The Last Outfit

Posted by Charles

These last outfits were chosen by some of the 23 people taking part in a photo project initiated by The Straits Times, the leading Singapore daily, in partnership with Lien Foundation, a Singapore philanthropic house. Entitled “The Last Outfit”, the project showcases individuals in the clothes they wish to wear for their own funeral.

The Last Outfit seeks to remove the taboo of death and enthuse people to view life and death differently. 

Full text here.

Beyond the Abyss

Posted by our religious correspondent Richard Rawlinson

The North Texas Church of Freethought, according to its website [http://www.churchoffreethought.org], offers “atheists, agnostics, humanists, and freethinkers all the educational, inspirational, and social and emotional benefits of traditional faith-based churches”. 

A group of non-believers who acknowledge how many aspects of religion continue to attract, their interest is in what they hold to be the human imagination which dreamt up gods and creeds. They recognise that religion embraces architecture, art, nature, marriage, death, ritual, time – and that by getting rid of God, one is dispensing with notions that have held societies together.

This secularised version of Christianity is not new. In the early days of the French Revolution, painter Jacques-Louis David unveiled “A Religion of Mankind”, which aimed to build upon the best aspects of religious tradition, with feast days, wedding ceremonies, revered figures (secularised saints) and atheistic churches. The new religion would use buildings, good books and academia (seminaries) to try to make us good.

David’s experiment never took off. The Church of Freethought tried to open a ‘parish’ in California but it, too, folded. Is it surprising that secularismhasn’t been able to inspire communal rituals as religion does? Most secularists are content to act individually rather than communally. Why wouldn’t one sleep in, go shopping or read online on Sunday rather than go and hear a secularist lecture (sermon)?

Religions require sacrifices, and reject the secular assurance that everyone can discover happiness and meaning simply through physical life – work and love.

Theists find this as difficult to comprehend as atheists do the belief in a life after death, and the division seems unbridgeable. To some theists, an atheist is necessarily a nihilist, for whom beliefs are unfounded and existence senseless. If each generation’s death means the end of those individuals, then we’re faced with an endless cycle of creation and destruction, the meaning of which, if any, is incomprehensible.

Certainly the bereaved are affected by death, but death cannot be of any consequence to the purely physical human being who no longer exists. If you cease to exist, you need not fear death, where you will feel neither pain, nor pleasure, nor peace, nor torment.

But humanists assert that a person’s life before physical death has existential meaning. Belief in some kind of physical persistence of a human being’s past is the rational argument for the conclusion that even if physical death is the end, living a good life gives meaning and value to human existence.

Humanist philosophers also often speak of the void that would follow death as “the abyss”, suggesting a journey to an unknown place which lies at the end of our physical lifetimes. They seem to be giving substance to “nothing” as we cannot understand or visualise nothing.

Several of today’s physicists concur that we exist in some kind of four dimensional “space-time”. Mathematician Hermann Minkowski said: “Space by itself, and time by itself, have vanished into the merest shadows and only a kind of blend of the two exists in its own right.” Space-time is essentially the history of the universe, containing every event that ever happens.

While it appears to be impossible to scientifically prove that life has meaning, it is equally impossible to prove that it does not.

The Letting Go

First published in the New York Times by SIDDHARTHA MUKHERJEE

It had rained heavily the night before. The steep stone steps of the ghat are slick and slippery, and when my father pulls me onto the boat, the water feels more stable than the ground. The boatman rows out toward the open river, and the city of Varanasi swings into full view.

On the bank, wrestlers are performing calisthenics; a vendor is selling marigolds; a man is throwing birdseed at pigeons. The river moves sluggishly at first — but then a current forces the boat around the bend, and we are floating silently by the Manikarnika ghat, where the dead are burned.

I am 8 or 9 years old. Save a distant uncle who has died of renal failure, I have had no personal experience of death. I imagine it as little more than a corporeal exit from the world.

It is an unforgettable sight: row upon row of burning bodies on wooden pyres by the river’s edge. There are dozens of pyres lighted at the ghat, like lanterns along the river. Around them, a circus of death unfolds. There are sons waiting for a professional barber to shave their heads. Men carry the bodies down to the water.

The bodies, swathed in white cloth and strewn with flowers, are bathed, washed and then taken onto a bedlike pile of wood and set alight. The fires burn sometimes for hours. When the flames begin to sputter, the priest shovels the ashes, still smoldering, into the river. The melodrama of the scene is nearly perfectly offset by the glum, mechanical matter-of-factness of its participants. Mounds of ash and marigold and wood chips are floating all around the boat.

