Dr Saheb Sahu

Allegory: An allegory is a story, poem, picture, or other works of art in which the characters, events, and settings symbolize deeper moral, spiritual, political, philosophical meanings.

Example:  George Orwell’s novel “Animal Farm”, where the animals and their society symbolize the events of the Russian Revolution and the rise of Soviet Communism.

Allusion: A figure of speech that makes reference, either directly or indirectly, to another work, event, myth, person, or so on.

Example:  “He met his Waterloo”. It refers to Napoleon’s final defeat at Waterloo, meaning he met his ultimate Downfall.

Cannon: The body of literature, music, art, and other significant endeavors that scholars point to as the most influential in the development of a culture.

Example: The Shakespearian cannon – all the plays and poems written by William Shakespeare.

Beethoven’s symphonies belong to the cannon of Western music.

Climax: The most intense or exciting part, or culmination, of a literacy work. Generally, the climax marks a point of no return, in which the character, plot, or setting have been irrevocably changed.

Genre: A type of literary work, romance, mystery, horror, fiction and non-fiction, science fiction etc.

Irony: Irony is a literal device or figure of speech in which there is a strong contrast between appearance and reality or between what is expected and what actually happens.

Example:  A police officer gets arrested for breaking the law.

Narrator: The person who tells the story. Sometime the narrator is the main character of the literary work, often giving us “first person point of view”. Often, however, the narrator is not part of the story, nor is the narrator the same as the author. Instead, the narrator may be the voice the author assumes in order to convey the story.

Plot: The plot is everything that happens, and can usually be described as having a beginning, middle, and an end.

Protagonist: The main character or the hero of the story. Sometimes the protagonist is also the narrator. While most novels have only one protagonist, some focus on two or more characters equally.

Satire:A literary genre that seek to ridicule or expose the folly of a particular aspect of society, a government, or an institution. Satires often employ irony.

Symbol: A symbol is a person, object, place or event that represents a deeper meaning, often an idea. The modern emoji are symbols.

 Example:

 Picture of a heart is symbol of love, affection or emotion.

 Dove – a symbol of peace, purity.

 Serpent – a symbol of temptation, and will.

 Scales – symbol of justice, fairness and balance.

Theme: Theme is the central idea, message, or underlying meaning of a story, poem, play, or any other literary works. It tells us what the work is really about. A work may have more than one theme. Themes are often universal meaning they apply to many people or situations.

 Example: Love and sacrifice, good vs. evil, man vs. nature etc.

Tone: Tone is the attitude a character, narrator, or writer takes. Tone is conveyed through words, dialogue, rhetorical style, figurative language, and description.

 Example: Positive, negative, humorous, playful, reflective, etc.

Conclusion

 If you understand the meanings of above mentioned terms, you will be a better reader and you will get more out reading any kind of literature.

Happy Reading!

 Source

The Book of Books. PBS – The Great American Read. Black Dog and Leventhal Publishers, New York; 2018

                                               WORDS are things, and a small drop of ink,

                                               Falling like dew upon a thought produces

                                               That which makes thousands, perhaps millions,

                                               think.  – Lord  Byron

 I have been a life-long reader. I enjoy reading. Even as a senior citizen, I read 6-8 books each month. Recently, I re read a book titled-“The Joy of Reading”, which was published in 1960. That book gave me the idea to write this article. Hope you will enjoy it and learn from it.

Be Your Own Lamp

“Therefore, Ananda, be lamp unto yourself, be a refuge to yourself. Take yourself into no external refuge. Hold fast to the Truth as a lamp; hold fast to the Truth as refuge.” – Buddha (c 563-483 BCE)

 Context – The Buddha gave this advice as his final words to his disciple, Ananda, when asked who would be their teacher after his death.

Rules of Life

The rule of life is to be found within you,

Ask yourself constantly, “What is the right thing to do?”.

Beware of doing that which you likely, sooner or later, to repent of having done.

It is better to live in peace than bitterness and strife.

It is better to believe your neighbors than to fear and distrust them.

 The superior man does not wrangle. He is firm but not quarrelsome. He is sociable but not clannish.

The superior man sets a good example to his neighbors. He is considerate of their feelings and their property.

Consideration for others is the basis of a good life, a good society.

 Feel kindly toward everyone. Be friendly and pleasant among yourselves. Be generous and fair. –  Confucius ( c 551 – 479 BCE)

The Unexamined Life Is Not Worth Living

“ The unexamined life is not worth living”, and “To find yourself, think for yourself”.

“The only true wisdom is, knowing that you know nothing”.

“Wonder is the beginning of wisdom”.

“Know yourself”.

“Strong minds discuss ideas, average minds discuss events, and weak minds discuss people”.

“By all means, marry. If you get a good wife, you’ll become happy; if not, you’ll become a philosopher”. – Socrates (470-399 BCE)

Context – The time of the Buddha, Confucius, and Socrates is called the Axial Age, a period from about 800-200 BCE, when transformative philosophical and religious ideas emerged in different parts of the world. The Term was coined by German Philosopher Karl Jasper.

