Equity in End-of-Life Care: Why Hospice Should Be a Human Right

By: Irene Gonzalez, MSW, LSW

Recognizing World Health Day – April 7

Every year on April 7, the world observes World Health Day, a moment to reflect on our collective well-being and recommit to the principle of health equity—the idea that everyone, no matter their background or circumstances, deserves a fair opportunity to live a healthy life. Often, when we think about equity we focus on access. Access to clean water, nutritious food, and medical care, however, one aspect of health equity that often goes overlooked is how we experience the end of life.

Too often, the care we receive in our final days depends on where we live, what we can afford, and the systems we’re part of. That’s why this World Health Day, it's important to shine a light on something we don’t talk about enough, hospice care, and why it should be considered a human right.

The Role of Hospice in Health Equity

Hospice isn’t only about managing pain or providing medical support; it’s a holistic, person-centered approach to care that honors comfort, dignity, and emotional well-being. It supports not only the individual but also their loved ones, offering guidance, presence, and compassion during one of life’s most vulnerable moments.

Yet access to this kind of care isn’t universal. In many communities, particularly rural areas, low-income neighborhoods, and among people of color, hospice services remain limited, misunderstood, or completely out of reach. Language barriers, cultural disconnects, and a lack of funding or trained staff can all stand in the way of someone receiving the care they deserve at the end of life. This is more than a gap in services. It’s a deep and painful form of inequity.

What Compassionate, Equitable End-of-Life Care Looks Like

• Care that honors cultural values and spiritual traditions

• Services that are accessible and affordable for all

• Support systems for family caregivers and loved ones

• Skilled professionals who are trained in empathy, listening, and dignity-centered care

When we talk about health equity, we must include these elements. Because how we die matters just as much as how we live.

A Call to Care

Dying is a universal experience. However, the way we experience it shouldn’t be determined by income, race, or location. We all deserve to be seen, heard, and comforted at the end of life. Everyone deserves peace.

At HOPE, care is centered around our belief in preserving the dignity and independence of each patient and their family. Our goal is to provide the appropriate level of care that achieves the highest quality of physical, emotional, spiritual, and relational comfort. Our passion for excellent care reflects our unwavering commitment to providing exceptional service, not only to our patients but also to those who love and care for them. Because equity at the end of life isn’t just possible, it’s essential. At HOPE, we’re honored to help lead the way.