In regards to hospice care: It is explained to patients and families by all hospice agencies how they will treat a patient at end of life. Hospice is not their to prolong life or prevent death. If you want to live longer and want everything done to keep you alive, then do not sign up for hospice.  We call hospice in when a patient is showing signs that they are nearing the end of life. Most calls are made when we see failure to thrive, repeated UTI's or infections that do not respond to antibiotics, weight loss from poor appetite, multiple complex medical issues, end stages heart failure, cancer, end stages dementia, COPD, kidney failure, etc.  If your wanting comfort at end of life, you have the option of not taking life prolonging medications, such as heart medications, insulin, dialysis, or any other life sustaining treatments. They will add pain medications and other meds to help keep you comfortable to prevent suffering. Facilities do not make money off of hospice patients meds.