 A Smile

A SMILE costs nothing, but gives much. It enriches those who receive, without making poorer those who give. It takes but a moment, but the memory of it sometimes lasts forever. None is so rich or mighty that he can get along without it, and none is so poor but that he can be made rich by it. A smile creates happiness in the home, fosters goodwill in business, and is the countersign of friendship. It brings rest to the weary, cheer to the discouraged, sunshine to the sad, and it is nature’s bad antidote for trouble. Yet it cannot be bought, begged, borrowed, or stolen, for it is something that is of no value to anyone until it is given away. Some people are too tired to give you a smile. Give them one of yours, as none needs a smile as much as he who has no more to give.  – Author Unknown

Success

If I can stop one heart from breaking,

I shall not live in vain:

If I can ease one life the aching,

 Or cool one pain,

Or help one fainting robin

Unto his nest again,

I shall not live in vain; – Emily Dickinson (1830-1886)

Ps. Emily Dickinson was a reclusive American poet who wrote nearly 1,800 poems, though only a few were published during her lifetime.

Avoid Deception by Word or Silence

A lie  may be told by silence, by equivocation, by the accent on a syllable, by a glance of the eye attaching a peculiar significance to a sentence; and all these kinds of lies are worse and baser by many degrees than lie plainly worded; so that no form of blind conscience is so far sunk as that which comforts itself for having deceived, because the deception was gesture or silence, instead of utterance; and, finally, according to Tennyson’s deep and trenchant line, “A lie  which is half  a truth is ever the worst of lie.” – John Ruskin ( 1819-1900)

Ps. John Ruskin was an English polymath- a writer, lecturer, art historian, art critic and philanthropist of Victorian age.

 The Way to Wealth

In short, the way to wealth, if you desire it, is as plain as the way to market. It depends chiefly on two words, industry and frugality; that is, waste neither time nor money, but make the best use of both. Without industry and frugality nothing will do, and with them everything. He that gets all he can honestly, and saves all he gets, (except necessary expenses) will certainly be rich. –  An Old Tradesman

Thomas Jefferson’s Rules of Living

Never put off till tomorrow what you can do today.

Never trouble another for what you can do yourself.

Never spend your money before you have it.

Never buy what you do not want because it is cheap.

Pride costs us more than hunger, thirst, and cold.

We seldom repent having eaten too little.

Nothing is troublesome that we do willingly.

How much pain the evils have cost us that have never happened!

Take things always by the smooth handle.

When angry, count ten before you speak: if very angry, a hundred. – Thomas Jefferson ( 1743-1826)

PS. Thomas Jefferson was an American Founding Father and the third president of The United States from 1801-to 1809. He was the primary author of the Declaration of Independence.

Death, a Necessary End

Cowards die many times before their deaths;

 The valiant never taste of death but once.

 Of all the wonders that I have heard,

 It seems to me most strange that men should fear;

 Seeing that death, a necessary end,

Will come when it will come.

                                              Julius Caesar, Act 11, Scene 11, William Shakespeare

It’s the Little Things

It’s the little things we do and say

 That mean so much as we go our way.

 A kindly deed can lift up a load

From worry shoulders on the road,

Or a gentle word, like summer rain,

 May smooth some heart and banish pain.

What joy or sadness often springs

 From just the simple little things   – Willa Hoey (Canadian Poet)

 The Simple Way

Love without ceasing, 

Give without measure-

Who can exhaust

God’s limitless treasure?  – Malcolm Schloss

Sources

1- The Joy of Words, J. G. Ferguson Publishing Company; Chicago; 1960

2- Wikepedia.org                   

                                                           Dr Saheb Sahu

Definition of Sermon: A sermon is a religious talk, or speech on a moral or spiritual subject, typically delivered by a clergy during a church service, often based on scripture, to instruct or persuade the listeners.

The Sermon on the Mount-(Mathew 5-7)

The Gospel, according to Mathew (a book in the Bible – the New Testament) places the sermon shortly after Jesus begins preaching in Galilee (Northern Israel), gathering followers and healing the sick. Seeing the multitudes, he ascends a hillside and begins to preach them. The setting evokes a powerful image: just as Moses (of the Hebrew Bible) delivers the Ten Commandments from Mount Sinai, Jesus delivers his teachings from a mountain in Galilee. It represents not merely a sermon but a complete ethical vision – a blueprint for living. The Sermon covers chapter 5 -7 in the Gospel of Mathew.

 Across the centuries the Sermon has inspired theologians, philosophers, reformers, and political leaders from St. Augustine to Tolstoy, from St. Francis to Mahatma Gandhi and Martin Luther King Jr.

Some Selected Quotes from the Sermon

The Beatitude (from the Latin word beatus meaning “blessed’)

. Blessed are those who mourn, for they will be comforted.

.Blessed are the merciful, for they will receive mercy.

. Blessed are the peace makers, for they will be called children of God.

Concerning Adultery

“You have heard that it was said,’ you shall not commit adultery’. But I say to you that everyone who looks at a woman with lust has already committed adultery with her in his heart”.

Concerning Retaliation

 “You have heard that it was said, ‘An eye for an eye and a tooth for a tooth. But I say to you. Do not resist an evildoer. But if anyone strikes you on the right cheek, turn the other also… Give to everyone who begs from you, and do not refuse anyone who wants to borrow from you”.

Love for Enemies

“You have heard that it was said, ‘you shall love your neighbor. But I say to you, Love your enemies and pray for those who persecute you”

Concerning Alms giving

But when you give alms, do not let your left hand know what your right hand is doing, so that your alms may be done in secret: and your Father who sees in secret will reward you.

Forgiveness

For if you forgive others their trespasses, your heavenly Father will also forgive you; but if you do not forgive others, neither will your Father forgive give your trespasses.

Serving Two Masters

“No one can serve two masters; for a slave will either hate the one and love the other, or be devoted to the one and despise the other. You cannot serve God and wealth”.

