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Comment: A commenter did not support CMS' proposal to allow beneficiaries to decline data sharing and expressed the belief that such decisions are beyond clinicians' control yet could negatively impact and burden clinicians

However, clinical outcomes remain inconsistent, largely due to variability in dosing strategies, treatment length, and individual patient responsiveness

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This capability is particularly critical in serious illness communication, where effective care requires a nuanced understanding of patients' values and beliefs about end-of-life treatment

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