This document contains a transcript of tweets from a Twitter discussion about hospice and palliative medicine (#hpm) that took place on March 16, 2011. Participants discussed how to broaden discussions of hospice and palliative medicine away from just being a geriatric issue and more as a public health issue. Suggestions included showcasing pediatric palliative care and focusing education on terminal illnesses beyond just cancer. The discussion also touched on challenges of promoting advance care planning to younger age groups.