New paradigms for considering statistical significance: A way forward for health services research journals, their authors, and their readership.

This commentary discusses the new American Statistical Association forty-three article issue in The American Statistician. I cover some history of p-values, misunderstandings, along with NHST and the Neyman-Pearson model. Special focus is placed on Student [W. Gosset] and Fisher's work. Finally, a list of recommendations is provided.