Peggy Maguire, JD, had just started law school when her father was diagnosed with metastatic lung cancer. “We simply fought the disease tooth and nail, and my dad’s quality of life suffered as a result,” Maguire, chief of staff for Cambia Health Solutions in Portland, Oregon, recalled during an interview 30 years later. “We were caught completely off guard. We didn’t have any conversations that might have helped us choose a different path.” Despite his aggressive treatment, Maguire’s father died the January after his diagnosis.