Explainer
Creed
Death & life
5 min read

The lost art of dying well and what we can learn from it today

Living well in order to die well doesn’t simply happen. It takes work. It takes preparation. For All Souls Day, Lydia Dugdale asks if we are prepared for death.

Lydia Dugdale is the author of The Lost Art of Dying. She is Professor of Medicine at Columbia University and Director of the Center for Clinical Medical Ethics. She is a specialist in both medical ethics and the treatment of older patients. 

A medieval book illustration of a person dying in bed.
A 15th Century ars moriendi, or ‘art of dying’ image.
Basel University, via WikiCommons.

The first of November marks All Saints Day on many church calendars—a day when we Christians remember our martyrs together with all the faithful, both living and departed. On that day, we celebrate that our communion is not simply with one another on earth but is also with all saints of all time, including those who have died.  

For some people, the notion of fellowship with departed saints might be quite exciting. They may have pondered questions about the saints since school assemblies or RE lessons. What was racing through Abraham’s mind when he attempted to sacrifice his son Isaac? What would Mary say a sinless Jesus was like as a toddler? Did Jonah float around inside the great fish, or did he find something on which to perch himself?  

But others among us might wish to skip All Saints Day altogether. Talk of dead saints feels positively medieval, even a bit morbid. Some of us might wonder about our own saintliness—or lack thereof. Could we really experience ineffable joy in an afterlife? Moreover, the very suggestion of an afterlife implies that we ourselves must die—an uncomfortable prospect for most of us.   

Such divergent reactions to the day are revealing. On the one hand, the idea of having saints to remember is to inspire us to live well. They invite us to examine their lives and to grow ourselves in response. On the other hand, they remind us that our days are numbered. And because our days are numbered, we should attend carefully to what it means to live wisely. Saints teach us that if we want to die well, we must live well. 

But living well in order to die well doesn’t simply happen. It takes work. It takes preparation. Which is why this year on All Saints Day it’s worth asking the question: Am I prepared for death? 

Death exists as a paradox for Christians—as something at once lurking and vanquished. 

In the late Middle Ages, the ars moriendi, or ‘art of dying’ genre of literature developed in response to mass loss of life from a fourteenth-century outbreak of bubonic plague. The genre consisted of a number of handbooks on how to prepare for death. Although the earliest text was anonymous, historians believe that its authorship had a connection to the Western Church. After the Reformation, Protestant versions began to circulate, and later handbooks omitted religious particularity altogether. The handbooks grew in popularity throughout the West for more than 500 years. 

This notion of living well to die well lay at the core of the various iterations of the ars moriendi. Early texts warned readers that five temptations lead to dying poorly—temptations to doubt, despair, impatience, greed, and pride. If you don’t want to die a doubting, despairing, impatient, greedy, and proud person, you must cultivate the virtues of faith, hope, patience, generosity, and humility now. But the ars moriendi texts were very clear that virtue did not happen to a person all at once at the end of life. Rather, it required habituation. Cultivating virtues was the work of a lifetime. If you want to be remembered as a person of sound character, a generous person of hope and good will toward others, you cannot delay making such attributes a regular practice. If you are willing to be martyred for your faith—as some of those early saints were—you have got to be sure it is a faith worth dying for. 

I once met a man who had converted from the religion of radical self-centeredness to Christianity. When I asked him why, he told me that of all the world’s religions, Christianity had the best story. As with the martyred saints, it was for him a story worth dying for. And All Saints Day reminds us that in Christianity, death is stranger than you might think. 

Death exists as a paradox for Christians—as something at once lurking and vanquished. Death is the enemy that at long last will be destroyed, and death has already been swallowed up in victory. But you might ask: if death has already been defeated, what remains to be destroyed? And if death will be destroyed, how has it then been defeated? This enigma might partially explain why many regular church attenders are neither physically nor spiritually prepared for death. Researchers at Harvard University have shown that people who describe themselves as most supported by their religious communities are also most likely to reject hospice care and instead to elect aggressive life-extending technology. 

The story goes as follows. Death is an enemy because it suggests rejection of God. From the beginning, God tells our forebearer Adam that he can freely eat of any tree in the garden but one. If he eats from the tree of the knowledge of good and evil, he will die.  Thus, from the beginning, God equates the possibility of human disobedience with the actuality of death.  

Of course, Adam and Eve eat the proverbial apple. And when they do, they don’t immediately die, but they experience a sort of death. For the first time, they become filled with shame and fear. They hide themselves from God. They cast blame. God tells them that moving forward their life will be filled with great suffering. God says to Adam, ‘By the sweat of your face you shall eat bread until you return to the ground, for out of it you were taken. You are dust, and to dust you shall return.’ Disobedience is what Christians call ‘sin’—and it brings death. Sin severs that once harmonious relationship between God and people—a fact that also grieves God, which is why God does not let death have the final word. 

