The views expressed in this article are those of the authors and do not necessarily reflect those of the Department of Veterans Affairs.

Dr. Kizer reports serving as Under Secretary for Health in the Department of Veterans Affairs from 1994 through 1999. Dr. Jha is a staff physician at the Boston VA Healthcare System.

Disclosure forms provided by the authors are available with the full text of this article at NEJM.org.

This article was published on June 4, 2014, at NEJM.org.