This past weekend while I was visiting A (not her real initial) in western Massachusetts, we played a seemingly interminable game of dominoes. Each night, we’d sit in A’s sunroom playing another few rounds over snacks and cocktails, and the train of our conversation grew as as long and meandering as the lines of tiles on the table.
Over the course of that weekend-long conversation, A and I decided why it is that old men around the world play dominoes on porches, in cafes, and in public parks: anywhere, that is, where old men congregate. The game is slow enough to allow for conversation, it requires a modicum of strategy or at least attention, and it is equally a matter of luck.
These three things, of course, could also be said of life in general and old age in particular: a truth that groups of old men would be especially mindful of. Yes, health and longevity are largely a matter of choice and attention: cultivating good habits and taking care to avoid obvious risks are smart strategies. But health and longevity aren’t entirely within one’s control. Healthy habits and avoidance of risk won’t prevent you from getting hit by a bus, and even the most skilled and strategic player of dominoes can be brought down by a poor hand.
Two books I’ve recently read explore the role that chance plays in our lives: Barbara Ehrenreich’s Natural Causes: An Epidemic of Wellness, the Certainty of Dying, and Killing Ourselves to Live Longer and Kate Bowler’s Everything Happens for a Reason: And Other Lies I’ve Loved.
Ehrenreich observes that we as a culture are addicted to the belief that we can control our destinies through wise choices: we are conditioned to believe that with proper diet, adequate exercise, and the miracle of modern medicine, we can fend off (or at least quickly treat) illness. Ehrenreich argues, however, that this belief is misguided, as even the most healthy-seeming individuals sometimes succumb to diseases like cancer. Whether or not you make healthy choices, Ehrenreich reminds us, we’ve all gotta die sometime.
Kate Bowler addresses this same issue from a theological rather than scientific perspective. A scholar of the prosperity gospel–the belief in some evangelical circles that leading a pious, prayerful life will lead to both wealth and health–Bowler finds her own faith questioned when she is diagnosed with stage four colon cancer. As a wife and mother to a young son, Bowler and her husband both grapple with the unavoidable (and unanswerable) question, “What higher meaning or purpose could a good God have in killing a good woman in her prime?”
Both Ehrenreich and Bowler address in their separate ways the importance and limitations of faith. Ehrenreich argues that our trust in medicine is itself a kind of religion where doctors visits and other forms of medical treatment serve a ritual purpose. Whether or not it’s statistically true that annual mammograms lead to increased longevity, for example, we wrap ourselves in the reassuring belief that they do.
For Bowler, prayer and religious fidelity serve the same reassuring purpose: instead of trusting your doctor to make you whole, you trust in God. The problem with both kinds of faith, however, is the inevitable disillusionment that comes when faith eventually ends in death. Both healthy people and prayerful people ultimately die: there’s no fighting the inevitable. No matter how many times you go to the boneyard, there’s no helping a truly bad hand.
Both Ehrenreich and Bowler describe the unfortunate shaming that comes when good people get sick. Well-intentioned friends and family who believe in either medicine or religion try to explain (and thus justify) a bad diagnosis, suggesting that illness or disability is somehow the sufferer’s fault because of poor life choices or imperfect piety. As a middle-aged women with several chronic conditions, I know firsthand the judgmental looks and unhelpful advice sometimes offered by folks who think slimness, stamina, and perpetual youthfulness are guaranteed by their preferred diet, workout, or devotional regimen. It’s too unsettling even for onlookers to admit that some afflictions don’t happen for a reason.
Every old man playing dominoes knows you can do only so much with the tiles you’ve drawn: whether you complain about, try to strategize with, or ultimately resign yourself to the hand you’ve been given, there’s no fighting the luck of the draw. The secret that happy old men learn isn’t how to win the game but how to enjoy it no matter how it ends.