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The decision to confront the CEO personally was his own, he could've chosen the anonymous path all along.It's worth pointing out that Shultz seemed to have acted in good faith initially, and apparently didn't think anonymity was justified:
> Mr. Shultz says he took his concerns directly to Ms. Holmes. When they met in early 2014, she encouraged him to talk to Daniel Young, a Theranos vice president in charge of biostatistics.
He seemed to have acted with optimistic intentions for Theranos. It was only later that he sent a more scathing email, after which he waited for a few days, got the arrogant reply from the Theranos president, and then quit.
Given all of the professional and personal reasons he had to hope the best for Theranos, he had plenty of excuses to just let things go with a it's-above-my-paygrade mentality. Because it was, on paper, above his paygrade, and his boss and coworkers have the prestigious degrees and engineering experience to argue that Tyler is just mistaken.
It's not easy in a cult-like company to call out shit even as/after the shit hits the fan. But it seems rarer to be the frog that jumps out of the warm water, when all the other frogs feel fine and are also threatening to sue the fuck out of you if you do jump.