1 From the Center for Clinical Epidemiology and Biostatistics, Fostering Improvement in End-of-Life Decision Science program, the Division of Pulmonary, Allergy, and Critical Care Medicine, the Department of Medicine, the Center for Health Incentives and Behavioral Economics at the Leonard Davis Institute of Health Economics, and the Department of Medical Ethics and Health Policy, Perelman School of Medicine of the University of Pennsylvania, Philadelphia (S.D.H.); and the Institute for Health Policy Management and Evaluation and the Department of Medicine, University of Toronto, and the Department of Medicine, Mount Sinai Hospital and University Health Network - all in Toronto (A.S.D.).