Do Not Worry

“Therefore I tell you, do not worry about your life, what you will eat or what you will drink, or about your body, what you will wear. Is not life more than food and body more than clothing?”

“So do not worry about tomorrow, for tomorrow will bring worries of its own. Today’s trouble is enough for today”.

Judging Others

“Do not judge, so that you may not be judged”.

Ask, Search, Knock

“Ask and it will be given you; search and you will find: knock and the door will be opened for you”.

The Golden Rule

“In everything, do to others as you would have them do to you; for this is the law and the prophets”.

Beware of False Prophets

“Beware of false prophets, who come to you in sheep’s clothing but inwardly are ravenous wolves. You will know them by their fruits.”

“A good tree cannot bear bad fruit, nor can a bad tree bear good fruit.”

The Legacy of the Sermon on the Mount

The Sermon on the Mount is the moral heart of Christianity. It defines what it means to follow Jesus not just in belief but in daily living. Throughout history countless saints and reformers have drawn their inspiration from this Sermon. Its influence extends far beyond Christianity. Mahatma Gandhi studied it deeply and said, “If I had to face only the Sermon on the Mount and my interpretation of it, I should not hesitate to call myself a Christian.” Gandhi drew from its principles of nonviolence and love of enemies for his movement of civil disobedience. Martin Luther King Jr. cited the Sermon’s vision of love of peace as the spiritual basis for the American civil rights movement. The Sermon has inspired nonviolent revolutions and social justice movements around the world. Its enduring power lies in its simplicity:

“Blessed are the merciful, for they shall obtain mercy”.

“Do to others as you would have them do to you”.

“Love your enemies and pray for those who persecute you”.

Conclusion

 I am not a religious person or a religious scholar. Prior to writing of my book “Religious Thoughts, Scriptures and Quotations (published in 1996), I had the opportunity to read the scriptures of all the major religions of the world (Vedas and Upanishads, Gita, Jain cannons, Dhammapada, Analects (Confucius) and Tao-te-Ching (Lao-tzu) Bible and the Koran. All faiths claim their scriptures to be divinely revealed (words of God). Their God is the only God or the superior God. Their religion is the best. Except for the Koran, most scriptures have multiple authors of different times. They have been edited and re-edited.  I do believe that all religions advocate good conduct. It is well said by Lao-tzu, that “the way to Heaven has no favorites. It’s always with good men”. The problem with all religions is their followers.  Followers of all religions believe that, their religion is the true and superior one. This attitude has created all the religious conflicts in the world.

Based on my reading, I agree with most religious scholars that, The Sermon on the Mount is the simplest and one of the best moral teachings among all  religions. It is a blueprint for life. It is only four pages long (in Gospel According to Mathew). I strongly recommend you to read it. My personal philosophy is – BE KIND AND HELPFUL TO OTHERS!

Sources

1- The Holy Bible, Containing the Old and New Testament. New Revised Standard Version. Holman Bible Publishers: Nashville, Tennessee, 1989

2- ChatGpt 9-10-25

3- Saheb Sahu. Religious Thoughts, Scriptures and Quotations. 1996

                                                                            Dr Saheb Sahu

“Economists worry that a ‘universal basic income’ would make recipients lazier. Programs around the world find the opposite is true”.

Abhijit Banerjee and Esther Duflo, Professors of Economics (MIT) and Co-recipients of Nobel Prize in Economics, 2019

On September 13-14, 2025, The Wall Street Journal published a review of the book, “Poor Economics: A Radical Rethinking of the Way to Fight Poverty” by Abhijit Banerjee and Esther Duflo (Revised edition).

 According to Banerjee and Duflo, in recent years, a number of countries have introduced conditional cash transfer (CCT) programs, making it possible for economists to study the effect of simply giving people money. In 2010, 27 low and middle income countries had a CCT program; by 2016, the number had reached 64. These programs had no work requirement, although they had other requirements, such as sending children to school or requiring pregnant mothers to have their babies in a hospital.

 One critical question is whether an inflow of unearned cash would cause people to become lazy and stop working altogether. Study of data from seven programs in six continents found no evidence that it does.  A study published in National Bureau of Economic Research (2024) looked at cash transfer in middle and low income countries. The conclusion:  On average, cash transfers actually lead to increase in labor-force participation and days of work.

 All these studies tell an important story. There is lot of involuntary unemployment or underemployment in rural areas in poor countries and this unused capacity ca be unlocked when resources (meaning CCT) transfer are poured in. According to Banerjee and Duflo, cash transfer programs have the potential to have large multiplier effects. Not only people don’t work less when they are guaranteed an income, they might actually put more effort at work. And the fact that they have more money to spend leads to the creation of more jobs in the community (multiplier effect).

 Their conclusion: We don’t need to worry so much about the typical economist’s concern that a guaranteed income will make people lazy. Instead, we need to start thinking about how to satisfy the human need for meaningful work in a future where more and more jobs are done by AI.

Definition of Multidimensional Poverty Index (MPI)

MPI goes beyond income. It measures three main dimensions: 1- Health (nutrition, and child mortality) 2- Education (years of schooling and school attendance), 3- Living standard (access to cooking fuel, sanitation, drinking water, electricity, housing and assets).

 A household is considered “MPI Poor” if it is deprived in at least one third of these weighted indicators.

