Core Viewpoint - The article emphasizes the urgent need for improved palliative care in China, highlighting that nearly 30,000 people die daily, which underscores the importance of making "good death" a public concern and accessible service for all [3][8]. Group 1: Current State of Palliative Care - Palliative care, also known as end-of-life care, aims to provide comfort and support to patients in the terminal stages of illness, focusing on symptom control and emotional support for both patients and families [4][5]. - The World Health Organization's principles of palliative care stress the importance of recognizing death as a normal process and providing relief from pain and discomfort without hastening or delaying death [5]. Group 2: Policy and Regulatory Framework - The Chinese government has initiated policies to promote palliative care, including the inclusion of palliative care centers in the medical institution directory, which marks a significant step in legal support for the industry [6][9]. - The "Healthy China" initiative has laid the groundwork for palliative care development, with specific guidelines and standards established for palliative care centers since 2017 [6][9]. Group 3: Challenges and Obstacles - Despite policy support, the quality of end-of-life care in China remains low, with issues such as inadequate pain management and lack of psychological support being prevalent [7][9]. - Payment mechanisms pose a significant challenge, as current reimbursement systems may not adequately cover palliative care services, affecting accessibility and sustainability [9][10]. Group 4: Future Directions and Opportunities - The recent national planning documents emphasize the need to enhance the care system for elderly individuals, including expanding palliative care services [11][12]. - The integration of palliative care into public health strategies is deemed necessary to address the growing demand due to an aging population and to fulfill ethical responsibilities [13]. Group 5: Company Initiatives - TaiKang has established a comprehensive palliative care model, providing multidisciplinary services across 10 facilities in 9 cities, with plans to expand to 15 facilities and increase bed capacity to nearly 150 by next year [14]. - The company focuses on a four-in-one model of palliative care, which includes comfort care, humanistic care, and grief therapy, with dedicated staff for each aspect, contrasting with the reliance on volunteers in many hospitals [14].

自2018年2月韩国正式实施《维持生命治疗决定法》（又称"善终法""尊严死法"）以来，签署拒绝维持 生命治疗文件的人数已超300万，占韩国成年人口约6.8%。 这相当于，每14个韩国成年人中，就有1人明确拒绝临终时的插管抢救。 截至目前，已有超过44万韩国人依据该法填写文件后终止维持生命治疗。 7年时间，300万韩国人选择主动"拥抱"死亡。 媒体在惊讶于这个数字的同时，不禁也深思，究竟是什么让他们改变了对死亡的认识？ 一、"想在清醒的时候自己做决定" 2020年9月，来自韩国全罗南道宝城郡的54岁女性申某，在（韩国）顺全南大学医院签下了拒绝延长生 命医疗行为意向书。在此之前，申某已经与肺癌（第4期）斗争了6年。 回家路上，她对女儿说："我想在清醒的时候自己做决定。" 之后的日子，申某戴着家用呼吸辅助器和家人度过了"最后的时光"。三个月后，她因呼吸困难，疼痛加 剧，被送往医院。按照拒绝延长生命医疗行为意向书，申某没有接受心肺复苏手术。于是在缓和医疗 下，两天后，她闭上了眼睛，在自己的选择中安详离世。 面对母亲的选择，申某的女儿全某虽感到难受，但也表示尊重："如果妈妈接受了延长生命的医疗行 为，也许能活得更久一些 ...