When my mother developed terminal cancer at age 84, she had 2 grown sons and one widower son-in-law.

Her wish was to "die in her own bed" and this she did. My brother, brother-in-law and I arranged to look after her every evening from 5 pm through to 9 am. The province provided day "nursing" (not with an RN) during the work week. The oncologist came down a couple of times a week from the hospital to check on her condition.

Obviously, care in one's own home is far less expensive on the medicare system than spending $1000s a day on hospital-care. And, just as obviously, my mother was far happier spending her final days in her own home.

Years later, my daughter and I  tried to offer the same type of care to my mother's 97 year old cousin.

While this happened 20 years ago, the care we tried to give my mother was very much in line with what Dr. Picard advocates.