There is a man standing by one of the fires and facing the boat, with his arms still taut, as if holding the body — except he is holding air. I bury my face in my father’s lap, but curiosity, literally morbid, forces me to look and to look again, as we drift past. The scene on the bank is mesmerizing. Then the boat rounds another bend, the haunted tableau vanishes, and we debark at another ghat.

Decades later, having trained as an oncologist in Boston, I attend the funeral service of a woman who has died after a long battle with cancer. I remember approaching the coffin, and then registering something odd: the woman has been coiffed and dressed up, and there is the faintest blush of lipstick — lipstick? — on her mouth.

The eulogies at the service are moving and emotional. But the funeral itself seems cleansed and sanitized into a clinical, nearly forensic, ethereality. There are children in dark suits sitting on the aisles looking like miniature adults. I wonder if any of them will be haunted by this funeral, or dream often about it, as I did after that disorienting vision decades ago.

At medical rounds a few days later, I ask some residents and interns about death: how many have carried the body of a parent? What does the weight feel like? And what about the ritual of bathing and cleansing?

In the United States, most terminally ill men and women die in hospitals or nursing homes. The death is typically “pronounced” by an intern on call. The body is lifted out of its bed by an attendant and wheeled to a morgue by another shift worker in scrubs. Undertakers clean and dress it.

Before a cadre of professionals took over the job, people of many faiths took part in the care of the bodies of the dead. Early Christians typically prepared their dead for burial themselves. The novelist Catherine Madsen writes about the Tahara, a Judaic rite in which bathing the body in warm water is accompanied by the reading of ecstatic love poetry to the dead man or woman. If the ritual were revived today, Madsen predicted that “there would be nervous giggling about . . . necrophilia; the plan would be . . . declared inappropriate and quietly dropped.”

Indeed, when I recount Madsen’s description to the residents, it makes them nervous. Our experience of death has become disembodied. The corpus has vanished from the most corporeal of our rituals — and we are left standing with our hands outstretched and taut but with no counterweight to bear, like the man on the riverbank holding air.

Siddhartha Mukherjee is an assistant professor of medicine in the division of medical oncology at Columbia University. He is the author of “The Emperor of All Maladies: A Biography of Cancer.”

Hat-tip to Beth Knox of Crossings

“You’re born alone, you die alone and in between you cheat yourself out of that realisation as agreeably as you can.” Robert Lenkiewicz

Posted by Rupert Callender of the Green Funeral Company

Claire and I spent the last day of August At Torre Abbey on the seafront at Torquay, seeing an exhibition called Death and the Maiden, featuring the work of the painter Robert Lenkiewicz.

To the uninitiated, Robert was a flamboyant Plymouth based artist, instantly recognisable by his clichéd, spattered smock and leonine mane of hair and beard, a look it has to be said he could carry off well.

 A chronic self-mythologiser and an equally chronic womaniser – Plymouth is populated by swathes of his ethereal, largely unacknowledged children – Robert died in 2002, penniless due to his refusal to ever actually sell any of his work, but somehow managing to accumulate one of the finest if darkest libraries in the world. Whole shelves were devoted to suicide or masturbation, volumes bound with human skin, medieval grimoires, which he obtained through all sorts of nefarious means. Needless to say, death dominated.

He operated from a series of warehouses that he rented for next to nothing, right on the harbour front in the Barbican, the only part of Plymouth to escape the Nazi bombers, and it was here he could reliably be found, bathed in a hanging pool of light with a beauty draped across his lap not quite swathed in scarlet, always seemingly his own muse, the model as mere accessory. Frequently pretentious, endlessly priapic, sometimes fascinating, but often deeply predictable and annoying. An artist in other words. His main talent was for survival through infamy.

Having been raised in what amounted to a hostel for survivors of the holocaust, Robert was always drawn to the disenfranchised, and during the seventies, turned one of the warehouses he rented into a functioning doss house, offering the homeless and mad of Plymouth shelter in return for immortalisation by painting. He formed many deep friendships with these down and outs, mainly men, most of them professional post war gentlemen of the roads, seasonal, travelling alcoholics, not the teenage crack whore runaways that horrify our times. At times there were up to 200 in there. Places of simmering violence and laughter, drink and dance, skilfully lorded over by Lenkiewicz.

