Travel: ‘The Gathering,’ an elephant meet-up in Sri Lanka, is a wild experience

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Ear-flapping youngsters playfully fought, fuzzy toddlers rolled in the dirt, gal-pals squirted each other with water, moms nursed newborns and a brawny frustrated guy sniffed up a potential mate’s behind. In the far-off island nation of Sri Lanka, I entrancingly embedded with “The Gathering,” the annual, largest and most phenomenal congregation of wild Asian elephants in the world.

Every year for centuries, during the dry season, herds gracefully emerge from the forest to vast plains, where they munch marshy grass, goof around, and drink water from man-made lakes in two adjoining national parks, Minneriya and Kaudulla. The matriarch-led brigades shift between parks so depending on timing, safari-goers can spot anywhere from zero to possibly 300 pachyderms at this party; in September, as the lone passenger in a jeep, I quietly observed 146 elephants in Kaudulla.

Amazingly, several multi-ton titans came so close to my parked open-sided 4X4, I could almost tickle their trunks (if I had a death wish). One gentle giant stood right alongside me for a wondrous eternity repeatedly circling her hefty padded foot to loosen grass for her gray snorkel, which then put the food in her mouth. The serene swishing sound hypnotized.

“Adults eat over 300 pounds a day,” my guide Suranga said, noting it’s rare for this Sri Lankan subspecies to have tusks. “They are highly sociable and emotional — every  grandmother, aunt, and sister helps care for a mother’s calf.”

Members of a local family pray during a ceremony at a Hindu temple in Valaichchenai, Sri Lanka. (Photo by Norma Meyer)

Besides cherishing these jumbo marvels, I wallowed in other adventures — from tuk-tuk village visits to mass monkey encounters — on my journey in culture-rich Sri Lanka. I’d also explore three stunning UNESCO World Heritage Sites, starring a patricidal king, 2,000-year-old granite-hewn Buddhas, and Lord Buddha’s tooth.

Toque macaque monkeys, such as this mother and baby, are endemic to Sri Lanka. They’re distinguished by the funny whirl of hair on their heads. (Photo by Norma Meyer)

After excursions, I retired to my Sun Siyam Pasikudah seaside hotel, which can arrange all these terrific day trips for guests and is a laid-back, upscale haven with 34 pavilion suites and the genuinely nicest staff from the local village. While I was gadding about, most vacationers seemed content to just sun themselves at both the 98-foot-long infinity pool and the idyllic coconut palm-fringed beach along the calm Indian Ocean bay. Interestingly, the guest roster encompassed 13 nationalities, mainly Russians followed by Germans and Poles. I was the sole American.

The 98-foot-long infinity pool at Sun Siyam Pasikudah is a main attraction for guests. (Photo by Norma Meyer)

When I first arrived at the hotel, a garland of white frangipani and red ixora flowers was draped over my neck and an employee performed a lovely Hindu ceremony, during which she rang a brass bell, gently waved a fiery receptacle by my face, and applied a red “bindi” dot to my forehead, all to promote well-being and prosperity. I then lit an oil lamp on a tree-shaped sculpture to whip up positive energy.

A Hindu priest performs the aarti ceremony at a temple in Valaichchenai in east Sri Lanka. (Photo by Norma Meyer)

Later, the congenial general manager, Arshed Refai, gave insight into this tropical pear-shaped island, just south of India. “A lot of people don’t know where or what Sri Lanka is,” he said.

What they may not know is the plethora of tragedies Sri Lanka has experienced in modern times. From 1983 to 2009, the country was embroiled in a brutal, atrocity-filled ethnic civil war between the Buddhist Sinhalese majority and the marginalized Tamil minority who are mainly Hindu. Up to 100,000 people died in the conflict. In 2004, a massive tsunami from an Indonesian earthquake killed at least 36,000 Sri Lankans and decimated the fishing industry. On Easter Sunday 2019, nine  ISIS-related suicide bombers separately attacked Christian churches and luxury hotels, resulting in over 260 fatalities.

