I guess the issue that bothers me is that for many years patients and families have quietly decided to stop rescue and agressive care. IT is not a state issue. It is not even a medical organizaion (read non profit sponge) issue. It is a personal issue born of relationships.
I have made it official in my will, no extraordinary means to keep me alive and then I list the extraordinary means...Told my kids I may be old but just might get a tattoo on my old chest that says in big letters NO CODE.
They kinda of chuckle, but know I just may do it...