tions that mattered to the decision, the patient's values and preferences, the evidence used for informing decision making, and the decision the patient then made?What if physicians were paid for shared decision making and clinical decision support? Basing health care financing on supporting decision making for people could change health care, achieving a health care system that informs people, increases public understanding and well-being, aligns health care actions with patient values, and reduces waste, or in other words, what matters most to people.