Sun Siyam’s beach sits along an extensive shallow bay of the Indian Ocean; you can walk way out and the water will still be at your waist. (Photo by Norma Meyer)

The contemporary Sun Siyam is located on Sri Lanka’s less-visited east coast, which had been a war zone, hit by the tsunami and in 2019 suffered a terrorist church bombing about 20 miles from my resort. Today both Sinhalese, who speak Sinhala, and Tamils, whose native tongue is Tamil, work together at the hotel; the country’s tourism is rebounding.

At Sun Siyam Pasikudah, a mini catamaran takes guests out to the hotel’s Aqua Lounge, a floating wood raft available for private cocktails or dinner. (Photo by Norma Meyer)

“We are resilient, we keep picking ourself up,” Arshed said. And he continues creating on-site novelties, such as the Aqua Lounge. One evening from Sun Siyam’s beach, I boarded a dinghy catamaran that sailed me a short distance to a bobbing wood raft mid-bay for a private wine-accompanied moonlit dinner. Below in the shallow waters, fan-like lionfish swam alongside my buoyant rustic cafe, and I could see mullet fish through the raft’s partial glass floor. The hotel also offers private candlelight beach dinners in sunken sand, floating breakfasts in the pool, and gourmet cuisine in its 900-bottle wine cellar. (Room rates start at $152, including lavish buffet breakfasts and dinner; sunsiyam.com/sun-siyam-pasikudah.)

UNESCO do-or-die

Goats roam around vacant boats used by village fisherman on Kalkudah’s beach in Sri Lanka. (Photo by Norma Meyer)

First, know that driving — or in my case being driven — on Sri Lankan’s two-lane  roads is insanely chaotic. Too often a packed bus or overloaded truck was barreling head-on to our hotel’s compact Honda. Everyone zigs and zags, overtaking cars, semis, tuk-tuks, coaches, and motorbikes, sometimes with three vehicles sharing two narrow lanes. Throw in free-roaming cattle, dogs, monkeys, and goats straggling by.

The modern Golden Buddha, completed in 2001, is next to the UNESCO Dambulla caves and above a Buddhist museum with a cartoonish entrance. (Photo by Norma Meyer)

From Los Angeles, I initially touched down in Sri Lanka’s capital Colombo in the dark at 3:05 a.m. after two flights, a layover in Qatar, and nearly 21 hours airborne in economy. Sun Siyam was a six-hour drive away (some days you can take a seaplane instead). So, it made sense (then) to visit two UNESCO sites en route to the hotel.

One of the underground sanctuaries in the ancient Dambulla Cave Temple, a UNESCO World Heritage Site in Sri Lanka. (Photo by Norma Meyer)

After a couple stops, by 7 a.m. my Sun Siyam driver Chandran pulled into the Dambulla Cave Temple parking lot, populated by numerous stray dogs and bands of toque macaque monkeys, the latter often carrying chest-clinging darling babies. I was by myself in the car changing my shoes in the back seat when in a flash something hurled through an open window into the front seat. I locked eyes with a brazen, long-tailed, mid-sized macaque, its elfish ears and bowl-cut hairdo quite comical. Chandran zipped over and chased off the potential thief.

A toque macaque mom and her offspring hang out on the staircase to the Dambulla Cave Temple in Sri Lanka. (Photo by Norma Meyer)

Ubiquitous primates are called, “temple monkeys” because mobs of them run amok at shrines. There’s also the macaques’ clever cousins, the larger tufted gray langur monkeys, black-faced, pointy-headed and considered sacred because of their connection to a Hindu monkey-god. A troop of langurs liked to prowl Sun Siyam.