 One of these, Edwin Mackenzie, whom Robert christened Diogenes due to finding him living in a concrete pipe at Plymouth dump, became a close friend and he painted him over and over again. When Edwin died in 1984 he bequeathed his body to Robert to do with as he saw fit. He had him thoroughly embalmed in the style of Lenin, and due to some typically slippery evasiveness on his part (when asked by the registrar whether he was due to be buried or cremated, he replied “He is not to be buried”) managed to keep him quietly for a while somewhere in his studio.

 After a month or two, the authorities turned up asking why he had not been cremated. There followed a grand stand off involving the police, public health officials and of course the media, and a lengthy examination of some very interesting and pertinent questions, such as who owns a corpse, is it a ‘thing’ or a ‘possession’, and does a body actually have to be disposed of at all. 

The answer was no, it just has to not cause any health issues, and yes, it is a possession, in this case belonging to Robert. He successfully argued that there are something in the region of 1,500 corpses of varying antiquity exhibited around the UK in various museums; was it the freshness of Edwin that made him a body and not a mummy?  Good questions, art at its best, but it infuriated Plymouth City Council, whose history of dour puritanism had already had to deal with his louche image, not to mention the irritation caused by him faking his own death in 1981, and his highlighting of such uncomfortable civic issues with projects on things such as vagrancy, suicide and death.

Robert stubbornly hung onto Edwin’s body until his own untimely death aged 60 in 2002. It is a small irony that Edwin actually lived 11 years longer than Robert, seemingly on little more than air.

When Robert died in 2002, he had £12 in his possession, and owed his creditors over 2 million. 7 years later, lawyers valued his possessions at just over 7 million.

In the ensuing tidy up, literal and metaphorical, of his affairs, Edwin Mackenzie’s corpse was found in an artist’s drawer, still in remarkably good nick, and it was to see what the receptionist had described as ‘a pickled tramp’ that we had come for, rather than Robert’s somewhat predictable sexual paintings; skeletons humping girls from behind like dogs, bony fingers piercing amniotic bags of life, grinning skulls performing cunnilingus, wombs and breasts and ribcages.

What Robert himself said about Edwin’s body is what has struck anyone who has spent time with one: “ the total presence of the corpse and the total absence of the person,” the reason as undertakers we encourage people to return again and again to the body of those they love, to get it to sink in: they are not there. Somewhere, nowhere, everywhere maybe, but definitely not here.

He saw him as the ultimate memento mori, and now, here in a former monastery on The English Riviera as the rather low key centre piece to the exhibition, was the extremely rare chance to see the old boy. 

He has been dead a while now but the embalming was done thoroughly. He was a small, undernourished withered tramp to begin with; Edwin said his life on the road began at three and a half, but his yellowing, emaciated hairy body still fascinates and provokes awe, even for people like us who spend our days with the dead. 

We don’t embalm. Partly for environmental reasons, though I fear more for the embalmers than the water table, but really for psychological reasons. We think that the natural changes that a body goes through, the drawing back of the features, the sinking eyes, the thinning and discolouration of the fingertips, are things that the family can deal with, and if told honestly about what they are to see it not only fails to horrify, but actually helps. 

People unfurl in the presence of the truth, and the truth of what happens to a body in the liminal time between death and disposal is not always what horror films have led us to believe. It is gentler, perhaps even in Walt Whitman’s words, “and luckier.” Refrigeration between visits is of course essential, but the unstoppable, inevitable series of small changes that accompany most bodies’ early move from life to dead, are slight but profound, and are what can take the living to the brink of the furnace or the grave. It is a chance to say, again and again, “Okay, I get it. They really are gone. Let’s do what needs to be done.” 

So, despite the fact that he was embalmed, Edwin to us was a familiar if exaggerated sight; withered, crackled almost like canvas, each hair standing erect. And as he has now been dead well over twenty years, the absence of the personality was more pronounced than I have ever seen, but the thought that struck me as I gazed at his naked body was how much of his humanity still clung to him in a way which Gunther Von Hagens’s ‘plastinated’ mannequins don’t. 

But why? Both have been chemically preserved in a way I instinctively reject, yet one was filled with a fragile beauty which made me feel part of a bigger picture, and the other made me feel afraid for the road we have taken in the name of infotainment. 

Von Hagens’ plastinated people are undoubtedly educating, titillating and clever too, there of their own free will and most definitely art, but are they still in anyway remotely human? 

