The process of dying in America has changed dramatically over the last twenty years.  The process was often hidden away from family in a hospital setting.  Today more than half of deaths are at home surrounded by loved ones.  Along with this new American approach comes a range of responsibilities and stresses which can either bring families closer or tear them apart.  The primary caregivers may feel that they are ill-equipped for the responsibilities involved or that they are not given adequate support by others.  In their book “Dying at Home”, CM Cassady and our guest, Andrea Sankar, explore all of the issues surrounding this process, from having all medical and legal directives in place to burial and bereavement.  The hospice and palliative care movements in America are fast growing, though government support for families through things like Family and Medical Leave still leave much to be desired in many parts of America.  This podcast and their book are essential tools in dealing with an issue few want to discuss, yet all of us will face.