The tufted gray langur monkey, found in Sri Lanka, has such a black face it can be impossible to see its eyes and mouth. (Photo by Norma Meyer)

Perched on a cliff, Dambulla’s five underground sanctuaries are inhabited by more than 150 Buddha statues, many astonishingly chiseled from the caves’ rock. Over 22,000 square feet of intricate frescoes and paintings cover walls and ceilings. Buddhists have made pilgrimages here for 2,100 years and you can feel the hallowed heritage resonate inside the dimly lit chambers. Various recreations of the Enlightened One include an extraordinary 46-foot-long Buddha lying down. Dambulla remarkably began as a hideaway for an exiled king who in the 1st century B.C. commissioned artisans to decorate his lair; subsequent rulers added more flourishes.

Reclining Buddha statutes in the Dambulla Cave Temple symbolize the Buddha’s last earthly moments before passing into the ultimate spiritual state. (Photo by Norma Meyer)

A half hour away is perhaps Sri Lanka’s most famous attraction, the 590-foot-tall granite monolith Sigiriya, also called the Lion Rock because two massive carved paws guard an entrance, their body long gone. In mythology, the Sinhalese people are descendants of a lion who bred with a princess.

Colossal lion paws remain at Sigiriya, once a formidable citadel built during the 5th century. The lion’s body and head have long disappeared from the dramatic gateway. (Photo by Norma Meyer)

Sigiriya’s backstory is total drama. The fortress/palace was erected in the 5th century by King Kashyapa after he staged a coup and murdered his monarch father. “He threw his father into a lake and then entombed him in mud to suffocate him,” explained my guide, another local named Suranga. (There are several versions of the death.) Years later, Kashyapa’s half-brother and rightful heir returned to fight for the crown, and about to lose, Kashyapa “committed suicide and slit his belly with his dagger,” Suranga said, pantomiming the violent slash. While at Sigirya, party animal Kashyapa tallied 500 wives/concubines and required voluptuous women to dance bare-breasted for him

Sigiriya, a 590-foot-tall chunk of granite in Sri Lanka, once held aloft a kingdom erected by a 5th-century murderous king. Today, tourists climb 1,200 steps to see the summit’s ruins, which are basically foundations. (Photo by Norma Meyer)

To reach the palace ruins at the summit, along with other tourists I ascended 1,200 challenging steep steps, both original uneven stone ones and metal spiral staircases bolted to the rock and with gaps between so you can look straight down if you dare. (Honestly, the heat and jet lag nearly offed me.)

Now ruins, the royal palace in ancient Polonnaruwa was once the grandiose residence of medieval King Parakramabahu. He was praised for building hospitals and an artificial lake for farmers during a drought. (Photo by Norma Meyer)

Another day, I wandered through the second capital of Sri Lanka, once-glorious  Polonnaruwa, dating to the 11th century and still containing a bevy of crumbling religious sanctums, remnants of a seven-story palace, cremation grounds, friezes of elephants, Buddhas and a swimming pool vaunting crocodile spouts. A shrine in Polonnaruwa previously housed Lord Buddha’s revered left canine tooth (smuggled eons ago by a princess from India in her hair), although the relic is now relocated in another Sri Lankan temple.

Tuk-tuk trippin’

 

I loved my three-wheeler tuk-tuk outings to local villages, about 15 minutes from Sun Siyam. The hotel summoned two brothers, Kishorth and Dharshanth, to ferry me different days in the siblings’ sky blue motorized tuk-tuk, emblazoned “Good luck” on the front and “Open your mind always” on the side rooftop. Life moved slowly — in Kalkudah, a school-aged boy shepherded goats on a fishermen’s deserted beach; nearby at a small ancient Hindu temple, I washed my feet in a faucet before a compassionate caretaker applied lines of white ash to my forehead for divine  protection.

The Sri Munai Murukan Kovil is a longstanding rural Hindu temple across from the ocean in Kalkudah, Sri Lanka. (Photo by Norma Meyer)

In Valaichchenai village, which is mostly Tamil and Muslim, my white skin and Western looks (note: dopey wide sun hat) drew curious stares but once I smiled, welcoming grins broke out. With hand signals, I was beckoned into the spice shop, where a mountainous table of red chili powder set me coughing. Barbers motioned me to come inside their hair-cutting cubicle. Fishmongers in bloody aprons stopped filleting to greet me. And although I couldn’t understand anyone’s language, it spoke volumes in warmth.

