Those of us who work in the Canadian health care system will find this book somewhat trite and less than relevant. A bit of scare mongering about physician assisted death and insufficient discussion of the impact on the emotional health of the caregivers for the end of life case studies. The book underlines the inadequacies of the private insurance health care coverage that results in the most expensive health care costs in the western world. Needless to say, we have some of the problems/ inadequate discussions in our health care system, so the book is worth reading to generate discussion. But be aware that other countries have a different system and make decisions about interventions and palliative care based on different values.