The study's methodology is different from other studies due to the utilization of a more creative process. The data collection method involves analyzing secondary sources to investigate the research problem of this dissertation. The background of this study is as follows.

One major reason why African Americans mistrust the hospice care field is due to cultural differences, but also decades of abuse and mistreatment at the hands of the medical field. However, the rationale for mistrust also includes gaps in insurance access, persistent inequities in healthcare, and a taboo attitude towards death and suicide. Throughout this study, I will explain the numerous factors that have led to the low African American hospice enrollment rates, from medical mistrust to religion to insurance rates. Furthermore, I will also explain the early history of hospice care in Ireland and the United States. Lastly, I will offer some suggestions for alleviating the medical racism problem at the heart of the low African American hospice care enrollment rate crisis. This dissertation is my attempt to solve a decades-old problem that needs to be addressed for a better tomorrow.