The spice shop in the village of Valaichchenai sells aromatic seasonings crucial for robust Sri Lankan cooking. Cinnamon, cardamon, turmeric, and chili powder are among essential ingredients. (Photo by Norma Meyer)

Arshed, Sun Siyam’s GM, keeps working with communities so tourism can benefit them. He’ll get guests over to see Kalyani, a woman enrolled in a government-assisted program and handcrafting pottery in her rural shed. She chuckled with me when I clumsily mushed my spinning blob of clay.

Kalyani Idayachandran makes pottery in a women’s co-op financially aided by the Sri Lankan government. The Sun Siyam hotel offers guests trips to her rural shed to help her economically. (Photo by Norma Meyer)

One morning, my tuk-tuk stopped at another Hindu temple, where six adult members of a family stood outside in a sacred area with a chanting priest performing  rituals. I hung back in the driveway, but the patriarch immediately gestured for me to join his clan. A grown daughter beautifully sung. Then the family invited me inside the deity-festooned temple where the priest continued the prayerful aarti ceremony; I warmed my hands over the flaming lamp he held and touched my forehead to connect with spirituality and gratitude. At the end, the family insisted on giving me huge helpings of their homemade sakkarai pongal, a sweet rice pudding also offered to the gods.

After offering sweet rice pudding and fruit salad to the deities, a Hindu temple member distributes the consecrated food to family members as a way of sharing joy. (Photo by Norma Meyer)

Back at Sun Siyam, beach hut bartenders created drinks in green kurumaba coconuts and honeymooners swayed on a mid-ocean swing set. A chef taught how to make curried dal at a cooking class under a banyan tree, and later a Zebu humped cow cruised the shoreline. The hotel, incidentally, sponsors Kalo, an elephant found abandoned in a well at 8 months old and now cared for at a distant sanctuary until being re-introduced to the wild.

The tranquil beach at Sun Siyam Pasikudah glows at sunset. (Photo by Norma Meyer)

I still think about what Arshed often said: “If you have good intentions, it will all come from the heart.”

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Gophers football vs. Michigan St.: Keys to game, how to watch, who has edge

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MINNESOTA vs. MICHIGAN STATE

When: 2:30 p.m. Saturday
Where: Huntington Bank Stadium
TV: Big Ten Network
Radio: KFAN, 100.3 FM
Weather: 44 degrees, mostly cloudy, 6 mph south wind
Betting spread: Gophers, minus-3.5

Records: With a shot at the pig, Minnesota (5-3, 3-2 Big Ten) got slaughtered by Iowa in a 41-3 blowout loss with Floyd of Rosedale on the line Saturday. Michigan State (3-5, 0-5) lost to rival Michigan 31-20 in the Battle for the Paul Bunyan Trophy.

History: The Gophers have won two straight over the Spartans (2022 and ’23). Before that, the U had lost five consecutive to Michigan State and the Spartans lead overall series at 30-19 since it began in 1950.

Storyline: Former Gophers defensive coordinator Joe Rossi returns to Minnesota after taking the same role in East Lansing two years ago. His defense is struggling, but there is respect in Minnesota. Current DC Danny Collins said Rossi’s attention to detail rubbed off on him. “We always magnified things,” he said.

Big question: Can Gophers bounce back after its humbling loss in a rivalry game? Picking themselves up will be easier to do at  home and against a team in the basement of the Big Ten.

Key matchup: Gophers front seven vs. Spartans quarterback Aidan Chiles. Minnesota did a great job containing Nebraska’s mobile quarterback Dylan Raiola two weeks ago and Chiles has similar athleticism with six rushing scores this season.

Who has the edge?