The story gets better. Since we humans cannot possibly undo the drastic results of our disobedience, God becomes fully human in Jesus Christ, so liable to death, while also retaining full, divinity which cannot die. Then, as a human on a cross, he dies as the ultimate sacrifice on behalf of humankind. But this God-Man does not stay dead. After three days in the tomb, Christ is resurrected, defeating death, on what has come to be known as Easter Sunday. Christ’s resurrection functions as a sort of guarantee that all God’s people will one day be resurrected and receive new bodies, that day on which the great enemy of death will be destroyed once and for all. If Adam and Eve brought death into the world, the resurrection hope is that death will be no more.  

This year on All Saints Day we have the opportunity to consider what it means to commune with ‘all saints’ extending back to Adam and forward to future generations. We have the opportunity to study the saints and then examine ourselves. What sort of people are we becoming? Are we living well to die well, as the ars moriendi handbooks teach? And of all the stories out there, which provides the greatest hope in life and in death? 

Column
Creed
Football
Grace
Sport
8 min read

Manchester City and the surprises of Grace

What a footballing dynasty's dominance tells us about the problems of meritocracy

Graham is the Director of the Centre for Cultural Witness and a former Bishop of Kensington.

A football team wearing a sky blue kit leaps for joy holding a trophy.
Celebrating winning the English Premiership.
Manchester City.

So Manchester City didn’t quite win the double double. Manchester United, against all the odds, spoilt the party and created their own by winning the FA Cup. But City won the Premier League yet again. That makes six times out of the last seven seasons. It would take a brave person to bet against them doing it again next season. Supporters of other teams look on with a mixture of resentment, admiration and envy. Despite losing the Cup Final, Manchester City fans are basking in the time of their lives.

When our team wins, we football fans gloat. Especially over our rivals. We all do it. We assume it means our team is superior, that victory is deserved, that there is some kind of moral credit involved in winning. Football fans are meritocratic to a tee.  

In 2020, Michael Sandel, Harvard Professor of Political Philosophy published The Tyranny of Merit. In the book, he traced the rise of the idea of meritocracy, the notion that if you succeed in life it is to your credit, and if you fail it is your fault. We talk about “going as far as your talents take you”, “getting what you deserve in life” and so on. Speaking from the American context in particular, he argues, it means a belief that we are masters of our own fate, that achievement is to our credit and failure due to our fault.  

He also sheds light on the dark side of meritocracy. The most important factor in whether people voted for Trump or Brexit was educational background. Getting into college or university meant you stood a much better chance of landing a good, well-paid job and rising through the rungs of society. And if you did so you tended to end up more liberal in political and social outlook. If you didn't go to college, you were more likely to stay in manual or blue-collar work, looking at a distance at the educated class of people who ran the government, the economy and the legal system, and feeling they didn't represent you.  

Meritocracy, Sandel argues, generates on the one hand hubris and on the other hand shame. It makes the successful feel proud in their own achievements, looking down with a secret smugness at those who didn't get the big jobs with the big money, and on the other, generates resentment and a sense of shame in those who missed out on the educational and financial gravy train.  

A meritocratic society makes parents more and more obsessive about getting their kids the advantages that will set them up for life. Yet such obsessive parenting for success has so often led to an epidemic of teenage depression and distress. College life becomes increasingly competitive, aiming to build an impressive CV to land the big jobs when you leave university for the big wide world of competition. 

Yet the reality is, he argued, that most of what made for ‘success’ was fairly random and the result of chance. If you happened to be born into an educated family with a reasonable income you are more likely to get the education that would keep you within that class. Without that origin it is much harder to break through the social barriers. Of course, there are plenty of examples of people born into disadvantaged circumstances who rose through the ranks to get good well-paid and high-profile jobs. Yet such stories fit neatly into the meritocratic story, as these people are held up as the poster boys and girls of meritocracy - exemplars of precisely the kind of moral virtue and character that is needed to succeed.

Some would say beautiful brand of football that out-passes and outplays virtually everyone else. 

Aristocracy by contrast, may have contained many flaws and inequalities, but at least the poor didn't feel that their poverty was their fault. We talk about our talents as ‘gifts’, which implies they have been given to us rather than earned by us. If we happen to have a talent for numbers, for writing, an instinct for strategy, reading people well, or managing stress, that is not really to our credit but something we have inherited in our personality. Of course we can and need to develop these skills, but again society has a fairly random way of rewarding certain talents and not others - we pay people skilled at football far more than people similarly skilled at netball, and hedge fund traders far more than nurses.