Present Status of Poverty in Odisha

NITI Aayog National Multidimensional Poverty Index (MPI) – Progressive Review (2023) shows Odisha’s MPI head count at 16.68% for 2019-21 (rural 17.7%, urban-2.3%). This is a significant drop compared to 2015-16 (29.34%). Odisha’s own Economic Survey (2024-25) cites these improvements while also acknowledging on going gaps in housing, services and some human development indicators. Despite the state level improvement, poverty is uneven in Odisha; several southern and western districts are poorer. Poverty rate in the district of Malkangiri is 45%, compared to 3.29% of Puri.  The district-wise data makes it clear that Odisha has made good progress, but southern and western districts like Malkangiri, Nabarangpur, Koraput, Rayagada, Mayurbhanj, are still quite poor. 10 of the 200 poorest districts of India are in Odisha.

What steps the present government can take to bring poverty rate to less than five percent?

There is no easy and quick solution to eradicate poverty. It is a shame that in spite of rich mineral resources, long coast line, low population density, reasonably stable governments since independence (Congress, BJD and now BJP), Odisha is still one among the poorer states in India.

Education and Migrations

Education and migration are two of the proven strategies to escape poverty in one generation. It has worked all over the world. Education is one area where government of Odisha, should spend more of it resources to improve infrastructures of schools and colleges (hostels, toilets, libraries, and computers), reduce school dropout rate and improve teacher’s absentee rate, especially in rural schools.

 Oriyas who have migrated to Surat, Bangalore, Hyderabad, Delhi, and Pune are prospering. Even seasonal laborers who migrate to southern states earn more money in few months than they do in a year in Odisha. Government of Odisha, instead of denying that poor people are migrating in large number, it should facilitate migration and see that these people are not taken advantage of by the middle-men. In India the prime example of poverty reduction is the state of Kerala-education and migration. Kerala has no mineral wealth and almost no major industries, and much higher population density but its MPI is the lowest in India (0.55%).

Guaranteed Basic Income for the Poor

There are multiple poverty reduction schemes (Yojanas) at present in Odisha. Some of them are: Subhadra Yojana, Madhubabu Pension scheme, Swayam Scheme, KALIA, Mission Shakti, BSKY, Biju Pucca Ghar Yojana, MGNREGA (Central scheme, started during Congress rule at the center) and few more. The problems with all these schemes are leakage (new word for corruption), improper implementation and the amount of money given are not sufficient enough to get a poor Oriya out of poverty.

 The present government has started the Subhadra Scheme. Under this scheme, each eligible Oriyawoman between the ages of 21-60, receives a payment of 5000 rupees, twice a year for five years. The money is deposited directly into their bank accounts.

The present Subhadra Scheme is a good start but the amount of money being transfer is not enough to get the recipients out of poverty.  The government of Odisha should fold all the poverty related schemes to one and transfer enough cash to each eligible poor Oriya to get him or her out of poverty. Every poor Oriya regardless caste, sex, age, religion, or place of birth should receive the direct deposit in to her/his bank account, every month or even better, once every six months. This way the amount may be sufficient enough for her/him to start a small business.

The Government of Odisha should take the advice of  prominent economists like Abhijit Banerjee, Esther Duflo, Amartya Sen, Angus Deaton,  Philip Van Parijs, Thomas Piketty and many others and expand the Subhadra like scheme (direct cash grant) to  cover all poor Oriyas. The amount of money should be sufficient enough to get one out of poverty.  The cash transfer should last minimum of five years.

 The question is where will the money be found? It is not a question of money but a question of will. If the present government wants to match the poverty rate of Kerala (which it should aspire to), it need to find the money and transfer to the poor for at least five years, without any pre-condition. As the saying goes – “Where there is a will, there is a way”.

 If the present government can lift Odisha from the bottom rug of poorer states to match close to that of Kerala, it will make every Oriya proud and definitely win the next election (just my personal prediction).

PS. Dr Saheb Sahu is a son of farmer’s parents from Bargarh district of Odisha. He was educated at Mulbar Elementary School, Kamgaon Middle School, C. S. Zila School, G. M. College and AIIMS (New Delhi). He migrated to USA in 1970. He was an expert member of WODC for six years. He has written two books and many articles about Odisha’s poverty. His previous articles have been published in Odishawatch.in

Sources:

 1- Abhijit Banerjee and Esther Duflo: Poor Economics: A Radical Rethinking of the Way to Fight Poverty. The Wall Street Journal, Sept 13-14, 2025.

2-Chat Gpt, Sept, 24, 2025.

Dr Saheb Sahu

“There is only one serious philosophical question that is suicide.”

• Albert Camus, The Myth of Sisyphus

“The thought of suicide is a great consolation: by means of it one gets through many a dark nights.”

• Friedrich Nietzsche, Philosopher

The Wall Street Journal published an article on March 15-16, 2025, by Jason Zweig titled- “The Last Decision by the World’s Leading Thinker on Decisions”. The article is about Professor and Nobel Laureate, Daniel Kahneman’s decision to end his life in Switzerland by physician assisted suicide.

 Daniel Kahneman (1934-2024) was an Israeli-American psychologist best known for his works on the psychology of judgment and decision-making as well as behavioral economics, for which he was awarded the 2007 Nobel Memorial Prize in Economic Sciences together with Veron L. Smith. Kahneman became the grandfather of behavioral economics. His book (2011), Thinking Fast and Slow, became an international best seller.

