National Healthcare Decisions Day: The Quiet Moment Before We Begin
- Meghan Maher, MPH, CEOLD

- Apr 6
- 3 min read
There’s a moment that comes before the living will and advance care planning paperwork. Before the conversations. Before the decisions are written down. It’s quiet. Often unnoticed.
It’s the moment when you think - “I should probably take care of this.”
And then… you don’t.
Not because you don’t care. Not because you’re avoiding responsibility. But because something in you recognizes what this really asks of you.
To pause. To imagine. To gently turn toward a future that feels uncertain, tender, and - at times - hard to name.
This is the part we don’t talk about enough.

The Resistance is Human
In my work as an end-of-life doula, I rarely meet someone who says, “I don’t believe in advance care planning.”
What I hear instead sounds more like:
“I’ve been meaning to…” “I just haven’t had the time.” “I don’t know where to start.” “It feels… heavy.”
And beneath all of that - there’s often something quieter:
A hesitation to step into the unknown. A desire to protect ourselves (and the people we love) from difficult emotions. A hope that there will always be more time.
What This Day Really Offers
National Healthcare Decisions Day is often framed as a call to action - and it is.
But I see it first as a gentle invitation. Not just to complete a document. Not just to check a box. But to pause and ask:
What matters most to me?
What does care look like - when it’s aligned with who I am?
Who do I trust to carry my voice if I cannot?
These are not clinical questions. They are deeply personal ones. And they deserve space.
You Don’t Have to Do It All Today
There’s a quiet pressure that can come with days like this - the feeling that you should finish everything in one sitting. But advance care planning doesn’t ask for urgency. It asks for presence.
So instead of trying to do it all, consider this:
Sit with one question that feels meaningful
Share a thought with someone you trust
Revisit a document you started long ago
Or simply acknowledge that this matters to you
That’s enough for today. Because this isn’t a one-time task. It’s a living, evolving conversation.
A Different Way to Think About Preparation
We often talk about advance care planning as a way to prepare for crisis.
And yes - it does that.
But it’s also something else. It’s a way of living with intention now. When you take time to reflect on your values - what brings comfort, what feels like too much, what truly matters:
You begin to live more clearly in the present.
You make decisions differently.
You communicate more honestly.
You show up with greater alignment.
In that way, this work isn’t just about the end of life. It’s about how we live.
Anchored in Love
At its core, advance care planning is not about documents. It’s about love.
It’s about making sure that if the people you love are ever asked to make decisions about your healthcare, they won’t have to do it alone…or in the dark.
It’s about offering them clarity. Relief. A sense of steadiness in a moment that may feel anything but steady.
A Gentle Invitation for National Healthcare Decisions Day
Let today be a soft beginning. Not perfect. Not complete. Just… a beginning.
You don’t have to navigate this alone. Whether you’re just starting to reflect, ready to have a conversation, or looking for support in putting your wishes into words, I’m here to walk alongside you - with compassionate presence, clarity, and care. Learn more here.


