Dear Readers, it’s Patriot’s Day here in Massachusetts; the running of the Boston Marathon has begun ; and, unbeknownst to many, it is also “Healthcare Decision Making Day.” I didn’t even know there was such a thing. I find it interesting that these three have converged on this day. Surely, the Marathon is an expression of the liberty good health (for the runners) brings, while the choice and responsibility to make decisions about our own health is surely an act of freedom. Enjoy this piece by my colleague Eric Nelson in Northern California. It encapsulates why it is so important for each of us to be responsible for his/her own healthcare decisions and why liberty to make choices is also crucial.