A blood test that predicts the risk of dying

by Dr. Brian Goldman

As Canada’s population ages, there is increasing demand on our health-care system. A simple blood test may help doctors predict who is at risk of imminent death, according to a study published Monday in the Canadian Medical Association Journal.

Dr. Stig Bojesen and colleagues from the University of Copenhagen studied 108,135 Danish people ages 20 to 100 years who were part of the Copenhagen General Population Study. During the study period, a total of 10,372 people died. The researchers combed through the health records of those who died in search of abnormal blood test results.

They found that the people who died during the study period had lower levels of a white blood cell called a lymphocyte. The researchers crunched the numbers. Compared with those with a normal lymphocyte count, those patients with a low lymphocyte count were 1.6 times more likely to die during the study period.

There are several possible ways in which a low lymphocyte count might be connected to an early demise. 

One clue is that the current study found that a low lymphocyte count was associated with an increased risk of death from cancer, cardiovascular disease, respiratory disease, infections and other causes. These are chronic diseases that are common in older patients.

Researchers say they hope the blood test findings help doctors identify patients at risk of death within two years.

Lymphocytes are part of the immune system and the immune system is necessary to help patients fight off chronic diseases. The researchers speculated that a weak immune system might be one of the reasons why diseases like cancer and respiratory disease are more common the older we get.

Another theory is that a low lymphocyte count might indicate that the patient is frail. We know from other research that frailty can lead to illness and death.

Other tests to predict risk of imminent death

The lymphocyte count is not the only blood test that can help predict the risk of dying.

A number of studies have looked at another simple blood test called C reactive protein or CRP. Elevated levels of CRP are associated with increased risk of imminent death. A recent study found that patients in Japan who come to the emergency department with a heart attack and who have a high CRP level are more likely to die during the ensuing hospital stay.

A 2019 study in the journal Nature Communications identified 14 new biomarkers that can be measured in the bloodstream that could predict the risk of dying within five or 10 years. The study found these tests would likely be more accurate than the conventional risk factors (for example, smoking and heart disease) that doctors use currently. 

The researchers say they hope the findings help doctors identify patients at risk of death within two years. Such patients might be followed more closely for signs of life-threatening illnesses and perhaps treated more aggressively. Patients could then be re-tested to see if the lymphocyte count, CRP and other blood tests returned to normal levels as the imminent risk of death is reduced.

Down the road, researchers say they would like to use those abnormal tests and biomarkers to design targeted treatments that might stave off death.

It’s worth keeping in mind that studies like this one confirm what doctors already know. Studies show that doctors are good at identifying patients whose imminent death would not surprise them.

I think patients and their families might be very surprised that their doctors believe them at imminent risk of dying. I believe doctors need to share that information with patients and families to encourage them to live healthier or at very least prepare them for what lies ahead.

Complete Article HERE!

The Rising Cost of Not Living

by Mona Chalabi

Jerry Burton was a frugal man. So frugal, in fact, that his possession of an organ donor card was motivated by his disdain for waste. While he was still in hospice care, Jerry made it clear to his son and daughter-in-law that they should shop around to get a good deal on his funeral. They did. In total, the transportation of Jerry’s body, the cremation, and the pickleball tournament that he wanted to be held before his service cost $695. Such bargains are a rarity in America’s modern funeral industry.

The median pricetag of a funeral in 2017 was $7,360—a cost that would take the typical US worker five months of labor to cover. Because of these high prices, many families are panicking at the same time that they are grieving. 

The death of Kara Killeen’s father was followed by calculations that provide a depressing tally of the average American’s struggles. Student debt bills meant that Kara and her sister had less money in the bank (and much of her dad’s retirement money had gone toward helping them cover those repayments, as well as the family’s mortgage). Limited care provision under Medicare meant that Kara’s mother had lost her job to look after her sick husband (and since her job had been writing for the local newspaper, there wasn’t exactly an abundance of new vacancies for her to apply for later). And, like many American families today, the Killeens don’t all live in the same city, so there were flights to think about, in addition to the funeral costs.