Something, perhaps not even in the technique but in the intention, has stripped them of more than their skin. They are Ridley Scott’s replicants awaiting animation, viscera bizarrely frozen in time, whereas Edwin, all creases and stitching and patina, is absolutely human. He is our future, what our outside bodies will look like when what was once within has gone. 

Age continues to wither him, as it should, as it does us all, but he strangely lives on, not posed as an athlete, or jauntily holding his entrails, or stripping off his muscles like body armour, but dead, dignified, still.


Shooting the messenger

Posted by Nicola Dela-Croix

When I meet grieving families in my role as a celebrant, I always try hard not to judge them if their behaviour is less than polite. For example, the initial phone call where you gently introduce yourself, but are made to feel as welcome as a pre-recorded “Do not hang up… you have won a holiday in Bermuda..” Or when you are left standing in the hallway because no-one wants to offer you a seat. As someone said to me recently, “suffering can ennoble or uglify”. This is very true. So I, like many other celebrants, try to face these situations with a compassionate heart. Although sometimes you know that, grief or no grief, these people are just downright rude.

There is, of course, no getting away from the fact that our reasons for visiting are not happy ones. They would rather we weren’t there asking if they’d like to say a few words beside the coffin of their dead wife/brother/dad/daughter etc. And it’s made all the more difficult if their previous experiences of funerals have been memorable for all the wrong reasons, “her name was Sheila but they kept calling her Shirley”…

These negative ‘vibes’ are not the norm, thank goodness. But they are out there. And that sense of being unwelcome can come at you from all angles. The most interesting responses are often from people who enquire what you do for a living. A recent encounter went something like this:

And what do you do?

I write and conduct funeral services

(Horrified face) Could you bury a child?!

I’m not sure if that was a question or an outcry. It was as if I was actually responsible for the death, rather than being the person who would come to the assistance of the child’s parents (or any family for that matter) and help them with all the care, kindness and sensitivity I could muster.

I know this is all down to fear of loss, fear of death, fear of the unknown, bad experiences… I’m not really asking why this happens. It’s just part of doing what we all do. And for every person who reacts with horror, there is someone who finds it admirable. Like everything to do with dying/death/funerals/bereavement there is no ‘right’ way. We’re dealing with individuals who are as unique as they are varied.

Still, a cup of tea would be nice…

Death in the community

 

Beyond the unappetising business of flogging pre-need plans to the tottering classes, undertakers do next to nothing to educate the public about funerals. They seek to be seen as public-spirited. They do good stunts, raise money for the hospice here, the air ambulance there. But how many stage events to raise awareness of the immense emotional and spiritual power of a funeral to transform grief?

Expectations of funerals are so low that most people are just relieved to get the whole horrible business behind them. They are so low that they bitterly resent the cost. So there have to be very sound commercial reasons for all undertakers to get out there and talk up their product.

Two recent events have brought death into the community in original and effective ways. Both were, for the apprehensive, welcoming in their informality; both set out to inform rather than sell.

The first was the Six Feet Under Convention held in Bournemouth on 12-14 August. It was a brave venture, which attracted 20 or so delegates to a series of talks by eminent funeralists and others. Alongside it was an open-air coffin display organised by the Natural Death Centre, complete with a coffin to paint and another to pose dead in. There were sporadic outbreaks of musical performance. It was reckoned to be the first-ever public display of coffins. So wary was Bournemouth Borough Council that it insisted on warning signs. It was notable that some foreign visitors were discombobulated. Brits loved it.

The second was ARKA’s Bringing Death to Life show in Lewes. An atmosphere of cheerful informality was inviting to the casual visitor, and a good number of people in the locality had made a very deliberate bee-line. They weren’t disappointed. There was an afternoon of excellent talks from Cara herself; from Julie Gill, who’ll be running the new ARKA branch in Lewes; from Hermione Elliott, a doula from Living Well Dying Well; and from Peter Murphy of Light on Life Ceremonies. Peter and his wife Belinda have a ceremony shop in Brighton, and work very closely with ARKA. How good to see a funeral director with an understanding of the vital importance of collaborating with ritualists. Cara certainly knows how to surround herself with brilliant people. A highlight of the day was hanging out with Jean Francis, author of the excellent Time to Go.

Don’t miss the bus

This from Charles Moore in the Spectator, 11 August 2011:

Have you noticed how people’s funerals now take place longer and longer after their death? Such delay is not permitted in Judaism or Islam, religions which developed under hot suns, but it is now quite common for Christian or godless crem funerals to be held even a month or more after decease. I suppose this is the result of efficient refrigeration. It does, it is true, make it easier for friends and family to get to the funeral if there is more notice. Even so, it seems a bad trend. Death is absolute, and breaks in upon life without consideration of timing (unless you are poor King George V with your life ‘drawing peacefully to its close’ in order to coincide with the first edition of the Times). The reality of its awful fact should not be postponed. 

