The article, published in the Annals of Internal Medicine, highlights the risk to physician well-being as physicians, many of whom are already facing burnout, worry that they may not be able to care effectively for the new influx of sicker uninsured and under insured patients that is expected if the Patient Protection and Affordable Care Act (ACA) is fully repealed. A growing understanding that organizational factors are linked to physician behavior on health care quality was impetus for a group of experts from various disciplines to draft “The Charter on Professionalism for Health Care Organizations”, building on previously 15-year old “Physician Charter on Medical Professionalism.” The tenets of the newly written charter are patient partnerships, organizational culture, community partnerships, and operations/business practices.