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Previous Volume 351:611-612 August 5, 2004 Number 6 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: Quill (May 13 issue)¹ advocates a "seamless transition into hospice programs if and when palliation becomes the primary objective," but does not acknowledge a major obstacle to determining that palliation has actually become the primary objective. Many patients perceive an inequality in access to optimal treatments among different races and social classes, as well as a financial pressure to conserve resources through the withdrawal of life support or referral for hospice care. Thus, they mistrust the motives of those making the recommendation.² This is a legitimate concern that must be addressed.^3,4 In the legal arena, even one . . . [Full Text of this Article]

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