Death is the destination we all share. No one has ever
escaped it.
And that is as it should be, because Death is very likely the
single
best invention of Life. It is Life's change agent.
It clears out the old
to make way for the new.
Steve Jobs
Death is “the termination
of all biological functions in a living organism”, according to
Wikipedia. The most common cause of human
deaths in the world is heart disease, followed by stroke and
other cerebrovascular diseases, and lower respiratory infections. (1)
Death is commonly
considered sad or unpleasant, and is accompanied by anxiety, sorrow, grief,
emotional pain, depression, sympathy, compassion, and solitude. The natural
tendency is to avoid the thought of death because it makes people uncomfortable
and even causes fear. Many consider the subject morbid. (2)
For most people, their own life experience seems open ended.
There seems to be no reason why normal experiences cannot continue
indefinitely. With this view death, no matter how inevitable, is the
cancellation of an indefinitely extendible good life.
The value of life is not mere organic survival. Surviving in
a coma is not appealing to anyone. Many consider premature death dreadful. Objectively,
it is recognized that humans cannot live much more than about 100 years. So,
one can only feel deprived of those years that one does not live long enough to
enjoy. (3)
Life after death
Ideas of the after-life and immortality are human constructs.
Most religions teach that the immortal soul survives the body after physical
death, which is comforting for many. Some say that the soul will live forever
in either heaven or hell. Others suppose that after death the soul will
reanimate in other life forms in an endless cycle of reincarnation. Atheists dispute
the idea of a soul and are convinced that after death there is only
nothingness.
Because understanding of life after death runs the gamut of
human experience and cultural values, anthropologists conclude that man invented
religion to explain life’s experiences and to offer solace from life’s
troubles.
Longevity
Since 1900, life
expectancy in America has jumped from age 47 to 80. This derives mostly from
improved hygiene and nutrition; everything from heart surgery to antibiotics and
drugs that combat most diseases. (4)
The primary construct of most modern cultures is to prolong
life, and rapid medical advancements are extending human lifetimes. Even
without new high-tech advances, the UN estimates that human life expectancy
will approach 100 years over the next century.
The cover story of the February 23, 2015 issue of Time
Magazine was, "This baby could live
to be 142 years old". (5)
The question arises: would anyone want to live that long?
The same question could have been asked in 1880, when life expectancy was only
40, about living to 75. And the same answers would be given: "Is it a
good idea?" and "Why would
anyone want to live that long?"
After about 60 many ailments come into play: Diabetes,
arthritis, heart-disease, depression, Alzheimer's & dementia, Parkinson’s,
hearing loss, incontinence, osteoporosis – the list goes on.
In the US, health care costs have grown faster than the
economy as a whole – now 16% of GDP, compared to 9% in 1980. Consider this: 5%
of the US population accounted for 50% of overall health care spending. 65% of
medical expenses are for the elderly.
Most people are not philosophically, morally and socially
ready to accept prolonged life. What will life be like when life is prolonged
for those who can choose? People with a life expectancy of over 100 years are
unlikely to retire at 65. If people knew they could live comfortably to 125, they’d
likely have several careers.
Die at 75
Ezekiel J. Emanuel, an oncologist and bioethicist, wrote an
article in The Atlantic, October
2014, headlined "Why I Hope to Die
at 75". Says Emanuel, when he reaches
75, he won’t actively end his life. But he will stop seeking medical treatments
to actively prolong it: no cancer screenings or treatments after 75, no
pacemaker or bypass surgery, no flu shots or antibiotics. (6)
Emanuel is a vociferous
opponent of euthanasia and assisted suicide. His essay is personal, about what
he wants in his own life, how he wants to be remembered by his family and friends.
He is 57; one wonders whether his views will change as he nears 75.
One must admire the blunt, unsentimental humanity with which
Emanuel presents his case. Aging and death are realities in every life. No insurance
policy, gym membership, or super food can fully protect us against a
frightening, sad, depressing, or burdensome trajectory in our final days. These
issues need to be discussed lovingly but plainly, long before these become
immediately pressing.
At 77, I am in good health; I feel energetic and productive and still have places to visit on my “bucket-list”. But, as I watch friends and family grow old, with increasing aches and pains, debilitating ailments and memory loss, I sometimes wonder how I’ll fare as I approach my own end of life.
Death Cafe
According to a Pew survey, more than a quarter of American
adults have given little or no thought to how they want doctors to handle
medical treatment at the end of their lives. Another survey, found that 90% of
Americans said it was important to talk about their own and their loved ones
end-of-life wishes, but only 30 % have actually done that.
It seems that the emergence of Death Café fills the need. These have been taking place for several
years, modeled on similar gatherings in European cities. People, mostly
strangers, gather to snack, drink tea and have frank, open conversations about death. The
objective is “to increase awareness of death with a view to helping people
make the most of their (finite) lives”. (7)
I’ve attended a Death Café meeting near my home. There were about
50 people present, ranging from college students to recent retirees, with no
preponderance of any age group. It was a group-directed discussion of death
with no agenda, objectives or themes. There
were a couple of speakers and organizers who got us started, and then we split
into smaller groups to facilitate personal discussions.
