Allow Natural Death

How do I begin to forgive institutions?

I feel that some forgiving is in order. The kind that means I must find some forgiveness to extend to another.  But I need to forgive institutions. No individual persons need be included…. though I can make out some faces, in the murky soup of “this is how we have always done it” leaders. I need to forgive a system that has become far more powerful than the sum of their dangerously complex parts. One that I watch cause increasing amounts of suffering, while it purports to be alleviating it.

I feel I must forgive the transgressions of a system of care that dictates how we care for frail elders in most American institutions. I am sure other institutions could be held under a similar microscope, but it is health care that I have known the best and loved the most. I describe myself as a systems thinker with a front line focus. I have thrived on the crazy-making environments where activity levels are dangerously high for those on the front line, and that includes those receiving, as well as providing, care.  That activity swirls around all manner of suffering that is met with every possible medical intervention to stop it. But so often it is just not possible to make it stop. And that’s when I found myself needing to lie. To explain to patients, their loved ones and the concerned staff members struggling to provide the care they felt their patients deserved…I had to  lie. I had to pretend to believe that institutions and those who led them were truly most concerned with conditions on the front lines of care. And not so much the monies generated there. On these not so fine points, I could go on and on.

As you may already know…the book is coming. But I feel this forgiveness must come first. Let the anger at the institutions be the initial impetus for writing, but let the forgiveness inform my writing so that what I share is full of love and hope for a better end of life for frail elders. I am praying on it.luv cats stool aqua trays 032