25% of individuals become clinically depressed post diagnosis of terminal illness, which is of course understandable.  As Dr. Nakitsuka pointed out in the PBS discussion last night, only 5% of individuals are being referred!  In other words, no safety net for these individuals.  Pallative care, hospice is available, and they are continually evaluating meds, treatments to assist in this life process and spiritually assisting individuals as well.  As you mention, so why trash the doctor patient relationship?