Stuart J. Youngner, M.D., is the Susan E. Watson Professor of Bioethics and chairman of the Department of Bioethics at Case Western Reserve University. Robert M. Arnold, M.D., is a professor of medicine, the director of the Section of Palliative Care and Medical Ethics, and the Dr. Leo H. Criep Chair in Patient Care at the University of Pittsburgh. Renie Schapiro, M.P.H., is a consultant to the Robert Wood Johnson Foundation and a freelance writer and editor in Madison, Wisconsin.