End-of-life care in America reveals a critical disconnect between patient preferences and medical practice. While most Americans wish to spend their final days at home surrounded by loved ones, the healthcare system's emphasis on aggressive interventions often overrides these wishes. This approach frequently results in unwanted hospitalizations, invasive procedures, and preventable suffering. Healthcare reform advocates argue that prioritizing patient autonomy and comfort-centered care could transform the dying experience, aligning medical decisions with individual values and dignity.

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