Historical and Contemporary Issues

– What do you think Dr. Gawande means when he says that we’ve “medicalized mortality”? How do the course readings, videos, and your reflections influence this statement?
– Did you read Alice Hobson’s story as an inspiring one, or as a cautionary tale? How did the rest of the course materials influence your response to this question?
– At the end of life, how do we strike a balance between fear and hope, while still confronting reality?
– Often medical treatments do not work. Yet our society seems to favor attempts to “fix” health problems, no matter the odds of their success. Dr. Gawande quotes statistics that show 25% of Medicare spending goes to the 5% of patients in the last stages of life. Why do you think it’s so difficult for doctors and/or families to refuse or curtail treatment? How should priorities be set?
– If you had to make a choice for a loved one between ICU and hospice, what would you most want to know from them? What would you want from your doctor if you faced a serious illness?

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