In this modern age, we are confronted with dilemma regarding health care cost and decision-making, especially near the end of life. A study by Klingler, Schmitten, & Marckmann (2016) shows that the quality of care may not improve near the end of life, but high-cost of medical expenses rises exponentially. The United States spent $2.7 trillion on health care in 2011. The numbers do not pertain to patients nearing end of life, but in general, mostly with chronic diseases (Aldridge & Kelley, 2015). Rationing health care during the last years of life is not the answer in reducing the health care expenditures due to the fact that only a minute number of individuals are on that category. The lack of sufficient supportive services and
