title: Personal reflections.
abstract: A hospice pioneer and veteran of 23 years reflects on the early days of the hospice movement in the United States. The political, social and economic forces, which shaped the industry, are addressed from a local state and national perspective. Current challenges are briefly referenced with a call for hospice leaders to recognize the need for and identify where hospice fits into the broad end of life discussions.
authors.affiliation: Trinity Care Hospice, Torrance, CA, USA.
authors.forename: C B
authors.initials: CB
authors.lastname: Tehan
mesh_terms: D005582:Foundations / Q000266:history; D006270:Health Facility Administrators / Q000266:history*; D049673:History, 20th Century; D006699:Home Care Services / Q000266:history; D006738:Hospices / Q000266:history* / Q000458:organization & administration; D006801:Humans; D007857:Leadership; D014481:United States