This is pretty ridiculous. You have the option to refuse care and die the slow and painful way, at much more public expense. My Kidney docs discuss the conservative care at least once a year. Translation, you can refuse dialysis and they will try to make you as comfortable as possible until you die from toxic levels of potassium, sodium, phosphate, urea ... and from fluid bloat.

When docs were trying convincing me to go along with 24x7 IVs in both arms, double digit multiple transfusions and exotic injection antibiotics to deal with the bacterial infection on my first dialysis perm catheter one tried the "what about spirituality and religion".  I laughed at her, but perhaps she was serious, not just checking off an item on the list. Some docs may have personal reservations about AD.

People think of military, police, firefighting, prison guards as high stress occupations. Front line ambulance, ER, and other health care workers see people dying, maimed, and diseased more often.