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There are many myths about advance care planning that keep people from taking simple steps to protect themselves and their families. By busting these myth, such as “only older adults need a plan” or “planning means you give up hope”—you can make decisions that reflect your values and lighten the emotional load on loved ones.
Why bust these myths?
When their mother turned sixty, she told them that planning for end of life was a topic for people far older. “I’ll think about it when I’m old,” she joked. Three years later she had a stroke. They were left guessing about her wishes for treatment, where she kept her important documents and whether she wanted to be kept at home. I’ve met many families through my Telehealth work who were stuck in similar situationa...confused, annoyed, regretful, rushed and anxious. These situations often stem from misunderstanding what advance care planning is and who it’s for.
Let’s look at seven common myths and the truths behind them.
Myth 1: “Advance care planning is only for older people.”
Fact: Anyone over eighteen can benefit. Accidents and sudden illnesses can happen to people of any age. Making a plan ensures that your preferences will be known whether you are twenty or eighty. The National Institute on Aging recommends that adults of all ages discuss and document their wishes; nia.nih.gov.
Myth 2: “Talking about this means I’m giving up.”
Fact: Planning does not mean you are inviting bad things to happen. It is about being ready. You can hope for health and also decide what you would want if things change. These conversations free you and your family to focus on healing or on comfort, rather than scrambling later.
Myth 3: “My family already knows what I want.”
Fact: Even close family members may disagree or be unsure when the time comes. Writing down your wishes removes the guesswork and helps prevent conflict. Studies show that families experience less stress when a plan is in place, source.
Myth 4: “It’s expensive and complicated.”
Fact: Most states provide free forms for advance directives, including living wills and health care proxies; nia.nih.gov. You can fill them out yourself. A lawyer is helpful for complex cases, but not required for many people.
Myth 5: “I have a living will, so I’m covered.”
Fact: A living will is a great step. It lists specific treatments you want or refuse. But it may not cover every situation. Naming a health care proxy—a person you trust to make decisions for you—ensures someone can speak for you when something unexpected happens.
Myth 6: “Planning means I will not get aggressive treatment.”
Fact: The choices are yours. An advance care plan can request all possible treatments, comfort‑focused care or a mix of both. You decide, not the document.
Myth 7: “I’ll do it later when I’m sick.”
Fact: Waiting can be risky. If an accident or illness happens suddenly, you may not be able to make decisions. Starting now allows you to think clearly and revise your plan as your life changes.
How to move forward
- Reflect on what matters most. Write down what makes life meaningful to you.
- Talk with people you trust. Share your values and listen to theirs.
- Choose the right documents. Many people use both a living will and a health care proxy. Read our posts on these topics for details.
- Use free resources. Find state forms on hospital websites or the National Institute on Aging’s page: source.
- Write your wishes. Use clear language and follow your state’s rules for signing.
- Share the plan. Give copies to your chosen proxy, your doctor and your family.
- Review often. Update your plan after major life events or at least once every few years.
Frequently asked questions
Kinnect's What Matters Most tool is a free, physician-reviewed reflection guide that helps individuals and families start these conversations before they become urgent. It takes about 15 minutes and produces a private summary you can share or keep. No account required.
