In this Wednesday, April 13, 2016 photo, Herbert Diamond, 88, of Fort Lee, N.J., meets with Dr. Manisha Parulekar about his end of life preferences at the Hackensack Medical Center in Hackensack, N.J. For years before the Affordable Care Act was written, there was bipartisan consensus on the value in helping people understand their desires at the end of their lives and make those wishes known. A 1991 law passed under President George H.W. Bush requires hospitals and nursing homes to help patients who want to prepare living wills and advance directives. (AP Photo/Julio Cortez)