@bobt8 Thanks for sharing. I’m in Massachusetts too, and lucky to see good doctors at Boston's major hospitals. My spine spontaneously started breaking down 11 years ago. I’m now in the chronic pain category after 2 major rebuilds, and a third recommended. Not sections. Increasingly long lengths because hardware fails. Most recently a titanium rod actually broke. In between each surgery about 2 years of healing occurred then… failure. My bones are healthy. Pain is awful. My PCP recently suggested palliative care because for other unknown reasons my body has been rapidly getting sicker. I need lots of help to try to manage my health well. And there seems to be no good answer for “curing” it all. My PCP could not get the palliative care agencies to accept me because, they said, none of my multiple diagnoses were intimately terminal. Yes we were applying for palliative, not hospice, but they could not get me in. I’m interested to know more about how you were accepted for chronic pain. I’m currently, by the way, finishing. a unique 3-week long Chronic Pain Rehabilitation program at the Mayo Clinic. Most of what they teach is how our nervous systems get sensitized, and then spark off other forms of illness and suffering from the cells being overcharged. The illnesses and losses of function can seem unrelated because they are very different from one another. The theory is that similar to seizures, brain cell activity can spread. So can pain and other problems stemming from our over sensitized brains. Nothing about it is our fault. But, the only solution, basically, is to ignore it. Hopefully the pain signals give up their attempts intensify and spread. We will never go back to our pre-pain selves but it may improve. I’ll find out. Meanwhile, I’ll soon return home. Soo, for the many of us with chronic pain, can you share more information about gaining palliative care? I believe that kind of approach will help me live a much better life from here forward. There is not going to be a magic solution, and I’m tired of all my time spent on unproductive doctor visits. I also have Medicare and Medicaid. Good luck and God Bless.