Gophers offense vs. Michigan State defense: Minnesota mustered a season-low 133 total yards against Iowa, but Michigan State has been allowing 380 per game, so the U should be able to move the ball and score. The Spartans are dead last in the Big Ten in scoring defense, giving up 32.5 points per game. … But Gophers RB Darius Taylor is (again) dealing with an injury and his availability is in doubt. If he can’t go, Fame Ijeboi is likely to get the bulk of the carries. Taylor’s pass-catching ability is missed most when he can’t go. … QB Drake Lindsey had three interceptions in 208 attempts in the first seven games and three picks in 28 attempts against Iowa. But the Spartans are 113th in the nation with only six takeaways in eight games. … Minnesota’s offensive line gave up nine pressures and four sacks to the Hawkeyes. The Spartans have been decent with 14 total sacks this season, which is 82nd in the nation. … The Gophers continue to start slow against FBS completion: no touchdowns, one field goal and six punts on opening possessions. EDGE: Gophers

Gophers defense vs. Michigan State offense: QB Aidan Chiles led the Big Ten with 11 interceptions last season, but has only three picks this year. Chiles has split time this year with Alessio Milivojevic and the Gophers are preparing for both signal callers. … The Spartans are 118th in the nation in sacks allowed (2.8 per game). Left tackle Conner Moore and Caleb Carter, who has played both guard spots, have given up at an average of three pressures apiece in Big Ten play. DE Anthony Smith should be able to get home at least once Saturday. … WR Nick Marsh has become the Spartans’ top target with 42 receptions for 479 yards and five touchdowns. The U’s secondary remains banged up with John Nestor going down against Iowa last weekend.  … Head coach Jonathan Smith is a California native and his name was mentioned for UCLA opening back in September, but an 0-5 start to Big Ten play has snuffed that out for now. EDGE: Gophers 

Special teams: Gophers punter Tom Weston struggled with directional punting and Iowa’s Kaden Wetjen returned one for a touchdown. … Both kickers, Brady Denaburg and Martin Connington are perfect inside 40 yards and less than 50% beyond that distance. EDGE: Michigan State  

Prediction: Before the season, Smith pegged Michigan State’s expectations “at minimum” of getting back to a bowl game. They would need to win three of four to eek into one — and it isn’t starting this week. Look for Minnesota to continue to win ugly. Gophers, 22-19

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Quick Fix: Teriyaki Glazed Pork with Chinese Noodles

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By Linda Gassenheimer, Tribune News Service

I like teriyaki pork, but it usually needs time for the meat to marinate in the sauce. Using a store-bought teriyaki sauce and this easy cooking method, I was able to have this meal ready in less than 10 minutes.

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The steamed Chinese noodles are partially cooked and take only a minute to cook in boiling water. They are available in most supermarkets. If difficult to find, use any type of thin pasta and follow package cooking instructions.

HELPFUL HINTS:

Snap peas or green beans can be used instead of snow peas.

Olive oil can be used instead of sesame oil.

COUNTDOWN:

Place water for noodles on to boil.

Prepare ingredients.

Boil noodles and place on 2 dinner plates

Make pork dish.

SHOPPING LIST:

To buy: 3/4 pound pork tenderloin, 1 bottle low-sodium teriyaki sauce, 1/4 pound snow peas, 1 bunch scallions, 1 container sesame seeds, 1 bottle sesame oil, 1 can vegetable oil spray, 1 package steamed Chinese noodles

Teriyaki Glazed Pork

Recipe by Linda Gassenheimer

3/4 pound pork tenderloin
Vegetable oil spray
1/4 pound snow peas 1 3/4-cups
1/4 cup low-sodium teriyaki sauce
2 scallions thinly sliced, about 1/3 cup
1 tablespoon sesame seeds

Cut pork tenderloin into 1/2-inch slices and press them to about 1/4 inch thick with the flat side of a spatula. Heat a medium-size nonstick skillet over medium-high heat and spray with vegetable oil spray. Add pork and sauté 2 minutes per side. Add the teriyaki sauce and snow peas to the skillet. Mix well. Continue to cook, spooning the sauce over pork slices as they cook. A meat thermometer should read 145 degrees. Divide in half and place on two dinner plates. Sprinkle sliced scallions and sesame seeds on top.

