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Aging and dying are inevitable. However, coming to terms with this truth can be difficult, especially in the modern context with an excessive dependence and faith in biomedicine. Advances in biomedicine and life-prolongation strategies along with changes in social-cultural structures pose a different kind of predicament – the percentage of aging population is on the rise and, at the same time, traditional strategies for taking care of the elderly and their problems are being replaced by more impersonal state-driven methods. India, with its large population, poor biomedical facilities for the average person, and widespread poverty, yet fast changing attitudes towards family and the aged, faces a great crisis today.

The collection of essays in this volume addresses different aspects of this issue. The first section is both philosophical and prescriptive. It explores our rich religious and philosophical tradition to probe the very concepts of life and death and then suggests strategies - age old and time-tested - for coping with the inevitability of aging and dying. Hindu, Buddhist and Islamic perspectives on aging, dying, euthanasia, and related concepts are explored and coping strategies suggested.

The second section deals with socio-ethical issues related to aging and dying in the Indian context, in light of the existing state of affairs and possible directions for the future. The third and final section looks at the most pressing problems that confront both Indian society and medicine – end-of-life care.

Acknowledgements

Many of the papers compiled in this volume were presented at the National Conference on Aging and Dying: Relevance of Indic Perspectives to End-of Life Care, held at the Department of Humanities and Social Sciences, Indian Institute of Technology Kharagpur, 4–6 November 2005. We are thankful to our primary sponsor, The Infinity Foundation, USA, and especially to Mr Rajiv Malhotra for his moral and intellectual support. We also acknowledge the supplementary financial support provided by Indian Council of Medical Research (ICMR), Delhi.

We are grateful to those contributors who were not part of the Conference, but helped us in giving the book its present shape. We remain grateful to Professor B. P. Sandilya for his meticulous reading of the manuscript. Finally we would like to thank Dr Sugata Ghosh of SAGE Publications without whose active interest the volume would not have been possible.

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