In the midst of the healthcare debate and Keith Olbermann's discussion of his own father's illness on MSNBC last week, I'm going to discuss an unpleasant subject.  Now, it doesn't matter what you think of the healthcare issue or Keith Olbermann for that matter.  What does matter is that you talk to your loved ones about your own end of life wishes and desires.  I know it's unpleasant and you don't want to do it, but do it now while everyone is relatively healthy.  Do it to avoid more heartache and confusion later.  Discuss issues like a healthcare surrogate, how you want your care to be handled at that inevitable time.  Make sure to discuss what type of service you desire.  Plan ahead now so that the burden is not left to your family when they are grieving.  It's the compassionate thing to do.  If you struggle with it, discuss it with a counselor, your doctor, or your clergy person.  Just make sure you do it.  It's that important.