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People I (Mostly) Admire

Does Death Have to Be a Death Sentence? (Update)

People I (Mostly) Admire

Freakonomics Radio + Stitcher

Society & Culture

4.61.9K Ratings

🗓️ 31 May 2025

⏱️ 42 minutes

🧾️ Download transcript

Summary

Palliative physician B.J. Miller asks: Is there a better way to think about dying? And can death be beautiful?

Transcript

Click on a timestamp to play from that location

0:00.0

Today's episode is an encore presentation of a conversation I had with B.J. Miller way back in

0:10.3

2021. B.J. Miller is a physician who specializes in end-of-life care. You might expect an episode on

0:17.9

dying to be depressing, but I suspect you will find that B.J. Miller

0:22.0

is such an extraordinary human being that this episode is anything but depressing. For me,

0:28.3

this is one of the most uplifting episodes we've ever done. If there's one topic that nobody wants to talk about, it's death.

0:43.0

So it tells you something that my guest today, B.J. Miller, has a TED talk on dying that has garnered nearly 15 million views.

0:51.6

Simply put, B.J. thinks that our society's approach to dying is completely wrong,

0:56.1

and he's on a crusade to change the way we die. He's a physician who's seen over and over

1:02.2

how our medical system fails people at the end of life. If you care about the quality of your

1:07.1

own death or the death of your loved ones, you owe it to yourself to hear what BJ has to say.

1:13.4

We're sacrificing anything we might resemble a quality of life for this potential for a few more

1:18.0

minutes on the planet, and that's a tricky bargain.

1:24.1

Welcome to people I mostly admire with Steve Levitt.

1:30.2

B.J. Miller is a palliative care physician who's worked at the University of California, San Francisco's

1:36.1

cancer center. He's taught at the med school there, and he's worked with a Zen Hospice

1:40.3

Project in San Francisco. He now sees patients through an organization he started to help

1:45.4

provide support and guidance to the terminal ill. It's called mental health. Now, mostly, I just try to

1:52.1

have fun on this podcast, but my hope is that this conversation today will actually turn out to be

1:57.5

important for some listeners. Like most people, I generally try to avoid

2:02.1

thinking about my own death. But preparing to talk to BJ, I've thought a lot about dying,

2:07.4

and I'm glad I did. Maybe the same would be true for you.

2:14.7

So right off the bat, I want to ask you about death and education.

...

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