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The fight to die well

We will expect more from death than our ancestors did

By Glenn McGee

We die hard, working to cheat the grim reaper every step of the way. If any civilization in history loved to live, our own would surely rank among them. Obviously, 20th- century western society lives with gusto, fighting each battle and building each bridge with the elan of a bloated prizefighter. The 20th century is a testimony to nothing so much as the will of western societies to fight against their own dying.

TAKE A LOOK at our technologies: seat belts and safe cars, environmental protection, child safety and labor laws, weather forecasting. We fight to die well, too. 20th century Americans set up life insurance, invented Medicare and Social Security, and made up a new kind of tool called the “advance directive” to give the dying more power over how they die.

NEVER LETTING GO

Truly, ours is a generation that has struggled to strike a balance between the eastern tradition of venerating ancestors and the western tendency to, well, get them out of the way of progress.

We also refuse to let anything about us die. I’m not talking about the odd new habit of freezing heads, bodies, or other parts in liquid nitrogen so that one day we can awaken, like Woody Allen’s “Sleeper,” to live forever in the world of the Jetsons. No, I’m talking about metaphorical death.

We don’t like the idea of losing our identity, and we are the first civilization to make ideas “permanent.” The library burned at Alexandria and the work of millions was lost. The first films from the first part of this century are gone. But these words you are reading, however paltry, have the potential to live on forever, protected in perpetuity by the astonishingly resilient thing called computing. It is a central theme of the 20th century that books may get remaindered, but E-mail and Web pages could well live forever. Everyone from Timothy Leary to Darth Vader lives on in the Internet.

DYING WELL

Our death rites will change. There just isn’t enough real estate to bury the American dead. There aren’t enough transplant organs. And it isn’t sufficient for most folks to write a simple will.

The 21st century will not see the death of death. People will still grow old, and they will still die. But the clues for how death will change are already present. We will live longer and better as we age. We will age more gracefully. We will expect more from death than did our ancestors, and expect more, too, from our children and grandchildren and great-grandchildren. The recent trend of late divorce — divorce after age 70 — suggests that people expect more from their own relationships as they get older. When we do finally die in the 21st century, our death rites will change. There just isn’t enough real estate to bury the American dead. There aren’t enough transplant organs. And it isn’t sufficient for most folks to write a simple will. After all, we can use the cells and sperm and eggs of the dead these days for reproductive purposes, and we can even go back and figure out who Thomas Jefferson slept with. The dead don’t rest easy anymore. So dying will increasingly mean planning ahead.

Nobody likes to think about dying, and death in the next century will not be any easier to grasp. But coping with death, coming to die, and passing over into death are all going to be a little better as we develop policies, rules, ethics, and technologies that make bioethics a part of a 21st century death. Even if we can’t cheat the reaper.

MSNBC columnist Glenn McGee teaches at University of Pennsylvania’s Center for Bioethics in Philadelphia. He is the author of the recent book, “The Perfect Baby.”

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