Talking about the dying process early can be supportive for caregivers and their loved ones. AlexanderFord/E+ via Getty Images July 14, 2026 Most Americans prefer to die at home, but the US healthcare system often prevents it Karen Lutfey Spencer, University of Colorado Denver and Jane Callahan, North Carolina Central University ‘Fix-it’ medical approaches often go against people’s wishes near the end of life, creating unnecessary and preventable suffering.