Review - 'Being Mortal: Medicine and What Matters in the End' by Atul Gawande

Being Mortal tackles the all too uncomfortable subject of mortality, and what it means to live and die well in life's last moments. In our modern world of medicine and technology, hospitals and doctors can always do more, but is more surgery or therapy always the right step at the end of life when positive outcomes are unlikely and severe side effects are guaranteed?

For me, the most eye-opening and useful parts of the book are those comparing the different types of care that someone can receive as they reach end of life, including palliative care, assisted living, nursing home, and hospice. I also appreciate that the book looks at this emotionally-distressing time from the perspective of both the person coming to the end of their life, as well as from that of their loved ones. Often, our impulse is to do everything we can to prolong life, but this book makes a strong case for quality now over quantity later, so that purpose and meaning can be preserved for as long as possible.

The book did feel over-simplified though. For example, the people in here with access to all the choices were either old enough to qualify for Medicare, young with good insurance, or lucky enough to find an affordable plan that provided quality care. But in the real world, that often isn't the case. Another example is that the dying person, as well as their loved ones, were reasonable people who are self-aware and communicated openly. But when dealing with relatives, that often isn't the case.

While this book is a great kicking off point for starting discussions and forming a plan, it certainly doesn't provide any concrete answers or even can act as a guide. Dying is a personal thing, fraught with perilous decisions and messy emotions, just like living is. What works for one person doesn't necessarily work for another. For such a difficult subject, I felt myself swept along in Dr. Gawande's eloquent writing and compassionate storytelling. I go away having learned a lot, but also feeling a little disappointed (unfair, I know) that this book did not provide me with more concrete answers to life's difficult questions.

Readaroo Rating: 4 stars