Dr. Matthew Wynia, director of the Center for Bioethics and Humanities at the University of Colorado Anschutz, said his eyebrows didn’t shoot up when he read the email—but “they arched a little. I think it's incredibly common for people to send letters of introduction,” Wynia said. At the same time, “He's skirting the issue of, ‘I'm not going to lobby for you by doing no lobbying for the plan, per se, but lobbying for the intent of the person who presumably put the plan together.’”