Death Café has spread throughout the world. Take a look at
the web link I’ve provided; there is likely a regular meeting not far from where
you live.
Death Over Dinner
Here’s another similar concept that is gaining momentum: Death over Dinner. The website says, “How
we want to die – represents the most important and costly conversation America
isn’t having. We have gathered dozens of medical and wellness leaders to cast
an unflinching eye at end of life, and we have created an uplifting interactive
adventure that transforms this seemingly difficult conversation into one of
deep engagement, insight and empowerment. We invite you to gather friends and
family and fill a table.” (8)
The first Death Over Dinner event took place January 2014,
with 20,000 people downloading the starter kit and more than 1,500 registering
their dinner parties.
“A lot of people (were) reluctant to talk about it
beforehand,” says Ellen Goodman, who started her “Conversation Project” in
2010. “By the end of the dinners they’ve had some of the richest conversations
they’d ever had.”
Dinner hosts can download a “Conversational Starter Kit” from the
website, which includes questions like: Do you want to live as long as
possible, no matter what; or is quality of life more important than quantity?
Where do you want to receive end-of-life care, at home, at a nursing facility
or a hospital? And what kinds of aggressive treatment would you want, or not
want, such as resuscitation if your heart stops, breathing machines or feeding
tubes? Most often, families confront these questions when it’s too late, in
hospital emergency rooms or intensive-care units.
eDeath
Most of us probably have hundreds, maybe thousands of
e-mails stored in computers, or on in the cloud. We likely have a Facebook
page, or a Twitter account, and countless photos in a Dropbox album. All that
information amounts to a digital profile of sorts.
This raises many questions: What happens to your online
material after you die? What happens to your email, passwords, website, text
messages? What will happen to your cyber presence after you’ve exited and your
e-presence still lingers? It’s helpful to create an inventory of online
accounts, to ensure your heirs know what's most important and where to find
things.
In the early days of computers, people died with passwords
in their heads and no one could access their files. When access to these files
was critical, businesses would sometimes stop while they tried to figure it out.
This is why programmers invented “death switches”. (9)
With a death switch, the computer prompts you for passwords
once a week to make sure you are still alive. When you don't enter your
password for some period of time, the computer deduces you are dead, and your
passwords are automatically e-mailed to the second-in-command.
People have started to
use death switches to reveal their bank account numbers to their heirs, to get
the last word in arguments, to confess secrets that were unspeakable during their
lifetime.
Death switches provide a good opportunity to say goodbye
electronically. People program their computers to send e-mails announcing their
own death. Imagine receiving an email like this, from a friend: "I'm dead
now and I’d like to tell you things I've always wanted to say..." (10)
What happens to your online presence after your death is
important. With Facebook, family members can choose one of two options: close
the account, or convert it into a memorial profile. Facebook's policy states
the company will never release login information to anyone other than the
account holder, even after death. (11)
The Internet provides a place for people to express thoughts
and feelings as they grieve a loss. Your social networking profile could become
a spot where your friends and family can share memories of you. People who
might not otherwise hear of your passing may learn of it through your profile
page.
Let’s Engage
This is an exercise that has helped me to consider my own
feelings about death. You are in good health, but are informed that you have one
week to live; you will die next Sunday, at noon. Answer the following questions
– for yourself, or directly via the blog.
- What will you do
immediately? Will you quit your job? Will you tell your family?
- Will you stay home? Or,
will you travel to see loved ones?
- Will you get your affairs
in order? Or leave that for your family to do?
- What will you do on your
last Saturday? Will you sleep well that night?
- Who will you choose to be
with on Sunday morning, a few hours before noon?
- What will you do in the
hours or minutes before noon? Walk on the beach? Lie in bed and wait?
- Do these reflections bother you? Or help you to understand yourself?
Please express your views on your own “death dynamics”
directly via the blog.
Reflection
Finally, here is a very simple question: How long do YOU yourself
expect and want to live? (12)
References
- Wikipedia on “Death”: http://goo.gl/BiaB3o
- Why Do We Avoid The
Subject Of Death? http://goo.gl/wWaLUp
- New Scientist – Death topics: http://goo.gl/FXQIHC
- Life expectancy in the USA hits a record high: http://goo.gl/FWq3f0
- Responses to Time, “Baby will live to be 142”: http://goo.gl/emTEht
- Why I Hope to Die at 75: http://goo.gl/vbubA8
- Death Café: http://goo.gl/IiTxEL
- Death Over Dinner: http://goo.gl/OqM105
- A brief history of death switches: http://goo.gl/KQPtos
- Wired – Communicate From Beyond the Grave: http://goo.gl/6anIuk
- Facebook rolls out feature for users when they die: http://goo.gl/4EwByL
- How Long Do You Want to Live? http://goo.gl/G1GZOQ
Jim Pinto
Carlsbad, CA.
USA
26 March 2015