There are times when finances are tight and a company often begins making decisions to cut costs in order to preserve profit margins or even its viability.Decreased revenues may lead companies to become tighter on supply purchasing, travel expenses, new initiatives, training and equipment.The business decision is influenced by the organization to build strength financially that would be best for sustainability of the company's future.

The United States has experienced years of mounting concern about steep increases in health care spending and in the share of national resources devoted to health care and end of life care.

For example, spending on care at the end of life is so high and because much of it is financed by government programs, the cost of end-of-life care has attracted considerable attention.

Hospice is an end-of-life program that aids terminally ill patients who have abandoned treatment options and have chosen instead to focus on comfort during their last months of life.

As a hospice nurse on the marketing side, it was very challenging for me.Because we made decisions based on profitability for the company if we were going to admit that patient.We were trained to consider the prognosis, current medications, equipment, how much care they going to need, and if we could meet the needs of the family prior to admissions.Again, financial decisions., and it wasn't always easy.Although, we were able to "Scholarship" a family or two at times, but very rare.

In my position, I felt everyone needed our care, but as a marketer unfortunately, I had to follow the rules of the game.

I am so happy now more than ever, value and quality of life are gaining in importance, a trend that will force stakeholders to determine the value proposition of therapies in a different way.Quality of life means more than just a dollar.

What are your thoughts?