Vinay Prasad1,2,3, Sham Mailankody4. 1. Division of Hematology and Medical Oncology, Knight Cancer Institute, Oregon Health and Science University, Portland. 2. Department of Preventive Medicine and Public Health, Oregon Health and Science University, Portland. 3. Center for Health Care Ethics, Oregon Health and Science University, Portland. 4. Myeloma Service, Division of Hematologic Malignancies, Memorial Sloan Kettering Cancer Center, New York, New York.