1 From the Department of Medicine and the Department of Bioethics and Humanities, University of Washington, Seattle (T.H.G.); the Department of Health Policy and Management, Harvard School of Public Health (M.M.M.), the Department of Social Medicine, Harvard Medical School (R.D.T.), the Department of Medicine, Beth Israel Deaconess Medical Center (S.K.B., L.S.-H.), and the Division of Otolaryngology, Brigham and Women's Hospital (J.S.) - all in Boston; the Department of Medicine, University of Toronto, Toronto (W.L.); the Institute for Ethics, American Medical Association (M.K.W.), and the Division of Education, American College of Surgeons (A.K.S.) -both in Chicago; the Center for Ethics and Professionalism, American College of Physicians, Philadelphia (L.S.S.); the Institute for Healthcare Improvement, Cambridge, MA (J.C.); the Department of Medicine, University of Massachusetts Medical School, Worcester (K.M.); COPIC Insurance, Denver (A.L.); CVS Caremark, Woonsocket, RI (A.-L.P.); and the Institute for Doctor-Patient Communication and Section of Palliative Care and Medical Ethics, University of Pittsburgh School of Medicine, Pittsburgh (R.A.).