As the US look for ways to trim spending, one of the most relevant issues becomes: Are the dollars put into end-of-life care the most cost-effective way to allocate our scarce medical care resources? Taken even a step further, who should bear the costs of our desire for longer and happier lives (quality of life)? Should this be an individual effort? Or should the Government for whom we pay taxes to and work for be the one to provide longer and happier lives (quality of life) for it citizen.