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Political, economic, social, cultural and technological changes
have led to profound transformations in the ways that death and
loss are perceived and managed in contemporary society. Over the
last few decades, the long term shift to chronic illness as a major
causal factor has significantly increased the time scale of dying.
Most people die in institutions and 'care' is typically medical.
Many communities and ordinary citizens now relinquish control and
involvement to experts in the last stages of life.
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