Book excerpt: Too often we view death as an enemy to be denied, fought, and defeated, rather than as an inevitable and natural part of life. The medical establishment routinely buys into this view, promoting aggressive treatments by overselling technology and hope, which only prolong needless suffering for terminal patients and their families. But as this candid book shows, we don’t have to go down that path. As a long-time palliative and hospice care physician, Dr. Ken Pettit talks openly about a subject few of us want to discuss. His focus is not on prolonging life, but on helping terminal patients die “a good death,” with the best possible quality of life up to the end. Based on his work with hundreds of patients and families, as well as the life-altering experience of watching family and friends face death, Dr. Pettit illuminates, in the vivid detail that only an insider can provide, the failings of our medical establishment. He empowers us to ask questions, challenge assumptions, and prepare, with pro-active clarity, for our final days. This book will help all of us—patients, families, and medical professionals—break our collective silence about death, so we can develop better ways of discussing, treating, and encountering what we will all someday face.