<p>In her classic 1969 book, <em>On Death and Dying: What the Dying Have to Teach Doctors, Nurses, Clergy, and Their Own Families</em> (Kübler-Ross 2014), Kübler-Ross&nbsp;identified many short-comings in the care of dying patients. during the intervening half century, end-of-life care has changed dramatically. yet even today, clinicians still struggle with two of the core issues that Kübler-Ross identified but did not adequately address. Specifically, Kübler-Ross conceptualized hope too narrowly, and as a consequence she struggled to offer a coherent view about how to be honest with dying patients. Unfortunately, hope and honesty are still poorly understood and thus mishandled, with important negative ethical and clinical repercussions for the care that patients with serious illness receive. But with new concepts and focused skills training, we can hope to do better.</p>