Ok, I'll bite. How do you fund EoL care w/o the federal government involved?

you don't. You let people die in a manner according to their own means without blowing through several hundred thousand of public funds on their way out.

If given the choice of 100k EoL care, or 100k for their grandchildren, most people would choose the latter. Add a layer between and it becomes a prisoners dilemma problem. If you forgo treatment, your children still get billed 99.9k instead of 100k.

So no plan. Simply let people die in the street. Got it.

You don't need to be so extreme.

You can let people die in their own home with palliative care without providing every drug and surgery imaginable.

Homelessness does not seem particularly related to EoL care.