This book is a must read for anyone who considers such things as end-of-life care, elder-care, and helping or working with people at that stage in life. We have prolonged life and yet we still struggle with how to discuss death openly and clearly. Even moreso we struggle with how to help elderly people make decisions that honor their autonomy and that honor their sense of what gives their life meaning at that point in life. Meaning and autonomy are the two takeaways that we must honor for people as they age. This is a great read.