clipped from: medicalfutility.blogspot.com   
As one response, every state has a provision similar to California Probate Code 4677: "A health care provider, health care service plan, health care institution, disability insurer, self-insured employee welfare plan, or nonprofit hospital plan or a similar insurance plan may notrequire or prohibit the execution or revocation of an advance healthcare directive as a condition for providing health care, admission to a facility, or furnishing insurance."
Today, many patients are still afraid of completing advance directives, DNAR orders, or organ transplant cards because they fear that will lead providers to treat less aggressively. High profile cases like Roozrokh-Navarro surely fuel this mistrust. Since palliative care is also associated both with forgoing curative treatment in favor of comfort care and with cost savings, it will should look to the lessons from these other areas for how to preserve trust in its central, noble mission.