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Terry Fulmer, president of the John A. Hartford Foundation, one of three foundations that commissioned the survey, said advanced care planning “is not just an extra . . . it’s just as important in its own way as chemotherapy or surgery.”

America’s national debt is at its highest level since 1950 and is on a path to grow rapidly in the coming decades. While there are many dangerous consequences of America’s fiscal outlook, absent a solution, no one will feel more pain than the next...