Yes. This is more a comment than a question. From my own experience the shift in earlier medical terminology—and, of course, in medicine we love our terminology—we sometimes will mean something in a benign way, but it doesn't come across benignly to the patients.
Everyone remembers the days when it was common to say DNR for “do not resuscitate”. That term strikes terror into patients and families. If you say DNR they think someone's being put in a back room and forgotten about. Since we've changed the terminology of levels of care, we're doing the same thing, but explaining. We're doing everything that can be done up to this point, and that one type of care isn't appropriate. We can get people to accept that, which is exactly the same as a DNR, but again it's just not in those brutal terms.
I think the medical profession needs to do a better job in getting terminology out there that people understand and are more accepting of, and making sure that people understand what these terms mean. I think that could be part of the training and part of the conversation that would help to facilitate a lot of patients into accepting and embracing palliative care.