 Kahneman died by assisted suicide on March 27, 2024, three weeks after his 90^th birthday in Switzerland, though the manner of his death was only revealed in March 2025. Around March 22, 2024, he started emailing a personal message to several dozen of the people he was close to. On March 26, Kahneman left his family in Paris and flew to Switzerland. His email explained why:

“This is a goodbye letter I am sending friendsto tell them that I am on my way to Switzerland, where my life will end on March 27. I have believed since I was a teenager that the miseries and indignities of the last years of life are superfluous, and I am acting on that belief.

 I am still active, enjoying many things in life (except daily news) and will die a happy man. But my kidneys are on their last legs, the frequency of mental lapses is increasing, and I am ninety years old. It is time to go.

 Not surprisingly, some of those who love me would have preferred for me to wait until it is obvious that my life is not worth extending. But I made my decision precisely because I wanted to avoid that state, so it had to appear premature. I am grateful to the few with whom I shared early, who all reluctantly came around to support me.

 I am not embarrassed by my choice, but I am also not interested in making it a public statement. The family will avoid details about the cause of death to the extent possible, because no one wants it to be the focus of the obits. Please avoid talking about it for few days.

 I discovered after making the decision that I am not afraid of not existing, and I think of death as going to sleep and not waking up. The last period has truly not been hard, except for witnessing the pain I caused others. So if you are inclined to be sorry for me, don’t be.

 Thank you for helping make my life a good one.”

Kahneman’s wife Anne had died of stroke in 2018 after several years of suffering from vascular dementia. Her illness was acutely painful to Kahneman; as he emailed to his friend Jason Zweig in July 2015,” I am very preoccupied by Anne’s health and am not functioning altogether well.” Phillip E. Tetlock, a friend and Professor at University of Pennsylvania adds, “I have never seen a better planned death than the one Danny designed.” (WSJ, March 15-16, 2025, C1).

Evolution of Attitude Towards Suicide

Hinduism accepts a man’s right to end one’s life, through the practice of fasting. It is called Pryopavesa in Sanskrit meaning “the act of sitting down to death”, signifying a voluntary, gradual process of fasting until death. The Jains are the strict believers of non-violence. The only life a Jain can take his own. Jainism approves suicide, especially by slow starvation, known as Sallekhana or Samadhi-maran. A central tenet of Buddhism is captured in the word mujo, meaning impermanence.  Life is impermanence. For Buddhists, suicide is seen as a negative act but not a sin. Buddhist traditions help to explain the acceptance of suicide in Japan and other S.E. Asian countries where Buddhism prevails.

 Most Greek and Roman Philosophers had mixed feeling about suicide. Pythagoreans opposed it, but the Epicureans and Stoics welcome it. Plato accepted suicide for painful and incurable illnesses. Aristotle considered suicide counter to virtue and an act of cowardice.

 The Old Testament (the Jewish Bible) offers a neutral account of several voluntary suicides like that of King Saul. Suicide is sometimes acceptable in Jewish laws. There is simply no evidence in either the Old Testament or the New Testament (Christian Bible) to sustain any moral condemnation of suicide. St. Augustine (354-430AD), the greatest of the Latin Church Fathers, considered suicide as a sin. His ideas have influenced the present stand of the Roman Catholic Church, which considers suicide as a sin. Despite recognizing suicide as a sin, many Protestants denominations emphasize God’s grace and the possibility of forgiveness.

Suicide is considered a cardinal sin in Islam. In general, suicide is viewed by Muslims as taking away the gift of life given by God.

 Starting from around 10^th century England, suicide became increasingly viewed as a sin and a crime. With the spread of Christianity by the colonial powers (England, Spain, Portugal, Denmark, Belgium and others), suicide became a crime in many countries colonized by them. Those laws are still on the books in many countries around the world including India.

Palliative and Hospice Care

Palliative and hospice care, both focus on improving the quality of life for the people with serious illnesses, but they differ in certain ways:

Palliative Care:

. Available at any stage of a serious illness, including alongside curative treatments,

. Aims to relieve symptoms (e.g. pain, fatigue, nausea etc.) and improve overall well-being,

.Care can be provided in hospitals, outpatient clinics, or at home,

. Patients may still be receiving treatments intended to cure or manage their diseases.

Hospice Care:

. Specifically meant for patients who are terminally ill (typically with a life expectancy of six months or less, in US)

. Focuses entirely on comfort care, no active treatment for the main disease

. Care can be provided at home, in hospice facilities, or nursing homes

. Usually covered by most health insurance.

 In short, palliative care can be provided at any stage of illness, while hospice care is reserved for end-of-life care when curative treatment is no longer pursued.

While the distinction between palliative and hospice care exists globally, the definitions and implementations differ. Palliative care services are limited in many poor countries especially in the rural areas.

What is physician-assisted suicide?

 Physician-assisted suicide (PAS) or Physician-assisted dying (PAD), is suicide undertaken with the aid of a physician. The eligibility criteria vary from jurisdiction to jurisdiction. The patient should meet following criteria:

. Should be suffering from a terminal illness

. Be mentally competent

.Submit a written request to the physician

.The physician confirms the diagnosis and prognosis

 After a mandatory waiting period after the request, the physician prescribes life-ending medications, which is self-administered by the patient. The overdose of the drugs depress the central nervous system, and the patient falls asleep within 3-5 minutes, and usually die within 30-40 minutes after the ingestion. Usually an antiemetic drug is given 30-60 minutes before the lethal drug to prevent vomiting. The death is painless and quick.