Fortunately, an aunt was able to cover Kara’s flight back from Scotland to Ohio. Unfortunately, the fact that Kara needed an intermediary in another time zone to book her travel meant that she made it back two days after her father’s death. Once reunited, the family looked at their funeral options; they were shocked at the prices they were hearing. A reception in a local bar where her dad had been a regular customer would cost $3,000, including catering. They could have held it at their family home for free, instead, but that wasn’t really viable: Kara had come back to discover the house where her mother had cared for her dying husband was a messy cross between a hospital and a home. An urn would have cost $275, programs $160, and an obituary $200, according to the latest averages from the National Funeral Directors Association.   

In the end, with her aunt’s financial support, Kara’s family was able to pay for the cheapest option available: Kara’s father was cremated and his remains were returned to the family in a plastic bag, and there was no funeral. The family still faced a bill for $2,000. “His final mark on the world was just to not have enough money,” Kara told me, bitterly. Funerals are supposed to be a chance to grieve, mourn, and begin the process of emotional recovery after a death; but when money is tight, they can feel like a second trauma. 

In the movies at least, funerals are a chance to meet old friends that you didn’t even know that your dearly departed had. To hear stories that you had never heard before. “You expect everyone to be there,” Kara said. We infer much about a life from a funeral. For no service to be held might imply some secret shame. A small gathering might indicate a lack of popularity. Cheap flowers suggest, well, cheapness. Each of these sentences could just as easily apply to another of life’s landmark social gatherings—weddings—except that marriage customs have changed faster than our death customs. 

It is a matter of personal prerogative whether a couple spends their life-savings on a Star Trek-themed extravaganza or just heads to city hall with two strangers pulled off the street to act as witnesses. That choice is more likely to be seen as a question of taste rather than of moral character. But when the social occasion requires people to be present to honor someone who is absent, then the rules change.  

The desire not to skimp (or at least, to be seen not skimping) leads us to make bad decisions according to Joshua Slocum, the executive director of the Funeral Consumers Alliance, a nonprofit watchdog. “It’s a distressed purchase,” he explained. “No one wants to buy a funeral.” Our decisions are clouded, not just by grief but by the fact that there is no requirement for funeral homes to email you a pricelist or post one on their website. “I can’t think of any other business sector that doesn’t allow you to shop around,” Slocum added. So families will simply choose whichever funeral home they used the last time they had to hold a service. 

What those families rarely realize is that their local funeral home, once run as a “mom-and-pop” family business, is now probably owned by a Wall Street firm. Service Corporation International, or SCI, for example, operates 1,477 funeral service locations and 483 cemeteries across the country, and is worth $13.3 billion (for comparison, the countrywide clothing chain Gap Inc. is worth $8 billion). Shareholders expect dividends and they have to come from somewhere: according to Slocum, SCI charges between 40 percent and 75 percent more for its services than independent funeral homes do. 

The price of dying is also high because there are simply too many funeral homes. Slocum gives me the example of Montpelier in Vermont, the smallest state capital (by population) in the country. The city has two fully serviced funeral homes that, between them, handle an average of seventy-six deaths a year. These businesses have to keep prices high if they want to cover their mortgages and pay their staff. 

I asked Slocum why he became involved in funeral consumers’ rights. He replied simply, “I love Mitford.” It was after reading Jessica Mitford’s classic muckraking polemic on the American funeral industry, The American Way of Death (originally published in 1963), that he became fascinated by the industry and wanted to know more. Little of substance has really changed in the business since Mitford’s book was published except for the escalating prices. Back in 1960, the cost of a funeral was around $700—still a considerable amount of money in real terms, amounting to about seven weeks of a typical worker’s wages at that time (as noted above, by the same measure, today’s figure is at least twenty weeks).

