As elderly patients residing in long-term care enter into the end stages, self-feeding or hand-feeding may not be possible. Healthcare providers and family caregivers are often faced with the ethical dilemma of whether to sustain life by providing nutritional support via parenteral or enteral means. Studies have shown that feeding via PEG tubes do not prolong life and may actually contribute to a negative quality of life at the end of their days, however, the practice of tube feeding continues to be a widely used method of keeping patients alive for months or even years. To shed light on this controversial issue, Annals of Long-Term Care recently published a point-counterpoint piece on tube feeding. Read both sides of the argument and then tell us what you think. Send us your thoughts in a letter to the editor at firstname.lastname@example.org. It may be published in an upcoming issue of the journal!