ▁patients ▁from ▁seeing ▁a ▁card i ologist ▁unless ▁a ▁primary ▁care ▁phys ician ▁had ▁signed ▁off . ▁According ly , ▁competition ▁in ▁card i ology ▁increased . ▁ ▁In ▁ 2 0 0 6 , ▁his ▁ess ay ▁" T ro pon in ▁tr umps ▁common ▁sense ", ▁which ▁discussed ▁the ▁appropriate ▁use ▁of ▁the ▁tro pon in ▁test , ▁drew ▁the ▁attention ▁of ▁a ▁number ▁of ▁card i ology ▁colle agues . ▁In ▁a ▁reply , ▁he ▁stated ▁" r ather ▁than ▁allowing ▁tro pon in ▁to ▁tr ump ▁common ▁sense , ▁we ▁should ▁inject ▁more ▁common ▁sense ▁into ▁the ▁process ▁of ▁ordering ▁a ▁tro pon in ▁level ▁in ▁the ▁first ▁place ". ▁ ▁He ▁also ▁worked ▁on ▁the ▁orig ins ▁of ▁the ▁May o ▁C lin ic ▁and ▁author ed ▁a ▁book ▁titled ▁The ▁May o ▁C lin ic ▁and