Dr. Tom Jeanne:

It may be one of several reasons that people cite for their end-of-life concerns. I do not see that as particularly concerning. Only 5% cited financial implications as one of their concerns.

Regarding palliative care, physicians in Oregon certify that they have fully informed the patients of their diagnoses and prognoses, the risks of their medications and feasible alternatives, including palliative care. That is a requirement in Oregon.

A psychiatric evaluation is required if the physician determines that the patient may be suffering from a psychiatric or psychological disorder, including depression or anything else that might impair his or her judgment.