LAKEWOOD, CO - AUGUST 20:  Complimentary therapies manager Jen Dunlap sings during a music therapy session for terminally ill hospice resident Evelyn Breuning, 91, at the Hospice of Saint John on August 20, 2009 in Lakewood, Colorado. The non-profit hospice, the second oldest in the United States, accepts the terminally ill regardless of their ability to pay, although most residents are covered by Medicare. End of life care has become a contentious issue in the current national health care debate. Hospice administrators point out that their care costs about one third the price of hospital care. The hospice focuses on maintaining quality of life, pain management and spiritual health as the terminally ill approach death.  (Photo by John Moore/Getty Images)