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How life should end

EDITOR’S NOTE: This article originally appeared in Sightings, a publication of the Martin Marty Center at the University of Chicago Divinity School. Subscribe here to receive Sightings in your inbox on Mondays and Thursdays.

It was not hard for Sightings to spot a topic of importance this week. “How life ends: Death is inevitable. A bad death is not” was on the cover of The Economist (April 29th). Inside were stories with headlines like “How to have a better death” and “Mending mortality.” And there was a story about Brazil, “Death wishes.” The task for this columnist is to spot references to religion(s), something one would think would be natural, since the “Abrahamic faiths” have so much to say about death, dying, and what might follow. Yet we did not find anything about religion or the religions or religious hopes in The Economist’s main story.

The Brazilian one, reporting on the results of a survey of what matters to people most at life’s end, was quite different. The pollsters and editors, noting that “[t]here are more Catholics in Brazil than any other country,” found 83% of Brazilians said “religion played a ‘major role’ in their thinking about end-of-life care, against 50% of people in [pluralist] America and 46% in [once Catholic] Italy.” Whether the American figure was colored by the nature of poll-taking, editing, and publishing, or whether half of “us” really don’t care much, is a topic for a different day. Those of us who are guilty of belonging to worshiping communities tend to see things in particular ways. Hospital chaplaincies, religiously based care-of-the-sick-and-dying agencies, seminary courses, and lay seminars on the subject abound. A pastoral call or ritual and prayerful address by fellow members of one’s religious community are much cherished.

In our intimate circle for coping, conversing, and consoling, someone brought up an article by Father Richard John Neuhaus, published during his first bout with cancer in 2000, nine years before his death from it. “In all the cards and letters assuring me of prayer,” Neuhaus wrote, “and almost all did offer such assurance, there were notable differences. Catholics say they are ‘storming the gates of heaven’ on your behalf, and have arranged to have Masses said. Evangelical Protestants are ‘lifting you up before the throne.’ Mainline Protestants, Jews, and the unaffiliated let it go with a simple ‘I am praying for you,’ or ‘You are in my prayers.’ One gets the impression that Catholics and evangelicals are more aggressive on the prayer front.” Not in Neuhaus’s article, but in our observation of television coverage after violent (i.e., criminal) deaths or in the path of natural disasters, most minority interviewees or migrant fellow-residents are more at ease with and dependent on prayer, spiritual reckoning, and the like, than are others.

Notice, if—or, better, as—you read Father Neuhaus, how brutally realistic he was even in the beginning months of his decade-long dying. “I was never once afraid,” it is true. This “had less to do with courage than with indifference… I was surprisingly indifferent to whether I would live or die. It probably had less to do with holiness than with my knowing that there was nothing I could do about it one way or the other.”

The Economist cites Atul Gawande, surgeon and author, who has launched the “Serious Illness Conversation Guide” for physicians and patients. Since loneliness and aloneness are great enemies of living and life, many counsellors are picking up on that valuable concept: conversing. We can know that Neuhaus found many conversation partners during his dying years, and that he learned from them and inspires continuing conversation at the side of Dr. Gawande, Brazilian priests, and other learners about life. So, let’s talk.


  1. From above … [a poll] found 83% of Brazilians said “religion played a ‘major role’ in their thinking about end-of-life care, against 50% of people in [pluralist] America and 46% in [once Catholic] Italy.” Whether the American figure was colored by the nature of poll-taking, editing, and publishing, or whether half of “us” really don’t care much, ….

    Wait, the poll data did not suggest that half of us “really don’t care much”. It said that half of us (50%) don’t rely on religion in a major way in our thinking about end of life care. We can (and do) care very much are end of life care.

    Suggesting that those who think about end of life care without having religion as a major factor is just another example of disparaging the views (and indeed, the end of life caring) of non-Christians. How would you feel if if I said that “Those who don’t involve the flying spaghetti monster’s plan in their end of life thinking I guess just really don’t care much about end of life care.”? We care – we just aren’t relying on supernatural ideas in the planning.

  2. End of life should begin with a lot of free morphine 🙂 .

  3. A better than average composition by Mr. Marty. I am an Evangelical, but that aside for a moment, people facing the end of life would naturally, it would seem, deal with it more placidly in the face of two factors, pain management, and the expression of the genuine love, care and concern of family members, friends, and even strangers. No one should face death in isolation, unless they are of a particularly strong and resolute character. Putting my Evangelical hat back on, I would urge anyone in such circumstances to seek the ministering Spirit of Christ.

  4. I think many people (myself included, if I were dying) would consider your suggestion to be a most merciful and welcome kindness.

  5. I’m 88 years old with many of the ailments that go with that age. I see death as a friend. I don’t believe in an after life and am very content in that non-belief.

  6. When I die, I want to go peacefully like my grandfather did–in his sleep. Not yelling and screaming like the passengers in his car.

  7. a wry but humorous comment.

  8. Gallows humor – comic relief. Seemed the right time.

  9. How life should end

    Abide with me, fast falls the eventide
    The darkness deepens Lord, with me abide
    When other helpers fail and comforts flee
    Help of the helpless, oh, abide with me

    Swift to its close ebbs out life’s little day
    Earth’s joys grow dim, its glories pass away
    Change and decay in all around I see
    O Thou who changest not, abide with me

    I fear no foe, with Thee at hand to bless
    Ills have no weight, and tears no bitterness
    Where is death’s sting?
    Where, grave, thy victory?
    I triumph still, if Thou abide with me

    Hold Thou Thy cross before my closing eyes
    Shine through the gloom and point me to the skies
    Heaven’s morning breaks, and earth’s vain shadows flee
    In life, in death, o Lord, abide with me
    Abide with me, abide with me

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