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As the COVID-19 pandemic continues its devastating march around the globe and across the United States, only those who dismiss statistics about its deadly toll or denigrate the pain of those afflicted can ignore the handwriting on the chalkboard: We ignore at our peril the biological foundations of our being and the evolutionary processes that have shaped and continue to change our natural and social worlds. From the functioning of our social institutions to the consequences of our social divisions, nothing about us stands apart from nature.
Perhaps the most poignant image of the coronavirus pandemic captures desperate family members, with tears streaming down their faces, their noses pressed against hospital doors, barred from entry to visit their loved ones. But families are not just tragic icons at life’s end; they are often its choreographers. A large national survey that predated the pandemic found that 70 percent of Americans over age 60 who required medical decisions during the final days of their lives lacked the capacity to make them.