Kay Lazar’s article “Difficult discourse” (Jan. 21, Page 12G) is subtitled: “Despite expert recommendations meant to encourage talks about end-of-life care, many still do not spend their final days the way they would have chosen.” This article could serve as a catalyst for lawmakers, health care providers, insurers, and residents of the Commonwealth to redouble their efforts and work together to honor end-of-life wishes for care.

Advance care planning is a process. It requires intimate conversation, quiet reflection, and thoughtful choices.