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alt=|thumb|Community Hospice & Palliative Care Logo with a Pediatric Care Program called Community PedsCare

United States children's hospice
See also: Hospice care in the United States

The children's hospice movement is still in a relatively early stage in the United States, where many of the functions of a children's hospice are provided by children's hospitals. In 1983, of the 1,400 hospices in the United States, only four were able to accept children. When physician's have to decide that a child can no longer be medically cured, along with the parents a decision is made to end care, keeping in mind the best interest of the child. When a decision between the parents and physicians cannot be reach, which is a very small percentage. The Physicians are then not obligated to provide any therapy care that the doctors have not deemed necessary towards the care goals of the child. Most parents of the children that have serious development disorders actively share the end of life decision making process. The main factors that parents take in consideration when making end of life care decisions is the importance to advocate for the best interest of their child. Also, the visible suffering, remaining quality of life and the child's will to survive is an influence.

Key developments since the early stages of development in Children's Hospice care include:


 * 1996: the Children's Hospice International's (CHI) Founding Director, Ann Armstrong-Dailey began collaboration with the United States Department of Health and Human Services (HHS) to produce a better solution for families and the Medicaid program at large.
 * 1999: Congress approves first year CHI PACC appropriation.
 * June 2005: HHS approves CHI's Program for All-Inclusive Care (CHI PACC) waiver for the state of Florida.
 * September 2005: Former HHS Secretary Tommy Thompson receives CHI's "Mattie Stepanek" Award for his distinguished service on behalf of children's health care.

Through the efforts of CHI, most of the over 3,000 hospices in the U.S. will now consider accepting children. Also, approximately 450 programs have children-specific hospice, palliative, or home care services.

There are a few independent children's hospice homes working to get started, including:


 * Community Hospice & Palliative Care In Jacksonville, FL Established in 1979
 * George Mark Children's Hospice, opened March 2004 in California
 * Ryan House, opened March 2010 in Arizona
 * Angel Unaware, opened in July 2015 in Fort Worth, Texas Website not operational
 * Dr. Bob's Place, opened in Fall of 2011 in Baltimore, MD, no longer operational
 * Hospice of Michigan has a dedicated Pediatric Program, based out of Grand Rapids.
 * Sarah House, in Cincinnati, Ohio
 * Connor's House, in Philadelphia, Pennsylvania (Operational from 2007 to August 2016, defunct)
 * Crescent Cove of Minnesota, set to open November 11, 2017 in St. Louis Park, Minnesota
 * Providence TrinityCare Hospice, TrinityKids Care opened in 2001, serving Los Angeles and Orange counties in California.
 * Ladybug House, in Seattle, Washington. Trademarked in May 2017.
 * Edmarc Hospice for Children in Portsmouth, VA.

Ethics Involvement in Children's Hospice
Children's Hospitals today have Ethics consultation. Ethics consultation is a conference that is intended to help Patients, Staff and other resolve ethical concerns. It all begins with taking into consideration of the patient's ethical beliefs, families, and those professionals involved in the case. Different individuals tend to abide by different ethical beliefs and ethical dilemmas tend to rise out of the difference in values or the priority of those shared values. Additional Institutions that care for those patients have certain set of values. Some institutions are specialized in prioritizing patient care and others are devoted to research. Some Hospitals are public, others are public. Some serve their community and values can vary from community to community which can also cause disagreements. Institutions and hospital also have value of their own that are written in their Mission Statement of the Institution.

History of Ethics Consultation
Ethic committees began in the late 1960s and early 1970s. The original purpose was to bring voices to conversations about ethically controversial clinical situations. The original voices brought to the table of discussion of Ethic committees were Theologians, philosophers, social scientists, scholars in the humanities and other experts. Over the years ethics consultations have become more widely accepted. Now a days most hospitals in the United States and across the world, now have ethics committees and process for ethics consultation. In the early 1970s many experts realized that the medical education was not designed and physicians were not trained to deal with ethical issues associated with new technologies such as mechanical ventilation, dialysis and transplantation. After the creation of such technology kidney failure was sure to be fatal, now physicians were starting to make choices about where, when, and how someone could die. One of the solutions was to invite theologians, philosophers and social scientist that would help physicians think and solve complicated ethical issues.