Insurers and agents (my side) have only two choices in reacting to the 25% relative pay cut (a reduction from 20% of premium to 15% of premium is a 25% reduction): We can either reduce our services, which means less utilization review, claims auditing, agent premium negotiating, etc.
Cecilia's agent is also negotiating with European publishers and there is even speculation about Hollywood interest in transferring the book to the big screen.