In this book, he discusses the breakdown and death of the body, along with the problem of our current care system for both the elderly in nursing homes, and even for those in the hospital suffering from a terminal illness. The discussion of death is something we all try to actively avoid at all costs. He also discusses the shift in this. All of us want independence and we want to be able to live on our own. However, he says at the end that there is always death on the horizon. A lot of the elderly see themselves as fiercely independent. For some people, handling the reality of aging is different.