Last Facts

The greatest consumer issue in America today is the use of excessive medicine on people dying of gradual illnesses.
 
About 6,500 people die in the U.S. every day. Fewer than 1,200 die at home, among loved ones, free of pain.
   
Half of people who die in hospitals endure severe untreated pain.
   
More than 70 percent of doctors do not check to see if a patient has end-of-life care instructions in place.
   
Residents in one-third of nursing homes were abused in 2003. Thousands of residents were strapped down involuntarily. One quarter of homes failed to provide adequate food.
   
Health expenses are the nation’s leading cause of personal bankruptcy, even among people with insurance. Medical care for dying spouses is one of the fastest growing causes of impoverishment among elderly women.
   
End-of-life care that focuses on pain control and patient comfort costs less than half of normal medical interventions for similar patients.
   
People whose loved ones die after receiving good end-of-life care are far less likely to die themselves in the following 18 months.
   
Only five U.S. medical schools require students to take a course on care of the dying. Less than three percent of medical textbook pages cover this topic.
   
Federal laws for end-of-life care have not changed much since Ronald Reagan was president. In that time causes of death have shifted dramatically. Deaths from heart attacks fell 61 percent, stroke fatalities 71 percent and deaths from accidents 36 percent. Meanwhile cancer deaths rose 22 percent, chronic respiratory disease 77 percent and Alzheimer’s disease 100 percent.

Dying today is slow. Health care has not adapted to this reality. Last Rights explores what needs to change so everyone can die with dignity.