I think the leader board also encourages people to make up different user names and accounts to play there self. Also have experienced certain games not being played until the new week to boost points. thank God this is just a game. Retired from a career in the medical field for 26 years and have experienced clinicians doing whatever they could do to get 200% productivity. Including a nurse driving up to a house while I was finishing up with a patient and driving off before I left and counting the visit. Getting the vital signs from my documentation. And she was praised for her productivity during a weekly staff meeting. What a great injustice to the patient.