Experts seem to disagree about the meaning of the words “goals of care,” as indicated by the point/counterpoint editorial discussion in CHEST (June 2015).1-4 “Goals of care” may mean goals/values of patients to some, to others it is the treatments that achieve the goals, or to some others it means both. Physicians do not know the values/goals of the patients, particularly in the ICU, where the physician is interacting with patient/family for the first time. Physicians should not presume that they do know patients’ values/goals, although sometimes we do assume that a particular level of quality of life is not desirable and think that it is not desired by the patient. It may help if we separate discussion of “goals” from “care” that would achieve the goals and avoid the phrase “goals of care” to clarify the issue better. The distinction between values/goals and treatments that could achieve them should be emphasized, and these (ie, goals and treatments) need to be addressed separately because physicians, particularly trainees, focus on treatments (CPR/do not resuscitate, intubation/mechanical ventilation, and other life-sustaining therapies) rather than identifying goals and offering treatments that achieve the desired goals.