By the Sea

Once I realized I was old enough to die, I decided that I was also old enough not to incur any more suffering, annoyance, or boredom in the pursuit of a longer life. I eat well, meaning I choose foods that taste good and that will stave off hunger for as long as possible, like protein, fiber, and fats. I exercise — not because it will make me live longer but because it feels good when I do. As for medical care: I will seek help for an urgent problem, but I am no longer interested in looking for problems that remain undetectable to me. Ideally, the determination of when one is old enough to die should be a personal decision, based on a judgment of the likely benefits, if any, of medical care and — just as important at a certain age — how we choose to spend the time that remains to us.

In giving up on preventative care, I’m just taking this line of thinking a step further: Not only do I reject the torment of a medicalized death, but I refuse to accept a medicalized life, and my determination only deepens with age. As the time that remains to me shrinks, each month and day becomes too precious to spend in windowless waiting rooms and under the cold scrutiny of machines. Being old enough to die is an achievement, not a defeat, and the freedom it brings is worth celebrating.

~ Barbara Ehrenreich
(Natural Causes: An Epidemic of Wellness, the Certainty of Dying, and Killing Ourselves to Live Longer)

A year after my cancer surgery it seems like a good time to mention a book that tumbled into my life at just the right moment. After my brush with a life-threatening illness, the ideas set forth in Barbara Ehrenreich’s book, Natural Causes, make a whole lot of sense to me.

I spent many years carting my mother-in-law, my aunt and my father around to those “windowless waiting rooms,” getting test after test, some of them downright painful. My aunt finally put her foot down and proclaimed, “Whatever I’ve got, I’m taking it with me.”

She lived to be 103 in spite of refusing all the standard tests recommended for her in the last years of her life. When she died, it was from an infection. After accepting treatment for a day or two, she finally refused treatment for that, too.

Nothing ever came of those countless tests.

In my own case, because my mother died of breast cancer, I have submitted to many “required” mammograms and wound up with three false positives, causing weeks of anxiety. Now I refused to have any more. At this point in my life I am old enough to die, and if I wake up one morning and feel a lump in my breast, so be it.

The endometrial cancer I wound up getting? Well, there is no screening for it. Irony.

Fortunately I’ve found a general practitioner who understands my feelings and treats my “urgent problems” without pushing me into a “medicalized life.” Barbara Ehrenreich’s book has all the facts and figures I needed to convince me that as a culture, we are indeed killing ourselves, or at least making ourselves miserable, in order to live longer. All these expensive, invasive tests have not increased our lifespans.

Therefore, I have chosen to enjoy spending whatever time I have left to me without borrowing trouble.