The Coalition’s 2018 consumer research found that just 13% of Massachusetts adults report having a conversation with their doctor about the kind of end-of-life care they wanted. Part of the problem may be that the topic of death is just so hard to talk about, for both the patient and the doctor. “One of the things we hear really commonly is that people just don’t have a good understanding of what the road ahead looks like when they’re very sick,” said Anna Gosline, the Coalition’s director. “And so when you don’t have a really good understanding of what your prognosis is and what’s going to happen to you, it’s really difficult to know what to do or not do…”