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@penynah

JobliO-
Perhaps you already know, but Palliative care and Hospice care are not always identical, especially if you rely on insurance, (private or government) and are not self funded.
Palliative care includes any care that is not aimed at curing disease. I have an NET stage 4 cancer originating in my small intestine. It has spread to liver, bones, etc. I am told " it is not curable, but it is treatable. " My treatment goal is to arrest the growth of the cancer and reduce/eliminate symptoms. People here on Mayo connect have lived with this type of cancer for 5, 10 & even 20 years. But technically much of our treatments are Palliative.
Hospice care insurance is a very limited subset of Medicaid. which eliminates many treatment options.
I am linking an article that both defends Hospice care from inflammatory criticism and yet also points out the financial limitations on treatment options that may actually cause more discomfort for the patient.
I hope this is helpful as you make decisions about your own care.
Praying your remaining years are filled with peace, joy and family.
https://www.lifesitenews.com/blogs/palliative-care-doctor-explains-why-americans-are-suspicious-of-hospices/

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Replies to "JobliO- Perhaps you already know, but Palliative care and Hospice care are not always identical, especially..."

Well put about palliative care. Lots of other diseases aren't curable but can be managed now until we die naturally of old age (think of AIDS/HIV, or Parkinson's).

I believe we're living in an exciting time when certain kinds of stage 4 cancer are either at that point or about to arrive there, but we won't know until they've had a few more years to follow our cases and analyse the data. In the meantime, it's a rough road to follow, and long-term maintenance certainly won't be possible for all types of stage 4 cancer, so the hospice route is a very reasonable and peaceful choice for many.