As of March 2025, physician-assisted suicide is legal in several countries including: Austria, Belgium, Germany, Luxemburg, Switzerland, Netherlands, Portugal, Spain, Australia, New Zealand, Colombia, Ecuador, Canada, and 10 out of the 50 states in the United States.PAS is illegal in India but allowing the withdrawal of life-sustaining treatment for terminally ill patients or those with vegetative state is legal.

 Although assisted suicide remains illegal in most countries, it is on the rise. A recent Gallop survey asked whether it should be legal for doctors to assist terminally ill patients in severe pain to commit suicide; 60 percent of Americans said yes.

What is VSED?

Voluntarily Stopping Eating and Drinking (VSED) is an old choice rooted in Hinduism and Jainism, going back to more than 2500 years or more. Suicide by starvation was regarded as particularly meritorious by both Hindus and Jains. It is a choice now being advocated by palliative care professionals and organization like Compassion and Choices.

 In VSED, an adult makes a conscious decision to refuse foods and fluids of any kind, including artificial nutrition and /or hydration, in order to advance the time of her /his death. In the first few days of the fast, some people may remain as active as before but many soon will become weak, fatigued and increasingly sleepy.

 Death from VSED is a natural process. It is difficult to predict exactly when the end will come. This depends on the person’s: physical condition, nutritional status, age, illnesses, fluid retention and perhaps a readiness to let go. For a terminally ill person in poor nutrition, the process may take several days to 2-3 weeks. Individuals and loved ones who may consider this option should understand the importance of stopping all fluids, including ice chips. Intake of even small amounts of food or water can prolong the dying process. The most frequently reported adverse side effects are: thirst and dry mouth, and occasional hunger. Good oral care (glycerin wipes) can ease the symptoms. Some people may experience increased confusion, delirium and agitation as the body organs shut down. These symptoms can be managed by doctors or hospice workers.

 Problems of Old Age

The definition of “being considered old”varies across cultures. Traditionally many developed countries have associated old age with the retirement age, typically around 65 years. The United Nations consider individuals aged 60 and above as older persons.  In some African countries old age is recognized at 50, reflecting the different life expectancy and social roles.

 As individuals age, they often encounter a range of health challenges that can impact heir quality of life. Common health problems among older adults include:

. Cardiovascular diseases- high blood pressure, heart disease and strokes

. Diabetes and its multiple complications- kidney failure, heart disease, memory loss (dementia)

. Joint pains (arthritis), muscle weakness and balance problems, frailty, falls and broken bones

. Vision and hearing loss

. Cognitive decline- Alzheimer’s disease and other dementias

. Chronic Obstructive Pulmonary Disease (COPD)

. Loneliness and depression

“As we advance in life, the circle of our pain enlarges, while that of our pleasure contracts” said Sophie Swetchine.

How can older people have a peaceful and quick death?

As we get older, discussion about end-of-life choices become increasingly pertinent. Older people, like everyone else wish for a peaceful and relatively quick death, free from pain and suffering. Respecting an individual’s autonomy is a fundamental ethical principle. Older adults, having lived full lives, like Professor Kahneman, may wish to exert control over their final moments, especially when facing a terminal illness. Legal avenues such as physician-assisted dying (PAD) exist in certain jurisdictions, allowing competent adults to end their lives. These practices are often accompanied by stringent safeguards to ensure that the choice is voluntary.

 Before considering options like PAD or VSED, older adults suffering from terminal illness, should seek the services of palliative and hospice care. These services provide relief from pain and stress of serious illness both for the patients and their families.

Conclusion

 Why don’t we die the way we want to die? Advances in medicine have eased the line between saving life and prolonging dying. Everybody wants to have a “good death”.  A “good death” is a deeply personal concept, based on individual values, beliefs, and cultural practices. However common themes often include: minimal pain and distress, dyingat home surrounded by loved ones, resolving conflicts, expressing final wishes and getting support from one’s religious practices. However in real life, “dying is painful, messy and imperfect” said Dr Sherwin Nuland in his bestselling book: How We Die: Reflections on life’s Final Chapter. It can also be expensive.

 We have no control when we will die. However we have some control over where and how we will die. To achieve the twin goals, it will take some advance planning on our parts. When we are old or suffering from a terminal illness or illnesses, we should discuss with our loved ones, our end-of-life wishes. Do we want to die at home or in a hospital? Do we want unnecessary and costly treatments just to live few more months?   Do we want physician-assisted dying if it is available to us? Do we want VSED? The final decision is ours but we must let our family members and doctors know our wishes.

 Steps we can take in preparing for our death are:

Designating an individual to make medical decisions on our behalf in case we become incapacitated. It is called Healthcare Proxy.

. Executing a Living-Will or Advance Health-Care Directive– stating our end-of life wishes like- CPR or no CPR, organ and body donation.

.To have a properly executed Will and Testament (estate planning) – so that our heirs know how our assets will be distributed.

I will conclude this article with a quote from the Panchatantra (200BCE?)

 Aging

 When the body is shriveled

And another step falters;

When the teeth are decayed

 And the face smeared with slobber,

 When the sight fails

And the figure is no longer trim;

The kinsfolk find no time for conversation

 Even the son despises the man

 Overcome by old age, alas!

As some body has said, the only way to have a good death is to lead a good life, a life full of curiosity, compassion, and generosity.

Ps- Dr Sahu is a graduate of AIIMS (New Delhi) and a retired children and premature baby’s physician in USA. He has taught and written about death and dying for more than 45 years. He has written two books on the subject: 1- End of Life Care Issues (2011) and 2- Death, A Necessary End Will Come When It Will Come (2014). He tries to keep up with the literature on the topic of death and dying.

