Sham Mailankody1, Vinay Prasad2. 1. Myeloma Service, Division of Hematologic Oncology, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York. 2. Knight Cancer Institute, Division of Hematology Oncology, Oregon Health & Science University, Portland3Department of Public Health and Preventive Medicine and Center for Health Care Ethics, Oregon Health & Science University, Portland.