Retired family physician Ken Murray wrote that doctors often choose limited medical interventions at the end of life, despite having access to full treatment options. Murray described his own experiences and those of colleagues, illustrating how physicians confront mortality and systemic pressures that lead to overtreatment. In one case, orthopaedic surgeon Charlie was diagnosed with pancreatic cancer and declined chemotherapy, radiation, or surgery, dying at home after several months, with minimal Medicare spending. Another patient, a diabetic woman, underwent bypass surgery after family insistence, resulting in leg amputations and death two weeks later. Murray noted that intensive care unit procedures can cost tens of thousands of dollars per day and often provide little benefit to patients. Some physicians have requested not to be resuscitated, using "no code" identifiers such as medallions or tattoos to communicate these wishes. Studies cited by Murray indicated that patients receiving hospice care may survive longer than those who pursue aggressive treatment for the same disease. Physicians cited concerns about litigation, fee‑for‑service payment incentives, and difficulty communicating end‑of‑life preferences in high‑stress situations. Advance directives and increased use of hospice services are presented as pathways to dignified end‑of‑life care. Murray concluded that most physicians, like himself, prefer minimal intervention and that clear patient preferences can reduce unnecessary treatment.