Funeral charges have risen for the same reason that prices have always risen: a disconnect between demand and supply. For a combination of reasons—cost, changing mores, and environmental concerns—more consumers now want their remains and those of their relatives to be burned rather than buried, but the US funeral industry is largely stuck in the past. In fairness, this cultural change has come relatively quickly: in 1960, when Mitford was researching her study, just one in twenty-eight people who died in the US were cremated; today, it’s one in two—half of all funerals. Yet mortician schools still place a heavy emphasis on embalming skills, and more than two thirds of states (thirty-six out of fifty) require funeral establishments to maintain an embalming room (or access to an embalming preparation room); and nearly half of states require a funeral director to be a certified embalmer. Those laws directly contribute to higher prices. In a study published last year, two economists at Kenyon College in Ohio, David E. Harrington and Jaret Treber, calculated that embalming regulations in New York State cost consumers an additional $25.8 million each year.

Although American business traditionally hates regulations, regulating how companies handle and dispose of cadavers makes sense—there are too many public health and public safety considerations involved, let alone consumer rights, for this to be otherwise. “Now, death is seen as an emergency: a dead body has this association of being a biohazard,” explained Caitlin Doughty, who started working in deathcare in 2008 and today owns and runs Undertaking LA. This contrasts sharply with the way a decease was handled 150 years ago, in a pre-industrial era. “Death was a domestic task,” she said. “The women would prepare the body, the men would prepare the casket.”

States began to legislate to control funeral directors around the same time they set professional standards to govern doctors and lawyers, in the mid-nineteenth century. The main aim was to protect the vulnerable—in this case, the bereaved—from charlatans. But many state laws about deathcare now appear outdated or nonsensical. Four states prohibit funeral homes from serving food and beverages entirely, and in New Jersey until very recently, homes could only serve water and peppermints (it is unclear whether such rules arose for reasons of decorum or public hygiene). In five states, funeral directors have exclusive rights to sell caskets, in effect a protectionist measure that blocks cheaper competition—such as Amazon’s “Premium Cardboard Coffin for Adult Funeral,” for just $235.

The outlook seems bleak for customers with few choices and facing high costs. But after sixteen years working in funeral consumer rights advocacy, Slocum doesn’t see it quite this way. “There are two sides to issues like this,” he argues, “and in order to make funerals that are affordable, you need to have both oversight of the industry by the government, but you also need consumers that act with agency rather than being helpless victims.”

It is difficult, though, to think of any other purchase that is quite so unavoidable as paying for a funeral, nor one that demands decision-making at a time when emotional distress is a given. One way to feel empowered in the way that Slocum suggests is to lean, if you can, on your community.

Askia Toure and his two sisters, Sakina and Zahira, were able to turn to the Islamic Society of Greater Houston, Texas, when their mother died of uterine cancer in 2015. The society helped Sakina, who was the only sibling that lived close to her mother when she died, to wash and shroud her mother’s body according to Islamic practice. Two days later, their mother was placed in a plot she had pre-chosen. “That’s how we’ve been raised,” Askia said, “to bury each other with dignity as soon as possible for the least amount of pain or debt inflicted on those who are still here.” When families can’t cover the cost, the community that makes up the membership of the Islamic Society pitches in. Even before Askia’s mother died, the society’s members had contributed to cover the medical costs of her final illness, using a crowdsourcing page. 

Crowdfunding for the funerals themselves is now common. Just one site alone, Go Fund Me, boasts that every year it raises $330 million for some 125,000 memorials (a level of contributions that averages out at $2,640, about a third of the typical funeral’s costs). These sites are especially important for families like the Toures because black American households have less wealth than any other racial or ethnic group in the country. When a large, one-off expense like a funeral needs to be paid, the choice facing such families is often brutally simple: ask for help or sell the car.

