For many reasons, there are some topics that are difficult and uncomfortable for most of us to discuss openly and directly with others.  Two of these seem to be our personal wealth (reflecting how ‘valuable’ and ‘successful’ we have been during life) and the last chapter of our Life Journey, our death.
For many, the amount of wealth we have at various stages of life is similar to the ‘score’ we have on life’s scoreboard.  By the time we reach the concluding life chapter, we and some others may be tempted to declare ourselves as ‘winners’ or ‘losers’ using the criteria of wealth we have acquired before we die.  
It is sad to see individuals who view their lives as being about winning at the game of making money and accumulating it for others to see as a trophy of living a successful life.   We know from King Tut and others that we cannot take our wealth with us as we depart this part of life, so we get to exercise our personal value system by directing what happens to our wealth when we die.
Other than the ones who die without making a conscious choice (no will), our wealth can be directed to family, friends, other loved ones, charities, etc.  However, it is unfortunate that so many individuals do not choose to be open and directly discuss the status of their wealth and their preferences for its use before the arrival of death.  
They are some who have a goal of punishing others by the denial of sharing their wealth.  Others wait until their death to reward individuals that they chose not to do in life.  Personally, I have always believed that sending me flowers while I am healthy and alive is so much better for me than waiting until I pass and am unable to enjoy them.
For some, discussing wealth and death is like an exploration of self-esteem.  Most of us want to die feeling good about our lives.   If we are disappointed about our wealth accumulation, we may prefer to ignore the topic.  Wealth discussion seems to be a very sensitive topic for many.   Others seem to see such discussion as being contagious; they will ‘catch’ death or poverty if these are brought into the open.  Denial is a very effective ego defense mechanism for a reason!
The second sensitive topic that seems uncomfortable for many to discuss is the healthy living of the last chapter of our life journey. This includes how we think and feel about the inevitable time of dieing.   
If one is alive, we can be sure that at some time we are all going to die.  As I age, I find it more difficult to find persons who are comfortable exploring with me such areas as life’s relationship to dieing.   To me, healthy living is seeing the process of dieing as part of the process of living, not as components separate from each other.
Our culture is full of many options on how we handle our own death as well as those around us.   As each of my birthdays arrive I am happy for the joys of living another year with this wonderful gift of life.  I am also aware that I am one year closer to dieing and I am faced with the choices of how I want to live this concluding time period.   I still do retain choices on how I manage this last chapter!
As mentioned above, one of the most difficult conversational challenges I have faced with my own aging is finding persons who are comfortable discussing openly and directly the living of this last life chapter with the physical, emotional, financial, spiritual, religious, etc., characteristics of this period.
 I am reminded of a saying from the ‘old folks’ of my childhood:
“Everyone wants to go to heaven, but no one wants to die.”  It seems that our culture has decided that it is in the best interest of all that everyone strive to live as long as possible.  Why not have the options of embracing death, if we believe that a better place awaits our loved ones and us or when we prefer to leave life which has lost its quality and one that may be full of pain? 
I have seen individuals become ill and their daily life is like a ‘living hell’ full of pain.  I find myself wondering whether this ‘one size fits all’ approach to keeping everyone alive as long as possible is rational.  
During my lifetime I have seen the typical life span increase with almost miraculous medical achievements. Regardless of the various costs to the individual and those around him/her, we seem to believe that we should do everything possible to extend a person’s life regardless of whether the individual wishes those efforts made for him/her or these efforts drain our loved ones.
During my lifetime I have seen the typical life span increase with almost miraculous medical achievements. Regardless of the various costs to the individual and those around him/her, we seem to believe that we should do everything possible to extend a person’s life regardless of whether the individual wishes those efforts made for him/her or these efforts drain our loved ones.
At the same time, I have seen more individuals take personal initiative for saying ‘enough is enough, let me go’ by writing living wills and issuing power of attorney that no extraordinary means be used to extend life.  
Depression is a symptom of many emotional illnesses.  One can wonder how we handle the mix of emotional and physical illness.  For example, should people be allowed to choose suicide as a reasonable alternative when their physical health has reach a certain stage and before depression makes death an attractive alternative to intense pain, physical or emotional? 
After seeing patients in a hospital and some residents in a nursing home, I wonder who is being helped by prolonging the process of death:  the individual who has no quality of life left or those around who decide they are not prepared to ‘let go’ of a loved one.  These are real questions for one's personal value system and where discussion can be difficult.
It is easy to see why these are sensitive topics and questions for us to discuss about our own lives and with the ones for whom we care so much.    Even if it is difficult to be open and direct with discussion of wealth values and the process of dieing, who are we helping with personal health by ignoring their discussion even when they are present in every one of our Life Journeys?
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