The collapse of the promise of modern medicine is, I think, the hardest one to deal with, compared to the promise of college leading to a career or the promise of having a family.

Dying at home, surrounded by family, is dignified. You have the fear of the unknown, but that's it. Whereas in situations like what you're describing, there's the fear that hope induces. "Will they get to me in time?" And you're in an ugly location, surrounded by strangers that won't risk their loicense to help you.