Hello Danang! I am a hospice nurse. I have worked in this field in various capacities for many years. Dying at home with comfort and dignity is an option welcomed and preferred by most patients and their families. If a family can not handle the "burden" of caregiving, we strive to give them all of the resources needed and direction to get further support above what the agency can provide: placement into a long term care center, and or in home caregivers. All hospices have a level of care called "Respite", which provides a 5 day break for families. Many people need assist applying for Medicaid, which can pay for room and board at a care center for the underprivileged. End of life and be a slow process. I'm sure costs do play a factor, how would it be prudent for someone to stay in a hospital for 9 months? 1 month? 20 days? For basic comfort care. The hospice team provides holistic care and support to the caregivers. Some families do great. Some are overwhelmed, and that is when we step in and help to provide a solution. Believe me, I see people all of the time that get much worse care at long term care centers. I will be writing some articles on this soon! Cheers!