Congress wanted to make a move in making things better for patients. They created the Inner Parties review (IPR) through the Patient trial and appeal board (PTAB) in effort of good cause. Their efforts however in this ideas has been diminished. The IPR was accused of being “rigged” and critics accuse it to be very challenging,. Questions now arise to possibly scrap both the IPR and the PTAB as they seem to do more harm than good in the healthcare system.