Bloomberg has a troubling story in Preparing Americans for Death Allows Hospices to Neglect Life:
Robert Rogers' mother was on hospice care, but he wanted her moved to a hospital. She was wheezing and losing consciousness. Guess what happened? The for-profit hospice refused. The nurse told Rogers that "Our job is not to prepare them to live. Our job is to prepare them to die." So, Rogers called 911. Finally at the hospital, an ER doctor removed 11 maggots from an open wound. Rogers' mother died 5 days later of a sepsis infection brought on the the gangrene in her toe.
Isn't the point of hospice to "live as well as possible" during the stage of life?
Stories are similar to this in other nursing home abuse cases. For example, if someone is put on hospice for cancer, but then develops bed sores, the health care providers generally aren't liable for their mistreatment (even though it was preventable!). With hospice, patients "give up" their rights to "curative" measures.
The Bloomberg article notes that hospice care is a $14 billion business mostly run by for profit companies.