You misunderstand what palliative care is. Palliative care does not necessarily involve suspending hope for cure nor accepting death. Palliative care is supporting quality of life in the face of serious illness and can be delivered concurrently with curative treatments. Hospice models of care require patients to refuse curative treatment in order to contain costs, but increasingly allow many treatments that are curative since this requirement means patients delay care. It’s very possible to strive for palliative and curative treatment simultaneously, it just means we have to learn to live with the ambiguity of both.