Yield 2 servings.

Per serving: 275 calories (27 percent from fat), 8.2 g fat (1.7 g saturated, 3.6 g monounsaturated), 108 mg cholesterol, 39.4 g protein, 9.9 g carbohydrates, 2.4 g fiber, 416 mg sodium.

Chinese Noodles

Recipe by Linda Gassenheimer

1/4 pound fresh or steamed Chinese noodles
2 teaspoons sesame oil
Salt and freshly ground black pepper

Fill a medium-size pot three quarters full of water and bring to a boil over high heat. Add noodles to boiling water. Cook 1 minute or according to package instructions. Drain return to pot and add oil and salt and pepper to taste. Divide in half and place on the dinner plates with the pork.

Yield 2 servings.

Per serving: 251 calories (19 percent from fat), 5.4 g fat (0.8 g saturated, 1.9 g monounsaturated), no cholesterol, 7.4 g protein, 42.6 g carbohydrates, 1.8 g fiber, 3 mg sodium.

©2025 Tribune Content Agency, LLC

An age-old fear grows more common: ‘I’m going to die alone’

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By Judith Graham, Oona Zenda, KFF Health News

This summer, at dinner with her best friend, Jacki Barden raised an uncomfortable topic: the possibility that she might die alone.

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“I have no children, no husband, no siblings,” Barden remembered saying. “Who’s going to hold my hand while I die?”

Barden, 75, never had children. She’s lived on her own in western Massachusetts since her husband passed away in 2003. “You hit a point in your life when you’re not climbing up anymore, you’re climbing down,” she told me. “You start thinking about what it’s going to be like at the end.”

It’s something that many older adults who live alone — a growing population, more than 16 million strong in 2023 — wonder about. Many have family and friends they can turn to. But some have no spouse or children, have relatives who live far away, or are estranged from remaining family members. Others have lost dear friends they once depended on to advanced age and illness.

More than 15 million people 55 or older don’t have a spouse or biological children; nearly 2 million have no family members at all.

Still other older adults have become isolated due to sickness, frailty, or disability. Between 20% and 25% of older adults, who do not live in nursing homes, aren’t in regular contact with other people. And research shows that isolation becomes even more common as death draws near.

Who will be there for these solo agers as their lives draw to a close? How many of them will die without people they know and care for by their side?

Unfortunately, we have no idea: National surveys don’t capture information about who’s with older adults when they die. But dying alone is a growing concern as more seniors age on their own after widowhood or divorce, or remain single or childless, according to demographers, medical researchers, and physicians who care for older people.

“We’ve always seen patients who were essentially by themselves when they transition into end-of-life care,” said Jairon Johnson, the medical director of hospice and palliative care for Presbyterian Healthcare Services, the largest health care system in New Mexico. “But they weren’t as common as they are now.”

Attention to the potentially fraught consequences of dying alone surged during the covid-19 pandemic, when families were shut out of hospitals and nursing homes as older relatives passed away. But it’s largely fallen off the radar since then.

For many people, including health care practitioners, the prospect provokes a feeling of abandonment. “I can’t imagine what it’s like, on top of a terminal illness, to think I’m dying and I have no one,” said Sarah Cross, an assistant professor of palliative medicine at Emory University School of Medicine.

Cross’ research shows that more people die at home now than in any other setting. While hundreds of hospitals have “No One Dies Alone” programs, which match volunteers with people in their final days, similar services aren’t generally available for people at home.

Alison Butler, 65, is an end-of-life doula who lives and works in the Washington, D.C., area. She helps people and those close to them navigate the dying process. She also has lived alone for 20 years. In a lengthy conversation, Butler admitted that being alone at life’s end seems like a form of rejection. She choked back tears as she spoke about possibly feeling her life “doesn’t and didn’t matter deeply” to anyone.

