In recent years, widely publicized research studies have documented a litany of seemingly intractable problems with the quality of care given to Americans at the end of their lives—inadequate pain control, inadequate counseling and family support, inadequate compassion or human presence. A comprehensive new report issued by the Hastings Center, a leading bioethics research center in Garrison, NY, confirms those previous findings while identifying new opportunities for overcoming high levels of preventable suffering at the end of life. A major thrust of its recommended solutions lies in a surprising but familiar direction: making greater use of America’s 3,400 existing providers of hospice care.