Americans don't like talking about dying, let alone legislating about it, even though the only certain things in life are death and taxes. Unlike taxes, death is a taboo subject in America — an uncomfortable, often avoided conversation. We are all going there some way or another, so why not demystify the process, expose obstacles and dispel misconceptions that, sadly, can end up challenging our fondest hopes and values?
One misconception is that "advanced directives" will be adhered to in all circumstances and in all settings. Increasingly, we are encouraged to sign a document outlining wishes for urgent or end-of-life care, particularly if entering a hospital. The hidden presumption is that an advanced directive will protect us in situations where we cannot make decisions.
Well, not exactly.
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