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59 operating hospices Americans Act programs billion bowel obstruction certificate of need costs coverage covered death education developing hospices eligible emotional support family cope family members Federal fiscal year l978 following table shows freestanding facility full-time equivalent Health Care Financing health care services home health agencies home health aide home health services home visits home-based services homemaker services hospice concept hospice patients hospice programs hospice services hospice team hospices believe initial funding inpatient facility inpatient hospital interdisciplinary team medical and supportive medical services Medicare and Medicaid National Cancer Institute number of hospices Occupational therapy Older Americans Act operating and developing outpatient paid staff pain and symptoms patient and family patient's death potential provide inpatient provide services provided by hospices psychiatric Psychiatric hospital referrals require services hospices provide services provided simple syrup skilled nursing facility social security supportive services terminally ill patient Type of Facility types of services