Abstract: In the past decade, palliative care and End of Life Care (EOLC) services have been the most rapidly growing fields of health care in the United States. The benefits of palliative care and EOLC have now been shown in multiple clinical studies, with increased patient and provider satisfaction. Nevertheless, there are still many barriers and challenges in the United States to expand use of services include physician resistance, unrealistic expectations of patients and families, lack of the educations and workforce, society awareness, government policy and financial reimbursement. The future of palliative care includes more penetration into other medical specialties; further discernment of the most effective and cost-effective models to community’s settings; and establishment of more outpatient services and home care services. As for the EOLC, it is a critical responsibility of all health care professionals in discussing the type and magnitude of changes necessary to implement costeffective, ethically considerate, culturally acceptable changes in EOLC services.