 

From the heroic to the heartfelt – obits in Iceland

Posted by Vale

Can the obituaries published in Icelandic newspapers tell us anything about our changing attitudes to death and dying?

Obituaries are a national pastime in Iceland. Every day the leading national newspaper – the Morgungblaðið – publishes pages and pages of them. And they are read avidly. One writer has even claimed that the passion Icelanders have for their obituaries is a sign of a ‘national obsession with death’

Iceland’s obituaries are different. They are not about the rich or famous or worthy and they are not written by professional writers. Instead they are, simply, the personal tributes that family and friends make to the people they have lost. And, since the first decades of the last century, Iceland’s newspapers have published pages and pages of them every day, for free.

Over the years the style of obituary has changed and it was this that caught the attention of university researchers. In a paper published by Mortality (Letters to the dead: obituaries and identity memory and forgetting in Iceland) they look at these changes and ask questions about what they reveal about the changing attitudes to death.

Two examples make the point:

“Many memories surface [now that Ari is dead] as the man was an enormous personality, formed by difficult childhood…Of course Ari had to start working very early and maybe this experience shaped the way in which he made great demands on his family when it came to work. In the year 19xx Ari lost his wife who had stood as a rock by his side for almost thirty years. It was clear that this was a severe blow for Ari but he suffered his grief in silence. ‘I am Iceland’s battle,’ Ari said once on a happy occasion, and he certainly was the battle of Iceland, although the battlefield was not one where people get killed. It was the field of dreams and achievements of the man who with optimism and courage was instrumental in developing agriculture in his region from mud huts to modern buildings. Ari …was also famous for his hard work and it was like three shovels were being used when he was digging and three hammers being used when he was hammering. Ari was renowned for his helpfulness, and the bigger the favour asked the quicker he was to respond. . . . I offer Ari’s children and relatives my deepest sympathy. Iceland has now lost one of its best sons. Rest in peace.” 

“My dear dad, how can one understand this? You, so young and fit, are torn away from this earthly life just like that. We who still had so many things to do together. I know, men plan but God decides. Dear dad, I miss your kind words and your hugs terribly. As long as I can remember you have always made my wellbeing your priority. You were not just my dad but my best friend too. Nothing was too good for me. The memories accumulate, but they would fill a whole book. This summer, which now draws to an end, we were allowed to be together even more than usually. The two of us spent most of it together and every day you’d say ‘How shall I spoil you today darling?’ . . .My dear dad, I know you are with God and that we will meet again, but until then I’ll seek solace in warm memories and in the prayer you taught me [a well known Icelandic prayer is reproduced]. Your loving daughter”

What has caused this shift from the reserved and heroic account of Ari’s life to the personal heartfelt emotions in the letter from daughter to father?

At a practical level the new obituaries started to appear 1994 when the paper – in response to popular demand – relaxed the rules about what could be written. In the research a number of possibilities are explored, including the suggestion that it marks a shift in a society from one where identification with community has shifted to the personal and individual. This may well be true – but, for any of us working with the bereaved isn’t the shift familiar? The services we create here in the UK are increasingly personal, full of emotion and personal feelings directly expressed. 

If the changes can be traced to shifting social relationships in Iceland, what is driving the changes here in the UK? And when did we realise as a society that we wanted to do things differently? After Diana’s funeral perhaps? 

Who decides when the law is an ass?

Posted by Richard Rawlinson

It’s invariably the breaking of rules that’s considered scandalous by the media, whether a tabloid splash about a married celebrity’s romp with a prostitute, or a Guardian scoop about the illegal phone hacking that secured such a story. But sometimes a story is picked up because it’s about the upholding of rules, the merits of which attract heated debate. Stories relating to religious funerals can fall into this category.

BBC Online is likely to have raised a few eyebrows when it reported on the Archbishop of Melbourne banning rock music at funerals. It’s unclear whether the BBC’s motive was to make a liberal stand against traditionalism. It at least presented the Archbishop’s reason – ‘that a church funeral should maintain Christian focus, and secular celebrations should be reserved for before and after the funeral’. He’s not passing judgment on non-Catholic funerals.

