The author did a good job of laying out the complexities of end of life care decisions. She did talk about how important it is to have these discussions in adva

The author did a good job of laying out the complexities of end of life care decisions. She did talk about how important it is to have these discussions in advance, but I don't think she emphasized enough how important it is to have the whole family involved in discussions. A child who has discussed these issues with her parents, and makes the right decisions in accordance with her parents' wishes, still faces guilt and indecision when the end comes and it's time to let go. If you combine that with unsupportive and accusatory siblings, that guilt and second-guessing can continue for years after the parent dies. It's important to make sure that all children are involved in the discussion, especially if they don't agree with each other and the parent, and are hostile to any decision to forego care. Communication is hard, and distances are long, and it's far too easy not to have these discussions with the dying relative far away. It takes effort and will to make these discussions happen, but they are necessary.