(New York Times) – Nearly all Medicare hospice patients receive care in their residence. So, as is standard, we enlisted the services of a Medicare-approved hospice agency.

We soon encountered a harsh reality, however. Dying at home isn’t easy, even with hospice care. The hospice system, we learned, requires family involvement in the dying process to a degree that even we, as a family of doctors, weren’t comfortable with. We were responsible for bathing my father and helping him use the toilet, changing his clothes and, most daunting, administering morphine and other sedatives to treat his pain and anxiety. A nurse was scheduled to come to the house only for about an hour twice a week. Getting an aide to help with basic activities of daily living was nearly impossible. (Read More)