Even if some stories are biased, they enable comment and discussion. ‘Priestess denied Catholic funeral rites,’ reads another headline, about a woman in Chicago who was invalidly ordained by the Women Priests Movement using the prayers and rituals of the Catholic Church.

Again, anyone is entitled to disagree with the laws about male-only ordination, but this woman knew that a simulation of the sacrament of Holy Orders incurs excommunication, revoked only by contrition. She chose to reject Catholicism so should accept a non-Catholic funeral.

Another headline causes more soul-searching: ‘No Catholic funeral for Italian right-to-die advocate’. The man, suffering from muscular dystrophy, requested the disconnection of his respirator, with the doctor arguing this was not about euthanasia but about refusing treatment that would have constituted ‘therapeutic cruelty’. However, the Church made it clear that the ruling was not a reaction to the man’s death but to his earlier high-profile involvement in public campaigns for legalised euthanasia. Like the self-appointed priestess, his vocal stand opposing Church teaching placed him outside the Church.

Would the right-to-die campaigner have been allowed a Catholic funeral had he quietly accelerated his own death? Yes, and not just because the Church would have been oblivious to the exact nature of his death. Plenty of people, Catholic or otherwise, are humanely ‘let go’ by the medical profession. The media rarely points out that the Church does not count all discontinuance of extraordinary health care as euthanasia.

Still on the subject of ambiguity, there was a highly unusual case in San Diego recently which was publicised under the headline, ‘California Catholic Church refuses gay man his funeral’. The Church overturned the individual priest’s ruling, having heard the deceased, a local businessman with a partner of 24 years standing, was a devout Catholic and stalwart of his parish.

Some might argue he, like the priestess and the euthanasia advocate, was living outside the Church by enjoying a loving, same-sex relationship, and therefore not eligible for a Catholic funeral. Others, including those in the Californian Church hierarchy who overruled the rogue priest in their midst, chose compassion. 

Canon law says that ecclesiastical funerals should be denied to those who might cause public scandal of the faithful unless they gave signs of repentance before death. It’s unclear whether the man’s funeral would cause scandal in his parish, or if he felt any need to make amends. Perhaps the Church establishment effectively saw that some rules were open to interpretation, that sometimes scenarios appear to jar with charity and common sense.

This also seems to have been the case when some US pro-life campaigners objected to the Catholic funeral of Senator Ted Kennedy due to his public support for abortion. Whatever Kennedy may have confessed before death will never be known but Cardinal Sean O’Malley said in the senator’s defense: ‘At times, zeal can lead people to issue harsh judgments and impute the worst motives to one another.’

Copout or kindness? The fact these polemical situations exist is not, for me, a deal-breaker. It’s accepted that one can respect the authority of Church guidance on most things, and part ways on a few others. But only within reason. The Church, with all her man-made flaws, teaches us how to love God as He loves us. We may sometimes fail but obedience is one part of that love – something too big for media headlines to convey.

Timing your exit

Posted by Charles Cowling

Extracted from an article in yesterday’s New York Times: 

I hope you had the chance to read and reread Dudley Clendinen’s splendid essay, “The Good Short Life”. Clendinen is dying of amyotrophic lateral sclerosis, or A.L.S. If he uses all the available medical technology, it will leave him, in a few years’ time, “a conscious but motionless, mute, withered, incontinent mummy of my former self.” 

Clendinen’s article is worth reading for the way he defines what life is. Life is not just breathing and existing as a self-enclosed skin bag. It’s doing the activities with others you were put on earth to do. 

But it’s also valuable as a backdrop to the current budget mess. This fiscal crisis is about many things, but one of them is our inability to face death — our willingness to spend our nation into bankruptcy to extend life for a few more sickly months. 

Years ago, people hoped that science could delay the onset of morbidity. We would live longer, healthier lives and then die quickly. This is not happening. Most of us will still suffer from chronic diseases for years near the end of life, and then die slowly. 

Obviously, we are never going to cut off Alzheimer’s patients and leave them out on a hillside. We are never coercively going to give up on the old and ailing. But it is hard to see us reducing health care inflation seriously unless people and their families are willing to do what Clendinen is doing — confront death and their obligations to the living. 

My only point today is that we think the budget mess is a squabble between partisans in Washington. But in large measure it’s about our inability to face death and our willingness as a nation to spend whatever it takes to push it just slightly over the horizon. 

Lessons applicable to the UK, obviously. Read the whole article in the NYT here. If you missed Dudley Cleninden’s piece, read it; it’s brilliant and important. Here