 Sources

1- Jason Zweig. The Last Decision by the World’s Leading Thinker on Decision. The Wall Street Journal, March15-16, 2025, P-C1

2-Chat GPT

3-Compassion and choices- compassionchoices.org

4- Death with Dignity- deathwithdignity.org

5- Nuland Sherwin B. “How We Die: Reflection on Life’s Final Chapter. Alfred A. Knopf; New York: 1993

6– Saheb Sahu. Death, A Necessary End Will Come When It Will Come. S.B. Trust; Sambalpur, Odisha, 2014

Dr Saheb Sahu

William Shakespeare (1564-1616) stands as one of the most celebrated and influential figure in world literature. Known as the “Bard of Avon”, Shakespeare’s works have transcended time, culture, and language. His mastery of language, exploration of human nature, and timeless themes has cemented his place as the preeminent playwright and poet of the English speaking world.

 Shakespeare was born in Strafford upon Avon, to John Shakespeare and Mary Arden. His father was a glove maker. While little is known about his early education, it is believed that he attended the local grammar school, where he would have studied Latin, rhetoric, and classical literature. By the late 1580s, he moved to London to pursue a career in theater. He became an actor and playwright in a prominent acting company. Over the course of his career, he wrote 39 plays, 154 sonnets, and two long narrative poems establishing himself as a central figure in the Elizabethan and Jacobean Theater.

His Works and Theme

Shakespeare’s plays are traditionally categorized into three genres: tragedies, comedies, and histories though some defy neat classification. His popular tragedies, such as Hamlet, Macbeth, and King Lear, delve into complex characters and themes like ambition, jealousy, power, and human condition. His comedies, including A Midsummer Night’s Dream, Much Ado About Nothing and Twelfths Night, are characterized by wit, mistaken identities, and the folly of human behavior. Meanwhile his historical plays such as Henry V and Richard 111 reflect on leadership, politics, and the challenge of nationhood.

While opinion on the ‘top’ five plays can vary, his most acclaimed plays are Hamlet, Macbeth, A Midsummer Night’s Dream, Much Ado About Nothing, and King Lear.

Language and Legacy

Shakespeare is credited with coining or popularizing over 1,700 words and phrases still in use today, such as “break the ice”, “wild-goose chase”, and “all that glitters is not gold”. He has influenced countless writers and poets. His plays have been adapted into countless films, operas, ballets, and other art forms. Performance of his works spans the globe, demonstrating their universality. His exploration of human psyche has also influenced disciplines such as psychology, philosophy, and political science. He is considered one of the greatest writers in English.

Here Are Some Quotes from His Works

King Henry the Sixth (1590-1591

Blessed are the peacemakers on earth.

The first thing we do, let’s kill all the lawyers.

 Having nothing, nothing he can lose.

 For every cloud engenders not a storm.

 Men never spend their fury on a child.

King Richard The Third (1592- 1593)

 Now is the winter of our discontent.

 Talkers are no good doers.

 There is something in the wind.

King Richard The Second (1595)

‘The purest treasure mortal times afford

Is spotless reputation”.

The ripest fruit first falls.

 The worst is death, and death will have his day.

A Midsummer-Night’s Dream (1595-1596)

Lord, what fools these mortal be!

 The course of true love never did run smooth.

Romeo And Juliet (1595-1596)

 A pair of star-crossed lovers.

 She speaks, yet she says nothing.

 These violent delights have violent ends.

 A word and a blow.

 Tempt not a desperate man.

Past hope, past cures, past help.

 Parting is such sweet sorrow.

King Henry The Fourth (1596-1597)

You tread upon my patience.

 Or sink or swim.

 Greatness knows itself.

 The better part of valor is discretion.

 Lord, Lord, how this world is given to lying.

 I am as poor as Job, my lord, but not so patient.

 Uneasy lies the head that wears a crown.

 There is history in all men’s lives.

 Death as the Psalmist saith is certain to all, all shall die.

 A man can die but once, we owe God a death.

 We are in God’s hand.

The Merchant of Venice (1596-1597)

 The devil can cite the Scripture for his purpose.

 An honest, exceeding poor man.

 It is a wise father that knows his child.

“But love is blind, and lovers cannot see

The pretty follies that themselves commit”.

Young in limbs, in judgment old.

 All that glitters is not gold.

If you prick us, do we not bleed? If you tickle us, do we not laugh? If you poison us, do we not die? and if you wrong us, shall we not revenge?

I never knew so young a body with so old a head.

King Henry The Fifth (1598-1599)

 Men of few words are the best men.

We are in God’s hand.

Julius Caesar (1599)

“Cowards die many times before their deaths;

The valiant never taste death but once”.

“Of all the wonders that I have yet have heard, it seems to me more strange that men should fear;

 Seeing that death, a necessary end,

Will come when it will come.”

‘The fault, dear Brutus, is not in our stars,

 But in ourselves, that we are underlings.”

Et tu, Brute?

As he was valiant, I honor him; but, as he was ambitious, I slew him.

 “Friends, Romans, countrymen, lend me your ears;

 I come to bury Caesar, not to praise him.

The evil that men do lives after them,

The good is oft interred with their bones.”

“We must take the current when it serves,

Or lose our ventures.”

 This was the noblest Roman of them all.

