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“My work at Westwind had given me access to emotions I didn't know I was capable of. I would start laughing or crying at the drop of a damn hat. Crying at a particularly beautiful sunset or a particularly beautiful parking meter, it didn't matter. It felt as if my life up to this point was spent living within a tiny range of sensations, rolling back and forth like a pinball. At Westwind that emotional range was blasted apart, allowing for ecstasy and despair like I had never experienced it.”

“A culture that denies death is a barrier to achieving a good death. Overcoming our fears and wild misconceptions about death will be no small task, but we shouldn't forget how quickly other cultural prejudices--racism, sexism, homophobia--have begun to topple in the recent past. It is high time death had its own moment of truth.”

“Women’s bodies are so often under the purview of men, whether it’s our reproductive organs, our sexuality, our weight, our manner of dress. There is a freedom found in decomposition, a body rendered messy, chaotic, and wild. I relish this image when visualizing what will become of my future corpse.”

“…Ten minutes later I pulled the van into the loading dock behind the hospital and removed my gurney. It was a bit of a farce to use a full-sized adult gurney for a few babies, but I didn’t think walking through the corridors with my arms filled with them was a particularly good plan either. I had an image of fumbling and dropping them, like a stressed out mom carrying too many grocery bags to avoid the extra trip in from the car.”

“In the Judeo-Christian view--and thus, the dominant Western view--to die by suicide is a sinful, selfish act. This perception has been slow to fade, though the science is clear that suicide has root causes in diagnosable mental disorders and substance abuse. ("Sin" does not qualify for the DSM-5.) The cultural meaning of suicide in Japan is different. It's viewed as a selfless, even honorable act... Outsiders say that the Japanese romanticize suicide, and that Japan has a "suicide culture." But the reality is more complicated. The Japanese view of self-inflicted death as altruistic is more about wanting not to be a burden, rather than fascination with mortality itself.”