I am honored to share that I had the privilege of writing the foreword for “Killed to Order” by Jan Jekielek, a courageous and deeply important work that confronts one of the most uncomfortable and consequential ethical issues of our time. This is not an easy book to read, nor should it be, because it forces us to examine realities that many prefer to ignore, and yet as physicians, as citizens, and as human beings, we have a moral obligation to face the truth wherever it leads. Jan is not only a meticulous investigator but also a man of integrity, and I have no doubt this book will resonate globally and very likely reach the New York Times Best Seller list. I strongly encourage everyone to read it, reflect on it, and share it, because silence in the face of ethical darkness is never neutral. Thank you, Jan, for your courage and your friendship. @JanJekielek