As You Like It (1599-1600)

My pride fell with my fortune.

“All the world’s a stage,

And all the men and women merely players.

 They have their exits and their entrances;

 And one man in his time plays many parts.”

 Sir, I am a true laborer; I earn that I eat, get that I wear; owe no man hate, envy no man’s happiness; glad of other men’s good, content with my harm.

 The fool doth think he is wise, but the wise man knows himself to be a fool.

Hamlet (1600- 1601)

 Not mouse stirring.

 Thou know’st‘tis common, all that lives must die,

“All is not well;

       I doubt some foul play.”

 ‘Neither a borrower, nor lender be;

 For loan oft loses both itself and friend,

And borrowing dulls the edge of husbandry”.

 Something is rotten in the state of Denmark.

 Brevity is the soul of wit.

 There is nothing either good or bad, but thinking makes it so.

They say an old man is twice a child.

“To be, or not to be: that is the question:

Whether ‘tis nobler in the mind to suffer

 The slings and arrows of outrageous fortune,

Or take arms against a sea of troubles,

 And by opposing end them”

 The lady doth protest too much, methinks.

 Assume a virtue, if you have it not.

 I must be cruel only to be kind.

“We go to gain a little bit of ground

 That hath in it no profit but the name.”

We know, what we are, but know not what we may be.

“When sorrows come, they come not single spies,

But in battalions”.

 A politician… one that would circumvent God.

‘Imperious Caesar, dead and turned to clay,

 Might stop a hole to keep the wind away”

The rest is silence.

“O proud death!

 What feast is toward in thine eternal cell?”

All’s Well That Ends Well (1601-1605)

“Love all, trust a few,

Do wrong to none.”

My friends were poor, but honest.

“Oft expectation fails, and most oft there

Where most it promises.”

The web of our life is of mingled yarn, good and ill together.

 All’s well that ends well.

 I am a man whom Fortune hath cruelly scratched.

Measure For Measure (1604)

Good counselors lack no clients.

 Some rise by sin, and some by virtue fall.

 The law has not been dead, though it hath slept.

“The miserable have no other medicine

But only hope.”

 Be absolute for death.

 Ay, but to die, and go we know not where.

 The news is old enough, yet it is every day’s news.

“O, what may man within him hide,

 Though angel on the outward side.”

 What’s mine is yours, and what is yours is mine.

Othello (1604-1605)

 We cannot all be masters.

“But I will wear my heart upon my sleeve

For daws to peck at.”

Our bodies are our gardens, to the which our wills are gardeners.

 For I am nothing, if not critical.

 Poor and content is rich, and rich enough.

               “Take note, take note, O world!

To be direct and honest is not safe.”

King Lear (1605)

“My love’s

 More richer than my tongue.”

 Nothing will come of nothing.

                “Mind your speech a little,

Least you may mar your fortune”.

 The infirmity of his age.

“Have more than thou showest,

Speak less than though knowest,

Lend less than thou owest.”

“How sharper than a serpent’s tooth it is

To have a thankless child.”

 A poor, infirm, weak and despised old man.

“I am a man

More sinn’d against than sinning”.

“Whenwe are born, we cry that we are come

To this great stage of fools.”

 “I am a very foolish fond old man,

Fourscore and upward, not an hour more or less;

                     And to deal plainly,

I fear I am not in my perfect mind.”

 Pray you now, forget and forgive.

Timon of Athens (1605-1608)

Every man has his fault, and honesty is his.

We have seen better days.

Life’s uncertain voyage.

Macbeth (1606)

“Fair is foul, and foul is fair:

Hover through the fog and filthy air”.

 “Who can be wise, amaz’d, temperate and furious,

 Loyal and neutral, in a moment? No man.”

What is done cannot be undone.

 We have scotched the snake, not killed it.

 All the perfumes of Arabia will not sweeten this little hand.

 Antony And Cleopatra (1606- 1607)

I love long life better than figs.

                   “My salad days,

 When I was green in judgment.”

No worse a husband than the best of men.

Coriolanus (1607-1608)

What is the city but the people.

 They’ll give him death by inches.

Sonnet (1609)

“Roses have thorns, and silver fountain mud,

Clouds and eclipses stain both moon and sun,

And loathsome canker lives in sweetest bud.

                All men make faults”.

                               Sonnet- 35

“Love is not love

Which alters when it alteration finds”

                                          -Sonnet 116.

“When my love swears that she is made of truth,

 I do believe her, though I know she lies”.

• Sonnet-138

Tempest (1611-1612)

What is past is prologue.

 Misery acquaints a man with strange bedfellows.

 I shall laugh myself to death.

 Keep a good tongue in your head.

 He that dies pays all debts.

Conclusion

Shakespeare’s works are foundational to Western literature and theater. His plays have influenced countless writers, artists, and filmmakers over centuries. As an educated person you should be familiar with some of his works. I will conclude this article with my favorite Shakespeare’s quote:

                          “Out, out, brief candle!

 Life’s but a walking shadow,

 a poor player that struts and frets

his hour upon the stage,

 and then is heard no more:

 It is a tale told by an idiot,

 full of sound and fury,

 signifying nothing.”

                                                              -Macbeth, Act 5. Scene5

Sources:

1- William Shakespeare, The Complete works. Editors. Stanley Wells et al, Clarendon Press: Oxford, 1988

2-John Bartlett. Bartlett’s Shakespeare Quotations. Little Brown and Company: New York: 2005

3- Chat GPT

4- Wikipedia.org