It identifies the undertreatment of pain and the aggressive use of “ineffectual and forced medical procedures that may prolong and even dishonor the period of dying” as the twin problems of end-of-life care.

对病痛处理不力和大胆使“无效而强制性的医疗程序，这些程序延长死亡期，甚至让死亡期难堪”。