This article describes the plight of Paula Faber, who was a smoker lifelong and gave up to the third episode of cancer after endless set of treatments. Her husband regrets the choice of Paula going through aggressive treatments that affected her quality of life. The article also mentions such decisions are common in cities like New York and New Jersey. The purpose of the article is to highlight the reasons that include the health care system and its culture like the increased number of referrals, fee for service instead of fee for value model resulting in people dying in the hospital rather than home. Based on the report, it can be understood that the philosophy of hospice care is yet to be understood by many. The concept of palliative care