Obstacles to “achieving a good, peaceful death” prevent many patients with cancer from the “dignified end” that they deserve, says Sunita Puri, MD, a palliative care physician and author. She and Robert A. Figlin, MD, the Steven Spielberg Family Chair in Hematology-Oncology at the Cedars-Sinai Cancer Center in Los Angeles, discuss frustrations and concerns about systemic failures in cancer care when it comes to death and dying. “We need to have this national dialogue around this topic,” argues Dr. Figlin. “It can’t be under the covers, where we don’t talk about it.” Dr. Puri reported no relevant financial disclosures. Dr. Figlin reported various financial relationships.