Even with a community behind you, bargain-hunting is still important. Non-funeral home options are still limited—and, in fact, can often be even more expensive. You can, it is true, order a cardboard casket from Amazon for as little as $235, but then what? Most states have strict laws about where and how you can dispose of a body. Shopping around for professional funeral services is still the better option for most people. “You can find prices that range from $700 to $4,000 for the same basic service,” said Slocum. “The grief will come, but the terror [of financial ruin] doesn’t have to.”

Funerals are hard because they force us to manage a very practical matter that is simultaneously a profoundly emotional one—to make arrangements amid tumultuous feelings. One thing that can help is to have talked to a loved one before she dies about the kind of funeral she’d want. When it was time for the conversation that Jerry Burton wanted about his desire for a cheap send-off, his daughter-in-law, Melody Burton, a marketing and communications manager from Gresham, Oregon, was apprehensive. But it turned out to be a blessing, not a trauma. “You don’t get to talk about things that are so deeply personal like that very often,” she told me. “It was a beautiful time.”

Complete Article HERE!

Floating ice urn makes for a unique eco-friendly memorial

This one-of-a-kind urn floats on the water while slowly returning cremated remains to nature.

By

As you may have heard, humans have a death problem. It’s not that humans die; it’s that once they do, the still-alive humans of many cultures bury the newly-dead humans in the ground. Given that there are some 7.7 billion of us on the planet currently … well, you can see where this is going. Add in the environmental impact of burying a casket’s sturdy materials and a few gallons of toxic embalming fluid along with it and it’s no wonder that more people are looking into alternative funeral ideas.

There have been some really beautiful, eco-friendly memorial products designed over the last decade or so, like biodegradable urns that use one’s ashes in which to grow a tree. But my jaw dropped when I saw this one, the Flow Ice Urn, which floats on the water while slowly releasing ashes in an unapologetically pure way. It is simple yet beautiful; and it brings to mind other funeral traditions that are intrinsically tied to the idea of returning the body to nature.

And while scattering ashes on a body of water is understandably popular, I love the inherent ceremony in watching an ice urn, and the ashes within, float and gradually dissolve into the sea. It would be just as ephemeral as scattering, but a bit more formal – and just so poetic.

The ice urn was designed by Diane Leclair Bisson, who approached the design with the creativity of an artist and the thoughtfulness an anthropologist. As her website notes, “her research into contemporary burial practices, and the preservation or the scattering of ashes has also engaged her in a reflection about materiality, which has guided the design of a new typology of objects and materials.”

Bisson notes, “The Ice Urn is a deeply sustainable object in its essence. The concept of making a dissolvable memorial object through the transformation of water into a solid form of ice – while encapsulating cremation ashes within it – is truly innovative. It is the most immaterial urn ever created, and it inspires new types of water ceremonies as well as a completely new approach to the idea of burial itself – emphasizing new thinking about the return of the body to the natural environment, and of water back to its original source.”

The Flow was originally designed for Memoria, a progressive funeral home group based in Montreal. But now Biolife, LLC, the developer of other eco-focused urns, has obtained the exclusive license to produce and market the patented ice urn in the United States.

Julia Duchastel, Vice President of Memoria explains that they spent years developing and perfecting the ice urn, noting that is is a proven and patented product that has been well tested tested at their funeral home locations in Montreal.

“Many people form a strong connection with the ocean, lakes, or rivers throughout their lives. Water is a truly extraordinary molecule – it is what makes life on earth possible,” says Duchastel. “Throughout history and across cultures, it has persisted as a symbol of life, renewal, and purity. With this connection to water, many people choose to have their ashes freed in the water after they pass. With the Flow™ ice urn families have a new and improved water burial option to honor a loved one and say goodbye in a more beautiful, meaningful, and memorable way.”

The urn is available at funeral homes; you can see more information on the ice urn page at The Living Urn.

Complete Article HERE!

Machine Learning Could Improve End-of-Life Communication

Using machine learning, researchers were able to better understand what end-of-life conversations look like, which could help providers improve their communication.

