Overview

In the tradition of Atul Gwande’s Being Mortal, this compassionate work helps individuals develop a more accepting view of dying while teaching them what to expect and how to navigate the healthcare system at end of life. The health care system has a narrow view of how to care for patients in elderhood. That view focuses on extending life with machines and procedures, not caring holistically for the patient. As such, patients will likely spend the last years of their lives in long-term care facilities and their final weeks in an ICU. Our fear of death contributes to this model for health. Dying at home, peacefully, and surrounded by family is almost impossible in our world. Fittingly, the central idea of this book is that in old age, or when facing a terminal diagnosis, it is more important to understand your life rather than to extend it. While this may seem simple, its implications are profound. A natural death means accepting that, at some point, we are old enough or sick enough to die without trying to interrupt that natural process beyond being kept comfortable. In our cynical and overly clinical age, it is difficult to reflect on the meaning of one’s life, but that kind of honest introspection is exactly what we need. Accordingly, The Journey’s End seeks to help people manage their healthcare, their expectations, and their decisions in the final phase of life.

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9781538175484

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Reviews

The end of life is a bit like an impenetrable wilderness: a dark and foreboding mystery. Michael Connelly is a reliable wilderness guide. He brings decades of experience in healthcare, a comprehensive command of current research, and steadfast humanism to The Journey's End. Powerful and poignant stories energize this book, building trust and developing our capacities as we explore with him this inevitable part of the human journey. The practical advice and clear options offered by Connelly enlighten a path forward, empowering both individuals and society. A must read.--David C. Leach, MD, Former Executive Director, Accreditation Council for Graduate Medical Education When it comes to unpopular topics, death and dying rank right there with politics and religion. Yet, in The Journey's End, Michael Connelly shines a pragmatic light on this cultural taboo. He blends personal stories, a wealth of experience, and enlightened compassion to illuminate solutions to end of life issues. Michael mentored me for many years, and his passion on this topic is as authentic as it is compelling. This is a must read for anyone hoping to better understand end-of-life care.--John M. Starcher, Jr., CEO, Bon Secours Mercy Health

Connelly, former CEO of a health care company, argues in his informative debut that death should be better handled in the medical system. Suggesting that current practices prize excessive interventions that can prolong suffering for end-of-life patients, Connelly details how features like fee-for-service insurance pay structures, which compensate doctors for the amount of procedures they complete, reinforce an overly aggressive form of elderly medical care. Instead of keeping patients alive at all costs, Connelly recommends helping them better come to grips with death, which can confer closure, freedom, and a sense of purpose. Connelly suggests patients create advance healthcare directives, explore palliative care options, and proactively discuss their philosophy on end-of-life care with loved ones. More broadly, his suggested policy reforms include eliminating prescription drug advertisements, which give patients false hope for cures, and taxing healthcare benefits to decrease demand for high-cost treatments. Connelly constructs a convincing case for reimagining cultural conceptions of death, through the discussions of policy recommendations and death literacy. Readers curious about end-of-life care practices will find this a helpful primer.-- Publishers Weekly In his book The Journey's End, Michael Connelly brings a remarkable blend of insight, compassion, and expertise in health systems to examine the U.S. approach to end-of-life care. Connelly highlights how our current systems lead to an excessive focus on clinical intervention. He deftly blends personal experiences of patients and doctors with an in-depth discussion of the way we pay for health care. Conflicting economic incentives shape our country's costly approach to managing patient care and especially for those facing death. Connelly offers practical actionable advice for patients, families and policymakers.This is a unique book that I would highly recommend for my family, friends, students, and policymakers hoping to improve healthcare in the U.S.--Justin Sydnor, PhD, Professor of Risk and Insurance at the Wisconsin School of Business, University of Wisconsin, Madison The end of life is a bit like an impenetrable wilderness: a dark and foreboding mystery. Michael Connelly is a reliable wilderness guide. He brings decades of experience in healthcare, a comprehensive command of current research, and steadfast humanism to The Journey's End. Powerful and poignant stories energize this book, building trust and developing our capacities as we explore with him this inevitable part of the human journey. The practical advice and clear options offered by Connelly enlighten a path forward, empowering both individuals and society. A must read.--David C. Leach, MD, Former Executive Director, Accreditation Council for Graduate Medical Education When it comes to unpopular topics, death and dying rank right there with politics and religion. Yet, in The Journey's End, Michael Connelly shines a pragmatic light on this cultural taboo. He blends personal stories, a wealth of experience, and enlightened compassion to illuminate solutions to end of life issues. Michael mentored me for many years, and his passion on this topic is as authentic as it is compelling. This is a must read for anyone hoping to better understand end-of-life care.--John M. Starcher, Jr., CEO, Bon Secours Mercy Health

In his book The Journey's End, Michael Connelly brings a remarkable blend of insight, compassion, and expertise in health systems to examine the U.S. approach to end-of-life care. Connelly highlights how our current systems lead to an excessive focus on clinical intervention. He deftly blends personal experiences of patients and doctors with an in-depth discussion of the way we pay for health care. Conflicting economic incentives shape our country's costly approach to managing patient care and especially for those facing death. Connelly offers practical actionable advice for patients, families and policymakers.This is a unique book that I would highly recommend for my family, friends, students, and policymakers hoping to improve healthcare in the U.S.--Justin Sydnor, PhD, Professor of Risk and Insurance at the Wisconsin School of Business, University of Wisconsin, Madison The end of life is a bit like an impenetrable wilderness: a dark and foreboding mystery. Michael Connelly is a reliable wilderness guide. He brings decades of experience in healthcare, a comprehensive command of current research, and steadfast humanism to The Journey's End. Powerful and poignant stories energize this book, building trust and developing our capacities as we explore with him this inevitable part of the human journey. The practical advice and clear options offered by Connelly enlighten a path forward, empowering both individuals and society. A must read.--David C. Leach, MD, Former Executive Director, Accreditation Council for Graduate Medical Education When it comes to unpopular topics, death and dying rank right there with politics and religion. Yet, in The Journey's End, Michael Connelly shines a pragmatic light on this cultural taboo. He blends personal stories, a wealth of experience, and enlightened compassion to illuminate solutions to end of life issues. Michael mentored me for many years, and his passion on this topic is as authentic as it is compelling. This is a must read for anyone hoping to better understand end-of-life care.--John M. Starcher, Jr., CEO, Bon Secours Mercy Health

Author Information

Michael D. Connelly served as the CEO of Mercy Health, one of the nation's largest health systems, from 1994 to 2017. Currently, he is the CEO Emeritus of Mercy Health (now Bon Secours Mercy Health System). He has global experience with health systems in Germany, the United Kingdom, Denmark, Sweden and Spain. He has also visited health facilities and orphanages around the world, including in Port a Prince, Haiti; Mathare Slums in Nairobi, Kenya; Kingston, Jamaica; Georgetown, Guyana, and Panguma, Sierra Leone. He has extensive governance experience and has chaired the following boards: Catholic Charities USA, the Urban League of SWO, the National Catholic Health Association, Catholic Medical Mission Board (CMMB) in NYC, and Premier, Inc. He also chaired the United Way for Greater Cincinnati (the 6th largest in the US) in 2013. He has published 17 articles in various healthcare journals, and currently lives on Johns Island, South Carolina.

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