1. Andrea S. Christopher is with the Department of Medicine, Boise Veterans Affairs Medical Center, Boise, ID, and the University of Washington School of Medicine, Seattle. David U. Himmelstein and Steffie Woolhandler are with the School of Urban Public Health, City University of New York at Hunter College, New York, NY, and the Department of Medicine, Harvard Medical School, Boston, MA. Danny McCormick is with the Department of Medicine, Harvard Medical School and Cambridge Health Alliance, Cambridge, MA.