By Jessica Kent

Machine learning tools could analyze conversations between providers and patients about palliative care, leading to improved communication around serious illness and end-of-life treatment, according to a study conducted at the University of Vermont’s (UVM) Conversation Lab.

Discussions about treatment options and prognoses amid serious, life-threatening illnesses are a delicate balance for nurses and doctors. Providers are communicating with people who don’t know what the future holds, and these conversations are very difficult to navigate.

Researchers at UVM wanted to understand the types of conversations patients and providers have around serious illness. The team set out to identify common features of these conversations and determine if they have common storylines.
“We want to understand this complex thing called a conversation,” said Robert Gramling, director of the lab in UVM’s Larner College of Medicine who led the study. “Our major goal is to scale up the measurement of conversations so we can re-engineer the healthcare system to communicate better.”

Researchers used machine learning techniques to analyze 354 transcripts of palliative care conversations collected by the Palliative Care Communication Research Initiative, involving 231 patients in New York and California.

They broke each conversation into ten parts with an equal number of words in each, and examined how the frequency and distribution of words referring to time, illness terminology, sentiment, and words indicating possibility and desirability changed between each decile. Conversations tended to progress from talking about the past to talking about the future, and from happier to sadder sentiments.

“We picked up some strong signals,” said Gramling. “There was quite a range, they went from pretty sad to pretty happy.”

Discussions also tended to shift from talking about symptoms at the beginning, to treatment options in the middle and prognosis at the end. Additionally, the use of modal verbs like “can,” “will,” and “might,” that refer to probability and desirability also increased as conversations progressed.

The findings reveal the importance of stories in healthcare for patients, researchers noted.

“At the end there was more evaluation than description,” said Gramling. “What we found supports the importance of narrative in medicine.”

The team is now focused on using the machine learning algorithm to identify the different types of conversations that can occur in healthcare. This could help providers understand what might make a “good” conversation around palliative care, and how different conversations require different responses. Providers could then match patients to interventions they need the most.

“One type of conversation may lead to an ongoing need for information, while another may have an ongoing need for functional support,” said Gramling. “So one of the ways those types can help us is to identify what are the resources we are going to need for individual patients and families so that we’re not just applying the same stuff to everybody.”

A deeper understanding of these conversations will also help reveal what aspects and behaviors associated with these conversations are most valuable for patients and their families. Educators could then effectively train providers to have the skills needed in palliative care.

Researchers believe that the most useful application of the machine learning tool could be at the systemic level, which could monitor how patients respond to providers in aggregate.  

“I think this is going to be a potentially important research tool for us to begin fostering an understanding of a taxonomy of conversations that we have so that we can begin to learn how to improve upon each one of those types,” said Gramling.

“We already measure other processes of clinical care, we just don’t do it routinely for actual communication.”

Researchers have recently applied artificial intelligence tools to the realm of palliative care. A study published in September 2019 demonstrated that a predictive analytics tool can help increase the number of palliative care consultations for seriously ill individuals, leading to improved quality of life for patients and their families.

“There’s widespread recognition of the need to improve the quality of palliative care for seriously ill patients, and palliative care consultation has been associated with improved outcomes for these patients,” said the study’s lead author, Katherine Courtright, MD, an assistant professor of Pulmonary, Allergy and Critical Care, and Hospice and Palliative Medicine.

Complete Article HERE!

The Story Behind Dylan Thomas’s “Do Not Go Gentle Into That Good Night”

Along with a stirring reading of the masterpiece by the poet himself.

Dylan Thomas, early 1940s.

By Maria Popova

“Poetry can break open locked chambers of possibility, restore numbed zones to feeling, recharge desire,” Adrienne Rich wrote in contemplating what poetry does. “Insofar as poetry has a social function it is to awaken sleepers by other means than shock,” Denise Levertov asserted in her piercing statement on poetics. Few poems furnish such a wakeful breaking open of possibility more powerfully than “Do not go gentle into that good night” — a rapturous ode to the unassailable tenacity of the human spirit by the Welsh poet Dylan Thomas (October 27, 1914–November 9, 1953).

