John Golenski is executive director of the George Mark Children's House, a children's respite and end-of-life care facility in San Leandro, Calif., for children with life-limiting or terminal illnesses. All care is informed by the principles of palliative care. Additional support services are available to all family members, and services are provided regardless of a family's ability to pay. Golenski joined the George Mark Children's House after a long career in clinical services, health care ethics and health policy. From 1978 to 1979, he was executive director of the Shanti Project.