Up to the 1970s, most Americans died swiftly: of heart attacks, strokes, cancer, or in accidents. But in the past three decades, medical advances have extended our lives and changed the way we die. Journalist Kiernan reveals the disconnect between how patients want to live the end of life--pain-free, functioning mentally and physically, surrounded by family and friends--and how the medical system continues to treat the dying--with extreme interventions, at immense cost, and with little regard to pain, human comforts, or even the stated wishes of patients and families.--From publisher description.