As to how Americans choose to live out their last times on earth, I believe to each his own. I am sure that many operate out of a place of fear and decide to stay hooked up to machines whic might not be as comfortable as dying at home. But a positive is is that it might give loved ones more time to get anything they need to say off of their chest. It could give the dying person and family more time together. If someone were to choose to die at home they might have fewer days to spend with their family/friends and leave fewer things unresolved. I suppose we really do not plan for our deaths, but I think that anyway you go is going to have positives and negatives, and I don't think that you can plan for every possible way you could die. Set a broad plan, and then go out and have fun with the time you do have is what I say.