We must earn confidence in end-of-life comfort care
We live and practice in challenging times. Thanks to advances in public
health and treatments for hitherto swiftly fatal conditions, people in
developed countries are living longer than ever before. However, during
those extra years, people commonly accumulate multiple chronic medical
conditions along with the need for expert health care and supportive services.
Fundamental social and clinical ethics, and basic human values, suggest
that seriously ill people deserve reliably skillful, coordinated care
to optimize their comfort and quality of life, as well as support for
their families. By this benchmark, we are failing. Dying in America remains
a public health crisis.