Joshua A Rolnick1, David A Asch1, Scott D Halpern1. 1. From the National Clinician Scholars Program (J.A.R., D.A.A.), the Departments of Medicine (J.A.R., D.A.A., S.D.H.) and Medical Ethics and Health Policy (D.A.A., S.D.H.), Center for Health Care Innovation (D.A.A.), and Palliative and Advanced Illness Research Center (J.A.R., S.D.H.), University of Pennsylvania, and the Center for Health Equity Research and Promotion at the Philadelphia Veterans Affairs Medical Center (D.A.A.) - both in Philadelphia.