Oren Berkowitz1, Eyal Jacobson, Gil Fire, Arnon Afek. 1. Oren Berkowitz is director of research and an assistant professor in the PA program at Boston University School of Medicine in Boston, Mass. Eyal Jacobson is medical assistant to the director of health administration in the Israel Ministry of Health. Gil Fire is deputy director of the Tel Aviv Sourasky Medical Center in Tel Aviv, Israel. Arnon Afek is director general of the Israel Ministry of Health and director of the NY/American MD program at the Tel Aviv University's Sackler Faculty of Medicine. The authors have disclosed no potential conflicts of interest, financial or otherwise.