Dr. BJ Miller’s call to “let death take us, not lack of imagination” reflects a growing hunger to reimagine the personal experience of the end of life. Our final chapter, long the domain of family and spirituality has become shrouded in taboo and medical process. A growing movement to reimagine dying has emerged and was strengthened by the global conversation and collaborative innovation of OpenIDEO’s End of Life Challenge. This panel of diverse co-conspirators – an IDEO visionary, a health system innovation officer, a palliative care physician-agitator, and a health policy guru – discusses how seeing death as a design challenge is giving life to patient-centered movement for better endings.