[mindslight]

If I look at it post-hoc and cynically, maybe their motivation was to get him off the "insurance" company's books (electing hospice kicks you back onto vanilla Medicare). But it was objectively needed and they spent time to do the job, on a major holiday even.

I've no idea what the dynamic would have looked like if they came to different conclusions than me and we were at odds, but all I can say is that the quality of care always heavily depends on having an advocate.