RT Journal A1 Workman SR T1 End-of-life care and pragmatic decision making: A bioethical perspective JF JAMA JO JAMA YR 2010 FD November 3 VO 304 IS 17 SP 1959 OP 1960 DO 10.1001/jama.2010.1600 UL http://dx.doi.org/10.1001/jama.2010.1600 AB In End of life Care and Pragmatic Decision Making: A Bioethical Perspective, D. Micah Hester, who states in his introduction that he experienced the death of his daughter born prematurely and untouched by his hands, speaks of what he knows about decision making at the end of life. In the introductory chapter, he observes—and I think many readers would agree—that for dying patients, “Loneliness, bitterness and pain are more common than peace and joy.” In this concise and deeply thought-out text, he argues that this need not be true and proposes novel ways to improve care for dying—or, as he would perhaps argue, living—patients.