Dying in America is an expensive business! For those over 65, most purely medical costs will be paid by Medicare. For many of us, a much larger out-of-pocket expense will be for home care and home health care, especially if the illness requires 24/7 assistance with skilled nursing. Moving to various forms of assisted living increases the cost further, and if we end up opting for memory care or a skilled nursing facility, the price tag goes even higher.
Our panel of experts:
Carrie McClellan, Outreach Manager for ELDERHELP, an expert on strategies to “age-in-place” in your own home with assistance from relatives, friends, and community support agencies, thereby avoiding the cost and loss of control of going into a nursing home.
Sandy Lieberman, Founder of SeniorSource San Diego, LLC and a Senior Living Consultant will speak on residential living options when we can no longer live in our own home.
Hunt Kooiker, MD, MPH, Chair of the Medical Advisory Committee of HSSD, will talk about medical futility and our options to decline expensive, disruptive end-of-life care and the option to “exit early” if the suffering and loss of autonomy become unbearable.
October 18, 2026. Don Vivrette and Pete Kote discuss a new way to think about giving: Why generosity can behave like an investment
*Five simple giving vehicles, explained plainly
*Giving that pays you back: Tax savings, income for life, and smart timing
*Building your legacy: Supporting causes and family for years to come
*Getting started: Practical first steps and questions to ask
August 23, 2026.
Voluntarily stopping eating and drinking (VSED) is a legal choice to end hopeless suffering by hastening death. More people are considering this end-of-life option, but few truly understand it. A daughter, a doctor, and a death doula explain the medical, practical, and emotional support that can help ensure a peaceful and dignified end-of-life experience.
June 14, 2026
What do you do when the law won’t allow the kind of death you want? For a growing number of Americans, the answer is: go to Switzerland. This program brings together perspectives rarely heard side by side:
Pat Spears whose husband, Bert – facing Alzheimer’s – traveled to Switzerland for VAD.
John Watson introduces a trusted resource for navigating end-of-life options in Switzerland.
Experts from Pegasos explain the process, requirements, and realities of Voluntary Assisted Death in Switzerland.
On May 22, 2026, Professor Thaddeus Mason Pope, JD, PhD, HEC-C, was the guest speaker for the Girsh endowed lecture on Medical Aid in Dying to the UCSD School of Medicine. The lecture begins at 11:05. Professor Pope reviewed the evolution of the California End of Life Option Act over its first decade, then discussed how medical aid in dying is likely to evolve over the next five years, including: (1) by expanding access to people with dementia, (2) by changing eligibility requirements, and (3) by amending safeguards to be more evidence based.