Of course it’s not easy to think about how our lives might end — much less talk about it. But Americans are pretty good at sidestepping the whole issue of end-of-life care, despite the fact that their comfort — or survival — could depend on it.

But according to a new report from Kaiser Health News, only about a third of U.S. adults have taken the time to set up advance directives such as living wills and health care proxies or powers of attorney.

A Health Affairs study that examined a range of studies to determine how many people actually had gone through end-of-life planning reports that just 36.7 percent of subjects in the various studies “had completed an advance directive, including 29.3 percent with living wills … Similar proportions of patients with chronic illnesses (38.2 percent) and healthy adults (32.7 percent) had completed advance directives.”

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