So what does all this have to do with Manchester City?

In September 2008, Sheikh Mansour Bin Zayed Al Nahyan, a member of the Abu Dhabi royal family, who is currently the vice president and deputy prime minister of the United Arab Emirates, completed the purchase of Manchester City, a club that had finished ninth in the Premier League the season before and was without a trophy in 32 seasons. From that moment they had the financial resources of virtually an entire Arab state at their disposal. Since then, they have spent a net amount of £1.4 billion on transfers. They hired the best manager and the best striker in the world, and play the most finely-tuned, relentless, some would say beautiful brand of football that out-passes and outplays virtually everyone else. In a recent match against Tottenham, they lost their number one goalkeeper Ederson to injury who was then replaced by Stefan Ortaga, who played a blinder and effectively won the league by keeping Tottenham from scoring. Ortega would walk into almost any other Premier League club. City’s strength in depth is such that they could almost turn out two teams that could win the Premier League on their own.

If the mind of Sheikh Mansour had gone in a different direction, Reading fans might have been celebrating a treble by the M4, or Wigan could be playing Real Madrid.

Back in the 2008 season, presumably the group from Abu Dhabi looked at the Premier League table for clubs they might buy, presumably discounting the already successful ones like Manchester United (who won the league that year), Chelsea, Liverpool or Arsenal. Looking just below City, they would have seen Blackburn Rovers in 7th (who had won the league as recently as 1995, Portsmouth in 8th, or a little lower, Middlesborough in 13th or Wigan in 14th. Sunderland, Bolton, Reading, Birmingham and Derby made up the numbers further down the table.

Of these teams, this past season, Portsmouth, Derby, Bolton and Reading played in the third tier of English football, struggling to make ends meet before small crowds against small clubs such as Stevenage, Burton, Fleetwood and Bristol Rovers. Birmingham were relegated into the third tier. None of the others were playing in the Premier League, let alone the Champions League.

Manchester City, by contrast, in their spanking new stadium, fresh from a season where they had won the treble (Premier League, FA Cup and Champions League), were winning the World Club Championship, marching towards another League title, only just missing out on the Champions League on penalties in the semi-final.

Did the rulers of Abu Dhabi consider buying Reading? Or Blackburn Rovers? Or Portsmouth? Whether they actually did or not, in theory they might have done. In other words, picking out Manchester City has a high degree of randomness. If the mind of Sheikh Mansour had gone in a different direction, Reading fans might have been celebrating a treble by the M4, or Wigan could be regularly playing Real Madrid.

Maybe they can teach us the humility of knowing that our success or failure is much less to our credit or fault than we think.

Manchester City is a prime example of the element of randomness in success.  Now of course it's not all random. Many other clubs have spent huge amounts of money but without the success of Manchester City. You have to say their owners know how to run a football club, unlike the shambles of the owners of clubs such as Chelsea or Manchester United in recent times.

Yet there is undoubtedly an element of sheer chance, luck, or to put it in Christian terms, undeserved Grace about it. Manchester City’s being chosen by Abu Dhabi is a strange worldly echo of the Christian doctrine of Election (no - not that election!). This is the idea that in the Bible, God chooses a part out of the whole, for example choosing Humanity out of all the species of animal life on the planet to look after and care for it, choosing Israel out of all the nations of the world to bear the message of God's care and love for that world, and choosing the Church as God’s chosen people, to bear witness to Jesus Christ the Saviour of the world.

The difference in this Christian notion is that election is never for success. God does not choose humanity, Israel or the church so that they can outstrip all the others and bask in their own superiority, even though all three have fallen into the trap of thinking that way many, many times. God chooses them precisely so that they might be a blessing to the rest of the world, the channel through which God desires to pour out his goodness to everyone, the bearers of a message of good news that everyone needs to hear. Election therefore breeds not a sense of superiority, but a deep sense of humility at having received a status that was not earned, undeserved, but that carries great responsibility.

So Manchester City's triumphant progress is perhaps an object lesson for the rest of us, that any success we may have achieved in life, anything we are tempted to boast about, whether privately or publicly, is not as much to our credit as we think. Just as they were plucked from mid-table obscurity to become one of the great teams of recent times, while the likes of Reading and Wigan languish in mediocrity, a large part of any success that may have come our way, is not down to our credit, but derives from a gift, something bestowed on  us, so that we might use whatever good comes our way to raise up others and be a blessing to those who don’t have such fortune.

While Manchester City win everything (and it won’t last, as we Manchester United fans know only too well) maybe they can teach us the humility of knowing that our success or failure is much less to our credit or fault than we think. We can learn generosity to those less fortunate than we are, contentment when things go badly, and gratitude for the grace that we have neither deserved or earned.