Four Palliative Doctors from across the world discuss their use of ECHO to support global palliative care in a panel at the recent MetaECHO conference in Albuquerque, New Mexico.Professor Christopher Piromalli, works with indigenous communities in New Mexico and Alaska, Professor Rajgopal the Father of Indian Palliative Care and founder of Pallium India, Dr. Megan Doherty who works across Asia with Two worlds from Canada in paediatric palliative care and Professor Max Watson, Director of Project ECHO with Hospice UK discuss the role of ECHO in reducing end of life suffering.