I most definitely believe that they have a decision to make. This is their life and to leave it up to distraught loved ones and leave the bills to the government even though that may not have been their wishes is in every way irresponsible. She talks about how Medicaid now has one third of their budget going towards end of life care and that simply is unacceptable especially since a large majority of those people would not be using that money had they had properly planned end of life care. The responsibility that they have is to prepare for the end. I know that that sounds so harsh, but even I know that I don’t want certain things and I’m 20 years old. These things that need to be discussed are just basic questions of where they want to die, how, and should they try to resuscitate. They could save a lot of money for people that don’t have enough money to buy themselves a fighting chance. They, also, help you if you didn’t plan on dying. You never know when your time is and I believe everyone has a way they would like to be treated at the end of their life(i.e. in the picture). My grandfather who recently passed updated his will and informed my mother (who was power of attorney) every year or any time he decided to change his mind about something. Patient’s families have the responsibility to ask and be informed about these wishes as well as keep true to them. I understand that your loved one may not want the same thing you want but guess what? Its not your life, its theirs and you should respect their decision. Its exactly like when your son marries that awful girl you never liked, you can voice your opinion but in the end its still his choice and you shouldn’t break up the wedding because of it. Yes, the patient has every right to ask more questions and challenge the provider. Those are the types of things that keep doctors good and up to date with their treatment skills. While in the hospital this past year, I was hooked up to a very strong antibiotic and I started to become really really itchy. I told the nurse who didn’t believe me and I continued to bug her until she examined me a little more. Turns out I had a reaction to the antibiotics and couldn’t be place on a dosage of them in short time. Had I not questioned her bad things could have happened.