Written in 1947, Thomas’s masterpiece was published for the first time in the Italian literary journal Botteghe Oscure in 1951 and soon included in his 1952 poetry collection In Country Sleep, And Other Poems. In the fall of the following year, Thomas — a self-described “roistering, drunken and doomed poet” — drank himself into a coma while on a reading and lecture tour in America organized by the American poet and literary critic John Brinnin, who would later become his biographer of sorts. That spring, Brinnin had famously asked his assistant, Liz Reitell — who had had a three-week romance with Thomas — to lock the poet into a room in order to meet a deadline for the completion of his radio drama turned stage play Under Milk Wood.

In early November of 1953, as New York suffered a burst of air pollution that exacerbated his chronic chest illness, Thomas succumbed to a round of particularly heavy drinking. When he fell ill, Reitell and her doctor attempted to manage his symptoms, but he deteriorated rapidly. At midnight on November 5, an ambulance took the comatose Thomas to St. Vincent’s Hospital in New York. His wife, Caitlin Macnamara, flew from England and spun into a drunken rage upon arriving at the hospital where the poet lay dying. After threatening to kill Brinnin, she was put into a straitjacket and committed to a private psychiatric rehab facility.

When Thomas died at noon on November 9, it fell on New Directions founder James Laughlin to identify the poet’s body at the morgue. Just a few weeks later, New Directions published The Collected Poems of Dylan Thomas (public library), containing the work Thomas himself had considered most representative of his voice as a poet and, now, of his legacy — a legacy that has continued to influence generations of writers, artists, and creative mavericks: Bob Dylan changed his last name from Zimmerman in an homage to the poet, The Beatles drew his likeness onto the cover of Sgt. Pepper’s Lonely Hearts Club Band, and Christopher Nolan made “Do not go gentle into that good night” a narrative centerpiece of his film Interstellar.

Upon receiving news of Thomas’s death, the poet Elizabeth Bishop wrote in an astonished letter to a friend:

It must be true, but I still can’t believe it — even if I felt during the brief time I knew him that he was headed that way… Thomas’s poetry is so narrow — just a straight conduit between birth & death, I suppose—with not much space for living along the way.

In another letter to her friend Marianne Moore, Bishop further crystallized Thomas’s singular genius:

I have been very saddened, as I suppose so many people have, by Dylan Thomas’s death… He had an amazing gift for a kind of naked communication that makes a lot of poetry look like translation.

The Pulitzer-winning Irish poet and New Yorker poetry editor Paul Muldoon writes in the 2010 edition of The Collected Poems of Dylan Thomas:

Dylan Thomas is that rare thing, a poet who has it in him to allow us, particularly those of us who are coming to poetry for the first time, to believe that poetry might not only be vital in itself but also of some value to us in our day-to-day lives. It’s no accident, surely, that Dylan Thomas’s “Do not go gentle into that good night” is a poem which is read at two out of every three funerals. We respond to the sense in that poem, as in so many others, that the verse engine is so turbocharged and the fuel of such high octane that there’s a distinct likelihood of the equivalent of vertical liftoff. Dylan Thomas’s poems allow us to believe that we may be transported, and that belief is itself transporting.

“Do not go gentle into that good night” remains, indeed, Thomas’s best known and most beloved poem, as well as his most redemptive — both in its universal message and in the particular circumstances of how it came to be in the context of Thomas’s life.

By the mid-1940s, having just survived World War II, Thomas, his wife, and their newborn daughter were living in barely survivable penury. In the hope of securing a steady income, Thomas agreed to write and record a series of broadcasts for the BBC. His sonorous voice enchanted the radio public. Between 1945 and 1948, he was commissioned to make more than one hundred such broadcasts, ranging from poetry readings to literary discussions and cultural critiques — work that precipitated a surge of opportunities for Thomas and adrenalized his career as a poet.

