ABSTRACT

Modern medicine has markedly changed the way people die. In the early

1900s people usually had a short period of illness prior to a rapid decline and death. Advances in public health and medical care have enabled people

to live longer and to survive many life-threatening events. Today, we have an

expanding number of people living with chronic diseases and experiencing

prolonged illness and disability. Modern technology and innovative medical

treatments have made it possible not only to prolong life, but also to

prolong the dying process when little hope for a meaningful recovery

exists. Most people, however, want more than just a longer life.