You don't need third parties to administer drugs or get you ready, so I'm not sure what you mean, Vincent. 99% of our members die at home, and there is no reason not to.
If you are referring to those physicians who participate in "death with dignity" law-sanctioned deaths, which, once again, are not the way that most PALS die, they choose to do that. No one makes them.
In any inpatient environment, every week, there are "slow codes," formal DNRs, discussions of "quality of life," quiet conversations and meaningful looks between family and staff, that support a peaceful passage. If someone in health care can't handle aiding a kinder, gentler end of life, they're in the wrong place. I have worked in three hospitals and it is hard to think of a time where anyone was damaged by applying that philosophy, however actively or passively they supported family wishes (again, by choice).
In the pandemic, of course, everyone in the hospital is gutted by the unnecessary COVID deaths at scale, but they are still doing their utmost for that softer landing.
It is being able to control more variables that I think generally leads PALS to end their lives in their own bed. And for those P/CALS still in earlier stages, it bears repeating that by the time the natural end of life rolls around, more or less, it is not a 60 to 0 situation at all, because 60 was a long time ago.