Morton J. Kern, MD in a discussion with guests Kirk N. Garratt, MD, MSc, Christiana Care, Newark, Delaware; Michael J. Lim, MD, Hackensack University Medical Center. Hackensack, New Jersey; Arnold H. Seto, MD, MPA, Long Beach VA Medical Center, Long Beach, California; Bonnie H. Weiner, MD, MSEC, MBA, University of Massachusetts, Worcester, Massachusetts; and Christopher J. White, MD, Ochsner Clinic, New Orleans, Louisiana.