The aim is to cure and, when impossible, to prevent decline. These are measures of our success. As decline transforms into dying, harsh and inexorable, we may become discomfited. This exposes a critical deficit—the failure to see death as an opportunity to use the patient/physician relationship to improve the quality of the patient’s remaining life and the quality of the dying experience, long remembered by the survivors after the patient is gone. Instead, we commonly tiptoe away.