As someone who has written an entire book about the difficulties of caring well for the dying, I find all the fury aimed at halting support of end-of-life care discussions more than a little ironic. Why? Because the truth is that most of us need all the help we can get to start these difficult conversations. The truth is that we never talk or even want to think about talking about dying because we are afraid of dashing the hopes of our loved ones or our patients. The truth is that we fear -- even abhor -- these discussions because we believe that by talking about dying we are giving up.