The construct of shared decision making (SDM) is dealt with directly or indirectly in 3 articles in this issue of JAMA Internal Medicine. One concerns the effect among dialysis patients of a lack of being properly informed.1 A second evaluates the potential costs of patients’ decisional preferences.2 The third measures a national rate of patient-centered medical decisions.3 See also the research letter by Krumholz et al.4 This is not coincidence. The frequency of SDM-related research, policy, and affirmation increases annually, and some say it is reaching a tipping point.