I can hardly agree more that end of life care is a major problem in the US. At age 25 I actually just got a living will and durable power of attorney document set up in the unlikely case of incapacitation after seeing within my own family just how important the latter document was to making sure that the medical system actually behaves in your interest when you can't direct it rather than acting out strange motions that just cause pain, and inferring that the former would also be quite useful in the case of particularly severe unexpected issues.