Tag Archives: international

Atul Gawande, Being Mortal and the 2014 Reith Lectures

Published on: Author: David Clark Leave a comment

It is not uncommon to refer to the United States as the most ‘death denying’ culture in the world. As one wag observed, ‘Americans don’t die, they just under achieve’.  Certainly America spends unprecedented amounts on health care in the last year of life – apparently in search of life extension, but often it seems… Continue reading

ATLANTES research programme: human dignity, advanced illness and palliative care

Published on: Author: David Clark 4 Comments

I have known and worked with Dr Carlos Centeno since we first met at a conference of the EAPC in Geneva in 1999. Over the years,  and as our friendship has grown, we have mainly collaborated on studies associated with the EAPC European Atlas of Palliative Care. Recently, Carlos has established the ATLANTES research programme… Continue reading

Bodies in metal: sustainable remains, technology and bodily disposal – by Ruth McManus

Published on: Author: David Clark 1 Comment

I like small scale but clever gadgets. Personal favorites are a 1950s wall hung hand coffee grinder and a steam driven stove top expresso pot. They are human scale technologies. While I gain much from the daily exertion they require, the longer I use them, the more I like to think I am paying my… Continue reading

The Revival of Death: two decades on – by Tony Walter

Published on: Author: guwebteam 3 Comments

I have been on the phone for the past hour to a journalist writing an article on Death Cafés and the movement to get people talking about death. Is this, she asked, because death in our society is repressed? Is there a taboo against talking about it? “No,” I answered, “if we need to talk… Continue reading

Victorian legacies and death in the contemporary age

Published on: Author: David Clark 1 Comment

By the late nineteenth century, the people of Europe and North America were living longer and in societies of rapidly increasing size. A transformation of unprecedented proportions had brought industrialisation, urbanisation, geographic mobility, the rise of scientific rationalities, political and ideological upheaval, and a growing questioning of religious values. The population of Europe had doubled… Continue reading

‘Total pain’: the work of Cicely Saunders and the maturing of a concept

Published on: Author: David Clark 2 Comments

A striking feature of Cicely Saunders’ early work was its articulation of the relationship between physical and mental suffering. This reached full expression with the concept of ‘total pain’, which was taken to include physical symptoms, mental distress, social problems and emotional difficulties.  The idea was launched on the world exactly 50 years ago, in… Continue reading

Understanding in our global village: looking beyond myopia – by Richard Powell

Published on: Author: guwebteam 1 Comment

Hailing from a Dylan Thomas-like diminutive, unassuming, “ugly, lovely” former coal mining village in South Wales, UK –  whose inhabitants routinely greet friends and strangers alike with a warm, embracing “Morning!” couched in a melodious Welsh lilt – I could be more readily forgiven for small-town parochialism than any meaningful participation in a global dialogue.… Continue reading

American hospice and Medicare

Published on: Author: David Clark Leave a comment
Medicare in the USA

  The USA is the only country in the world that has developed a full scale ‘for profit’ system specifically to provide care in the last months of life. This hospice ‘industry’ has expanded considerably in recent years and generated significant financial surpluses for shareholders in the process.  It is attracting a lot of interest… Continue reading