What Makes a Good Death? Reflections on Living Well

“What makes a good death?” It’s a question that most of us would rather avoid. Talking about death can feel uncomfortable, even frightening. But I believe it’s an important conversation - because how we think about death deeply shapes how we live.

 Recently, I was moved by an answer given by hospice and palliative care physician Dr. B.J. Miller on The Peter Attia Drive podcast. His response was simple but profound: “Honestly, I think a good life is what makes a good death.” That truth has stayed with me.

 How Living Shapes Dying

In my own work with patients, I see this wisdom play out all the time. A good death isn’t about medical perfection. It isn’t about avoiding every challenge or prolonging life at any cost. It’s about living well - investing in relationships, practicing honesty, and honoring what matters most - so that when the final chapter comes, it feels like a natural continuation of a meaningful life.

 Why This Matters in Medicine

Here at LBMD, we believe health care is about more than treating illness. It’s about walking alongside people through all seasons of life - including the ones most of us hesitate to talk about.

 That includes:

• Emotional honesty and connection: Naming what matters and being open with ourselves and others.

• Advance care planning: Making choices ahead of time so your care reflects your values.

• Palliative support: Embracing care that eases not only physical pain but also emotional and spiritual burdens.

These conversations aren’t easy, but they are important. They help ensure that when the time comes, patients and families are guided by love, clarity, and intention.

 An Invitation to Reflect

I share this not to dwell on death, but to invite reflection on life.

• What does living well mean to you?

• How might your choices today shape how you experience life’s final chapter?

These are tender questions, but they can help us live with greater purpose, presence, and peace.

Closing Thoughts

As I think about Dr. Miller’s words, I find myself more committed than ever to helping my patients not just live longer but live more fully. Because in the end, it is a good life that makes a good death.