Fishbein disclosed that the agency failed to enforce rules regarding good clinical practices in AIDS drug trials in Uganda. He directed his criticism at extensive standards violations by researchers and an attempted cover-up by NIH officials.
An August 2004 report that reviewed the AIDS division, obtained by the Associated Press, supports Fishbein's description of the division. The report calls the department a "troubled organization" and found that its managers have engaged in unnecessary feuding, sexually explicit language and other inappropriate conduct.
Sens. Charles E. Grassley (R-IA) and Max Baucus, (D-MT), the chairman of the Senate Finance Committee and ranking minority member respectively, are questioning Fishbein's dismissal. In a letter dated June 30 to NIH Director Elias A. Zerhouni, Grassley and Baucus demanded an explanation for the firing of Fishbein. The letter also noted that retaliation against an employee for reporting misconduct is "unacceptable, illegal and violates the Whistleblower Protection Act."