I believe that Americans should definitely make their own decisions regarding end-of-life matters. After all, it is their life and their body. I think some of the main decisions revolve around emotional, legal, and cost factors. Americans should be more responsible or aware of what is going to happen when they near end-of-life, not avoid it or be reluctant to make their own decisions. For example, someone shouldn’t avoid getting an advanced directive and then blame the healthcare system for trying to get money from them or complain about treatment for a given illness, when they could have specified what they would have wanted. Americans should also be responsible enough to not put the burden on their family and prevent complications from arising between differing opinions of family members when there is an end-of-life decision to be made. That would just put too much emotional strain on the family. Another responsibility an American has regarding end-of-life decisions is the cost of sustaining life. Like in the article, Americans have the responsibility to themselves and to the whole of society when making decisions like these. When you think about it, dying is a very personal thing within families, but it is also shared on a much bigger level with society. Right now, much of the costs of healthcare is funded by taxpayers and the most of that healthcare money is spent on the last months of life. So, not only does the cost of sustaining life directly effecting the ill, but it is also effecting everyone else involved in funding that care. Another responsibility of the patient to think about, also stated in the article, is leaving unpaid bills for the family to take care of, which may pose as a burden or issue for some families. The last major responsibility the patient and family has is to determine whether they want quantity or quality of life when they are nearing that time. When supervising end-of-life decisions, patients and families need to make sure that decisions are made in their own best interest, free from influence or coercion by the family or physician. Family members should make sure that there won’t be any major conflicts within the family when these decisions have to be made and make it a responsibility to get an advanced directive(s). Second, they should act in the interest of what their loved one(s) would have wanted and discuss this with them. I do think that family members and patients should question decisions made by healthcare providers, because how much do they know about the emotions/personal aspects of the family? Patients and their families, I think, are the best source of care and reason on a personal level.