Live fast ’cause it won’t last. – Chris Stein & Debbie Harry
In Monday’s column “Crystal-Gazing” I wrote, “I don’t think it’s likely I’ll be around to see [the mid 2030s], but many of you will be.” Several readers asked me why I believed I wouldn’t make it to that point; after all, I’d only have to live to 70, and the average white American woman born in the 1960s lives to about 75. Now, I could point out that statistically, my chance of dying before 70 is roughly equal to my chance of living past 80, but that wouldn’t quite be true; a lot of the reason the life expectancy keeps increasing is that infant mortality keeps decreasing, so anyone who survives childhood isn’t statistically likely to live as much longer than her ancestors as it might appear just from looking at those life expectancy figures. Also, most of the female members of my family live into their ’80s, even if the male ones have an odd tendency to die under strange and often newsworthy circumstances (ask me about that if we ever get drunk together). That having been said, a fair number of relatives of both sexes have contracted cancer or more-exotic terminal diseases, some of them at early ages (like the maternal uncle who died of leukemia in his late teens), and I’ve had several close brushes with sudden death (two of them of the “hushed-nurse-saying-I-shouldn’t-be-alive” variety), so I don’t think my familial or personal life expectancy is quite as high as that of the general population.
And thereby hangs the tale. As I’ve stated before, I have absolutely no intention of ever enduring chemotherapy; if I develop cancer I’m going to seek out palliative care, put my affairs in order and let the disease take its course. I’ve seen more than my share of people I love spending their last days hooked to machines in sterile institutions, dying in infernal contraptions surrounded by shouting doctors and nurses pounding on their chests and shooting chemicals into their veins, or electrically shocking their soon-to-be-corpses, instead of expiring quietly in their own beds surrounded by loved ones. So I have a DNR order; if it’s respected I will die when I die rather than being dragged violently back across the threshold because mere humans have decided I’m not allowed to leave this plane yet. Furthermore, though the more strictly-rational among my readers may scoff, I’ve never claimed to be strictly rational; my several close brushes with death (and a frank assessment of the chances I have taken in the past and those I continue to take on a regular basis) have led me to feel that I’m living on borrowed time, and Death knows that “when he at last come to collect me it will be a rendezvous rather than a capture“. Death and I are old friends; he was gracious enough not to interrupt my work before it was done, and it’s the least I can do to return that favor when the time comes. He’s passed me by on several occasions when he probably should have taken me, and I’m not such a fool that I think he’s going to keep doing that indefinitely.
Nor would I want him to. I’ve clearly stated my philosophy on this subject many times, including in my fiction; it’s mortality which gives life meaning, and I think it’s a bit rude for those whose dance is done to keep hogging the floor rather than making “room for the new dancers who are always waiting for their turn.” And besides all of that, I’m far too independent to be able to enjoy a life of decrepitude and dependence, and far too vain to desire a life in which I’m no longer the object of desire. The song below has always been among the larger group of my favorites, and I don’t feel any differently about it at 50 than I did at 15; when I go, I want people to still be able to honestly talk about how beautiful I was. Shallow? Probably. Silly? Maybe. But my friends will tell you I rarely ask for anything, so I don’t think it’s greedy of me to ask that no one begrudge my wish to not have to endure years or decades of life after the things I like best about it are gone.
The thing is when it comes to dying, many people are so terribly afraid, they lose all sight of what is actually going on. Especially the religious are guilty of this and they want their denial pushed violently on anybody else.
In a more rational view, there are really only two versions: Death is the final end, and then Monty Python’s “You come from nothing, you go to nothing. What have you lost? Nothing!” applies. In the other case, some part of you continues to exist or will exist again, hence no need to fear this type of end.
As so Chemotherapy or other more extreme medical measures, I will look at the details and the statistics before subjecting myself to them. For example, I will most decidedly not go through Chemo for a 5% 5-year survival rate. That is just stupid. Well, fear makes people stupid and nothing does it better than existential terror.
Incidentally, there is no need to be strictly rational in all things. In fact, people are regularly shooting themselves in the foot doing it, for example by claiming everything is explainable by science (for example, the religion-surrogate “Physicalism” does this), when that is a pretty unscientific claim. There is no reason to believe everything is subject to scientific or rational explanation, even if many things are.
Maggie wrote:
Setting aside any theological differences, this reminds me very much of Emily Dickinson’s view:
Because I could not stop for Death –
He kindly stopped for me –
The Carriage held but just Ourselves –
And Immortality.
We slowly drove – He knew no haste
And I had put away
My labor and my leisure too,
For His Civility – …
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You are certainly a fascinating woman.
Nothing like visiting your dad in a hospital room past hours at night, where he’s hooked to IVs, in a coma,when a doctor walks in, slaps my father hard across the face (no warning to me) and says “I’ve lost my friend Harry” and then walks out. The next day we signed the papers after the brain scan showed almost no functional brain left.
BUT. That was his second stroke, The first was ten years before and after rehab he was about 80% of his old self. So it depends. I’m with you on cancer treatments unless it’s something with a high success rate.
I’ve also seen people who were very happy as they approached death. Nothing mattered any more.
BTW, just relying on pictures, you look young and healthy. Celebrate that.