I mentioned Atul Gawande’s book Being Mortal, when I first began reading it.
But now I have just finished it, and I would recommend it. It ends with an account of the death of Dr. Gawande’s father, who, like his son and his wife, was also a physician.
The book focuses on end of life matters: assisted living, nursing homes, help with living at home, intensive care vs hospice care and palliative care. One thing that became apparent to me is that end of life issues involve far more than just DNR orders. There comes a time when the question is: does the patient wish to be treated in a way to achieve the best possible days for the remaining days of his life, or does one press to cure the incurable and gain more time at any possible cost, often sacrificing quality of life for quantity? One must be forewarned that the medical profession is trained to favor the second option.
It’s not just a matter of giving up and allowing a patient to die. Patients receive care in Hospice too—they just receive care that is intended to help the patient have the best possible day, not the longest possible time. In fact, the doctors were surprised to discover that patients in hospice often lived somewhat longer than those who elected to “do everything possible” to prolong life.
It isn’t a Christian book. The author is a rather agnostic Hindu. At his father’s request he scattered his ashes in the Ganges. But it doesn’t have any glaring moral defects—the author does not favor assisted suicide, but he does favor palliative measures, even those which might tend to shorten life.