At the height of his radio celebrity, Thomas began working on “Do not go gentle into that good night.” Perhaps because his broadcasting experience had attuned his inner ear to his outer ear and instilled in him an even keener sense of the rhythmic sonority of the spoken word, he wrote a poem tenfold more powerful when channeled through the human voice than when read in the contemplative silence of the mind’s eye.

In this rare recording, Thomas himself brings his masterpiece to life:

Complete Article HERE!

The world’s first human composting facility will let us recycle ourselves

In life, we strive to reduce and reuse. The human composting center Recompose aims to offer a more sustainable death.

by Lilly Smith

What happens to us when we die? It’s one of life’s most enigmatic and profound questions. And—let me clear this up now—I don’t have any insights to offer on the afterlife. But the first renderings of new after-death center Recompose (don’t call it a “funeral home”) reveal another option for the afterlife of our bodies here on earth: composting.

The flagship facility, expected to open in Seattle in spring 2021, is designed to reconnect human death rituals with nature and to offer a more sustainable alternative to conventional burial options. Today, burial often involves chemical-laden embalming, while cremation uses eight times more energy, according to the architects at Olson Kundig who designed the new facility. Recompose will offer a first-of-its-kind “natural organic reduction” service on-site, which will “convert human remains into soil in about 30 days, helping nourish new life after death.”

Recompose emerged as an idea in 2016—the result of a Creative Exchange Residency at the Seattle-based global design practice that brought Recompose founder and CEO Katrina Spade and her team into collaboration with the architects to create a prototype facility.

But the passage of a new bill “concerning human remains” in Washington State has quickly ushered their prototype into the realm of the possible. After Governor Jay Inslee signed SB-5001 this past May, Washington became the first state to recognize “natural organic reduction” as an alternative to cremation or burial. The law will go into effect May 1, 2020, according to the Seattle Times.

With the design of Recompose, the architects at Olson Kundig have brought a whole new meaning to the term “deathbed.” Their design for the facility is focused on a few key aspects of the experience, starting with the individual “vessels” where the organic reduction takes place. In typical funerary practice, they might be referred to as coffins; a person’s remains are placed in the vessel and covered with woodchips. There, the remains are aerated to create a suitable environment for thermophilic bacteria, according to Dezeen. That bacteria will then break the remains down into usable soil.

What’s the benefit of this process taking place in a controlled facility like Recompose, as opposed to a cemetery? “By converting human remains into soil, we minimize waste, avoid polluting groundwater with embalming fluid, and prevent the emissions of CO2 from cremation and from the manufacturing of caskets, headstones, and grave liners,” the company explains on its website. What’s more, it explains, “By allowing organic processes to transform our bodies and those of our loved ones into a useful soil amendment, we help to strengthen our relationship to the natural cycles while enriching the earth.”

Seventy-five of these individual spaces will be built as part of the first Recompose project. They’re arranged to surround a large, airy gathering space at the center of the 18,500-square-foot facility. This space will be used for services, and reads more New-Age health center than macabre funeral parlor: It’s bright and light-filled, punctuated by trees, and canopied by tall natural wood ceilings.

“This facility hosts the Recompose vessels, but it is also an important space for ritual and public gathering,” says Alan Maskin, principal and owner of Olson Kunig. “The project will ultimately foster a more direct, participatory experience and dialogue around death and the celebration of life.”

Although Recompose claims to be the first facility to offer organic reduction services, Recompose is not alone in trying to end the practice of keeping death and its associated after-care rituals at arm’s length—a movement that’s come to be known as “death positivity.”

