“She cannot help but see a lifespan as a journey, indeed as a pilgrimage. This isn’t fashionable these days, but it’s her way of seeing. A life has a destination, an ending, a last saying. She is perplexed and exercised by the way that now, in the twenty-first century, we seem to be inventing innumerable ways of postponing the sense of arrival, the sense of arriving at a proper ending. Her inspections of evolving models of residential care and care homes for the elderly have made her aware of the infinitely clever and complex and inhumane delays and devices we create to avoid and deny death, to avoid fulfilling our destiny and arriving at our destination. And the result, in so many cases, has been that we arrive there not in good spirits, as we say our last farewells and greet the afterlife, but senseless, incontinent, demented, medicated into amnesia, aphasia, indignity.”