Without reliable people around to assist terminally ill adults, there’s also an elevated risk of self-neglect and deteriorating well-being. Most seniors don’t have enough money to pay for assisted living or help at home if they lose the ability to shop, bathe, dress, or move around the house.

Nearly $1 trillion in cuts to Medicaid planned under President Donald Trump’s tax and spending law, previously known as the “One Big Beautiful Bill Act,” probably will compound difficulties accessing adequate care, economists and policy experts predict. Medicare, the government’s health insurance program for seniors, generally doesn’t pay for home-based services; Medicaid is the primary source of this kind of help for people who don’t have financial resources. But states may be forced to eviscerate Medicaid home-based care programs as federal funding diminishes.

“I’m really scared about what’s going to happen,” said Bree Johnston, a geriatrician and the director of palliative care at Skagit Regional Health in northwestern Washington state. She predicted that more terminally ill seniors who live alone will end up dying in hospitals, rather than in their homes, because they’ll lack essential services.

“Hospitals are often not the most humane place to die,” Johnston said.

While hospice care is an alternative paid for by Medicare, it too often falls short for terminally ill older adults who are alone. (Hospice serves people whose life expectancy is six months or less.) For one thing, hospice is underused: Fewer than half of older adults under age 85 take advantage of hospice services.

Also, “many people think, wrongly, that hospice agencies are going to provide person power on the ground and help with all those functional problems that come up for people at the end of life,” said Ashwin Kotwal, an associate professor of medicine in the division of geriatrics at the University of California-San Francisco School of Medicine.

Instead, agencies usually provide only intermittent care and rely heavily on family caregivers to offer needed assistance with activities such as bathing and eating. Some hospices won’t even accept people who don’t have caregivers, Kotwal noted.

That leaves hospitals. If seniors are lucid, staffers can talk to them about their priorities and walk them through medical decisions that lie ahead, said Paul DeSandre, the chief of palliative and supportive care at Grady Health System in Atlanta.

If they’re delirious or unconscious, which is often the case, staffers normally try to identify someone who can discuss what this senior might have wanted at the end of life and possibly serve as a surrogate decision-maker. Most states have laws specifying default surrogates, usually family members, for people who haven’t named decision-makers in advance.

If all efforts fail, the hospital will go to court to petition for guardianship, and the patient will become a ward of the state, which will assume legal oversight of end-of-life decision-making.

In extreme cases, when no one comes forward, someone who has died alone may be classified as “unclaimed” and buried in a common grave. This, too, is an increasingly common occurrence, according to “The Unclaimed: Abandonment and Hope in the City of Angels,” a book about this phenomenon, published last year.

Shoshana Ungerleider, a physician, founded End Well, an organization committed to improving end-of-life experiences. She suggested people make concerted efforts to identify seniors who live alone and are seriously ill early and provide them with expanded support. Stay in touch with them regularly through calls, video, or text messages, she said.

And don’t assume all older adults have the same priorities for end-of-life care. They don’t.

Barden, the widow in Massachusetts, for instance, has focused on preparing in advance: All her financial and legal arrangements are in order and funeral arrangements are made.

“I’ve been very blessed in life: We have to look back on what we have to be grateful for and not dwell on the bad part,” she told me. As for imagining her life’s end, she said, “it’s going to be what it is. We have no control over any of that stuff. I guess I’d like someone with me, but I don’t know how it’s going to work out.”

Some people want to die as they’ve lived — on their own. Among them is 80-year-old Elva Roy, founder of Age-Friendly Arlington, Texas, who has lived alone for 30 years after two divorces.

When I reached out, she told me she’d thought long and hard about dying alone and is toying with the idea of medically assisted death, perhaps in Switzerland, if she becomes terminally ill. It’s one way to retain a sense of control and independence that’s sustained her as a solo ager.

“You know, I don’t want somebody by my side if I’m emaciated or frail or sickly,” Roy said. “I would not feel comforted by someone being there holding my hand or wiping my brow or watching me suffer. I’m really OK with dying by myself.”

©2025 KFF Health News. Distributed by Tribune Content Agency, LLC.