In my fifteen years of visiting Indonesia, I've known several close friends and family members who have passed away. Each of them had very different experiences. I've also heard stories from my wife on others as well. In general, I witnessed them going to the hospital, and being in severe pain in some cases. In at least two cases, there wasn't any attempt to administer pain medication, or sedatives. In one case, the person refused all medication in the face of great suffering, and just wanted massages, oils, and other hands-on physical treatments. The hospital staff respected that request, and even assisted where they could. In another case, someone had a stroke and the family hired a 24/7 live-in nurse who provided some of the most personalized care I've ever witnessed. There were actually two nurses who alternated, and stayed with this person until the very end. It should be noted that all of these cases were in Solo. The hospital situation in Solo, wasn't really that great in the past decade, but is now improving with new hospitals, and a noticeable trend towards modernization.
Outside of these cases in Central Java, I haven't really inquired as to what is the typical experience for most people, and specifically for an expatriate who might have to go through this in Indonesia. What is the common philosophy? In most hospitals in the US (for example), there tends to be a focus on expensive technology and sedative drugs. If every alternative has failed, then something like induced coma, or very heavy sedation is used to help the patient pass without experiencing much (or any) pain. Of course this is extremely expensive, but covered by insurance in most cases - at least for now...
Personally, I'm not fond of the idea of having tubes stuck in me while they try to extend my life for a few more weeks or months. However, I'm not opposed to the idea of so called "pain management" in a hospice arrangement should it come to that. In the US, a typical hospice with pain management (i.e. morphine drip) is much less expensive, and is something being encouraged more and more over time. Does something like this exist in Indonesia? I ask, because the attitudes toward drugs at many levels in Indonesia seems very different than it does in the west or other westernized countries. With specific regard to "hospice care", I'm guessing that the in-home nursing care (described above) is fairly common, but might not include something like pain management if it was needed.
Interested to hear any experiences or direct knowledge on this topic.