The doctor gets $125.74/hour, has to leave their own practice where they pay rent/staff/etc to do it, and there has to be a working group to recognize this is too low? These MDs are providing individualized care, counselling families, dealing with a high emotional burden for them and their patients.  For perspective, the lawyers who are drafting the end of life directives from a template are likely billing $400/hr and up.  There should be no debate here, and fees should increase.  For those who suggest that we can outsource this service to cheaper labour, I say no way - families will feel unsupported, no-one trained/experienced to react when medications don't work as expected, and one trip to the ER or hospital for a situation gone awry will eat up any savings for the entire region.