Sounds like I must be an ungrateful person doesn't it. However, Medicare picks up HOSPICE billing, we were offered and declined many items that were never needed at anytime.
Hospice is a wonderful service, our nursing staff normally A+ . One example, they wanted my husband to have a walker on hand for future use, we had two walkers, both in excellent condition, loans from family members.
The aid and the RN arrived together, driving separate cars. The aid never did a thing but sit and check phone constantly. Aids are not allowed to do vitals, only the RN. Eventually I found out what an aid could have offered to do, those services would be most helpful for someone living alone without a in home caregiver like a spouse, relative etc.
Many situations are far more demanding than ours, we were married over 50 years I was abundantly blessed to be able to care for my husband at home.