Michael H. Ebert is Chief of Staff, VA Connecticut Healthcare System, and Associate Dean for VA Affairs and Professor of Psychiatry, Yale University School of Medicine, Guilford, CT, USA. Robert D. Kerns is Professor of Psychiatry, Neurology and Psychology, Yale University, National Program Director for Pain Management, Veterans Health Administration, and Director, Pain Research, Informatics, Medical Comorbidities, and Education (PRIME) Center, VA Connecticut Healthcare System, CT, USA.