The 2005 Chest article, “Treatment Preferences for Resuscitation and Critical Care Among Homeless Persons,” identified differences between physician and patient desires regarding end-of-life care, specifically mechanical ventilation and cardiopulmonary resuscitation (CPR) [1]. Norris and co-authors compared the preferences of different groups of homeless men and women to each other, to physicians, and to a group of patients with chronic obstructive pulmonary disease (COPD) who were not homeless. This last group was included to control for the difference in education level between the homeless and physician groups. The study found that each group of homeless individuals preferred more care than either the COPD patients or physicians would have chosen for themselves. This is significant because, when physicians treat patients who have no advance directives or surrogate decision makers, they tend to choose for those patients the level of care they would want for themselves [1]. Thus, Norris's article suggests that when physicians make end-of-life decisions for a homeless patient, they are likely to choose less care than the patient desires.