I think this could’ve been clearer: it’s been a bit since I wrote this/read the book, but I don’t think I meant to imply that “some forms of hospice do prolong life at extreme costs to its quality” (though the sentence does read that way); more that some forms of medical treatment prolong life at extreme cost to its quality, and Gawande discusses hospice as an alternative.
I think this could’ve been clearer: it’s been a bit since I wrote this/read the book, but I don’t think I meant to imply that “some forms of hospice do prolong life at extreme costs to its quality” (though the sentence does read that way); more that some forms of medical treatment prolong life at extreme cost to its quality, and Gawande discusses hospice as an alternative.