In 2018, Americans spent $3.65 trillion on health care. $365 billion of it went for end-of-life care. "But the question we should ask, and we should ask it of not only the last year of life, but of everything we spend on health care, are we getting our money’s worth?," asked Dr. Greg Eastwood, professor of bioethics, humanities and medicine at Upstate Medical University. He's the author of the book "Finishing our Story: Preparing for the End of Life," that looks at the planning for death. Eastwood said money is often a secondary consideration for a family dealing with the imminent death of a loved one. "I would say the primary consideration are the wishes of the patient. And the wishes of the patient very often are expressed by the family if the patient can’t speak," he said. But that gets more complicated in this day and age, according to Eastwood, because of the evolution of medicine. "We did not have the ability to intubate people and put them on a ventilator give them potent drugs