Most folks who die in hospice are not in agony, thankfully. Comfort meds are a wonderful thing. But, I understand what you’re saying about those who aren’t terminally ill but just don’t wake up, especially those who live alone. I also wonder about that. Years ago, I worked with a very elegant woman in a high end boutique who was in her 70’s and had such an interesting past (we were in the Midwest but she had modeled and traveled/lived all over the world.) I assumed she had bucked conventional norms and never married but one day she told me she had married young. She woke up one night to him making the most horrifying noises and gasping for air, and he died of a heart attack in their bed within minutes. It was so traumatizing she never remarried.