> As a clinician, I’ve been trained to explain hospice to patients as “an extra layer of support” at the end of life. Offering advice on the provision of goods

> As a clinician, I’ve been trained to explain hospice to patients as “an extra layer of support” at the end of life. Offering advice on the provision of goods and services without cost information is stupid. It’s like one grade schooler telling another “yeah, you should totally buy that real life Ferrari.” > The problem is that the bulk of the hands-on care in hospice — including changing diapers, feeding and giving medications — still falls to the family. Amazingly, she acted as a salesperson for services whose service level she didn’t understand. On top of that, instead of learning a lesson and sharing better approaches with others she promoted additional subsidies to the existing dysfunctional system.