Our discomfort with “the idea of a permanent unconsciousness in which there is neither void nor vacuum — in which there is simply nothing” is what surgeon, bioethicist, essayist, and Yale professor Sherwin Nuland(1930–2014)
The greatest dignity to be found in death is the dignity of the life that preceded it. This is a form of hope that we can all achieve, and it is the most abiding of all. Hope resides in the meaning of what our lives have been.
Nuland turns to the heaviest burden in dying, the feeling of regret over “conflicts unresolved, breached relationships not healed, potential unfulfilled, promises not kept, and years that will never be lived.” But even in this despairing proposition, he finds an unlikely and rather beautiful source of hope.
Subverting Viktor Frankl’s famous formulation of the oft-repeated idea that we should live each day as if it were our last — “Live as if you were living already for the second time and as if you had acted the first time as wrongly as you are about to act now!” Frankl wrote in his spectacular memoir about the search for meaning — Nuland finds consolation in a heartening mirror-image interpretation:
Perhaps the mere existence of things undone should be a sort of satisfaction in itself, though the idea would appear to be paradoxical. Only one who is long since dead while still seemingly alive does not have many “promises to keep, and miles to go before I sleep,” and that state of inertness is not to be desired. To the wise advice that we live every day as though it will be our last, we do well to add the admonition to live every day as though we will be on this earth forever.
….the dignity of death is indeed the dignity of life, and our only responsibility in dying well is having lived well.