Caitlin Doughty is one such person working in this space. She is the co-owner with Jeff Jorgensen of Clarity Funerals, which offers environmentally-friendly services like carbon neutral cremation, tree planting memorials, all natural products, and locally produced urns and caskets. Doughty is also the founder of the Order of the Good Death, “a group of funeral industry professionals, academics, and artists exploring ways to prepare a death-phobic culture for their inevitable mortality.” She had previously founded Undertaking LA, which Tara Chavez-Perez, a publicist for the Order of Good Death, said shut down earlier this year.

According the website, the business was an “alternative funeral service” that brought people closer to the experience of death by “placing the dying person and their family back in control of the dying process, the death itself, and the subsequent care of the dead body,” for instance by helping people take care of a loved one’s corpse at home. Undertaking LA offered more sustainable alternatives to typical practice as well, including biodegradable willow caskets, according to the New Yorker.

She also sits on Recompose’s board—and, as Chavez-Perez told me, “Caitlin’s an enthusiastic and avid supporter.”

New alternative burial companies (like the startup Better Place Forests, which sells the right to scatter your ashes beneath a redwood) are trying to bring nature back into the commercial funeral industry. Recompose, meanwhile, is trying to use nature as the framework for a better death. “We asked ourselves how we could use nature—which has perfected the life/death cycle—as a model for human death care,” Spade says in a statement. “We saw an opportunity for this profound moment to both give back to the earth and reconnect us with these natural cycles.”

With Recompose, Olson Kunig has designed a seemingly more sustainable alternative to burial or cremation—and perhaps a small way for you to leave the world better than you found it.

Complete Article HERE!

South Koreans Take Part in ‘Living Funerals’ to Improve Lives

Participants sit inside coffins during a “living funeral” event as part of a “dying well” programme, in Seoul, South Korea, October 31, 2019.

by Bryan Lynn

Thousands of South Koreans have taken part in “living funeral” services in an effort to help improve their lives.

The experience is designed to simulate death for individuals seeking to increase their knowledge about their current lives.

More than 25,000 people have completed mass “living funerals” at the Hyowon Healing Center in Seoul since it opened in 2012.

“Once you become conscious of death, and experience it, you undertake a new approach to life,” said 75-year-old Cho Jae-hee. Cho took part in a living funeral that was part of a “dying well” program offered by her local community center.

The event was attended by many people from the area, both young and old. During the program, people are asked to lie down in a closed coffin for about 10 minutes. They can also write a will and take funeral pictures.

University student Choi Jin-kyu also took part in a “dying well” event. He told Reuters news agency the experience helped him realize that, too often, he considers others as competitors.

“When I was in the coffin, I wondered what use that is,” the 28-year-old said. Choi added that he now plans to start his own business after finishing school instead of trying to enter the highly-competitive job market.

Participants get into coffins during a “living funeral” event as part of a “dying well” program in Seoul, South Korea, October 31, 2019. Picture taken on October 31, 2019.

The Organization for Economic Co-operation and Development, OECD, has rated South Korea 33 out of 40 countries on its Better Life Index. The index considers many measures of personal well-being, including housing, income, employment and health.

Many younger South Koreans have high hopes for education and employment. But such hopes can be ruined because of economic conditions.

Professor Yu Eun-sil is a doctor at Seoul’s Asan Medical Center who has written a book about death. “It is important to learn and prepare for death even at a young age,” she told Reuters.

In 2016, the World Health Organization reported South Korea’s suicide rate was 20.2 per 100,000 people. That is nearly double the worldwide average of 10.53.

Hyowon Healing Center began offering living funerals to help people see the value in their current lives. The experience can also help people seeking forgiveness and better relationships with family and friends, said Jeong Yong-mun, the head of the center.

Jeong said he is pleased when people are able to reconcile at a family member’s funeral. But he is saddened that the connection could not happen sooner.

“We don’t have forever,” he said. “That’s why I think this experience is so important – we can apologize and reconcile sooner and live the rest of our lives happily.”

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