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How to Make a Living in the Death Industry
Caitlin Doughty

Mortician and writer Caitlin Doughty discusses working with dead bodies, her dream funeral, and how cremation got so popular.

Caitlin Doughty isn’t an ordinary mortician. In 2006, Doughty was fresh out of college when her fascination with death took her to a job at a crematory where she drove a van, put makeup on dead bodies, and burned corpses. In the years following, Doughty became the source for addressing morbid questions on the Internet with her web series Ask a Mortician. Her new book, Smoke Gets in Your Eyes: And Other Lessons from the Crematory, takes a candid look at the death industry.

I recently spoke with Doughty about her career and why we should be more forthcoming in talking about our own mortality. A lightly edited transcript of our conversation follows.


Bourree Lam: Tell me briefly about how you got into the death industry.

Caitlin Doughty: I was fascinated by mortality. Most people are, even if they don’t admit it. I thought I would understand it even more if I actually worked with dead bodies, which I hadn’t seen all that many of in my life. I applied for six months to crematories in the San Francisco Bay Area until at last someone hired me. That was seven years ago and I never looked back.

Lam: Is the interview process for a job at a crematory any different than a regular job interview?

Doughty: It wasn’t, really. They want to make sure that you’re a competent person who isn’t going to get them sued, or make a fool of yourself in front of a grieving family.

Lam: What kind of training and license do you need to be a mortician?

Doughty: There’s no easy answer because death care and funeral regulations are run state-by-state. For example, I went to mortuary school in California, but just to get the funeral director’s license I didn’t really have to do that. I could have just taken the licensing exam and poof!—funeral director. Usually there is some manner of apprenticeship followed by big tests, followed by a certain number of "cases" (which is industry lingo for the individual dead bodies).

Lam: What was your day-to-day like when you worked as a mortician?

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Doughty: There’s no typical day-to-day. I’ve done everything from cremate bodies, to drive a van carrying eleven bodies at once, to fill out death certificates with families, to sit on the phone with the coroner for hours trying to get a body released. Much of the work is preparing and transporting dead bodies, but most people would be surprised how much bureaucracy is involved. In Los Angeles, where I work, just filing the paperwork is a nightmare of different agencies that don’t work very well together. It’s not a well-oiled machine by any means.

Lam: How popular is cremation nowadays in the death industry? And why?

Doughty: Hugely popular, nearing 50 percent, especially in urban areas. It’s yet to break 15 percent in many places in the South. The traditional funeral industry is always terrified of the “cremation problem” wolf at their door.

As to why it’s so popular, it was branded incredibly well, starting in the 1960s. Many of the baby boomers will say that cremation is the “simple, cost effective, environmentally friendly” option. Which is a party line that has grown and now dominates people’s thoughts when they think about what they want done with their dead body.

The history of how we got to where we are with death is so fascinating, and most people don’t know, they just think that the way we “do” death is how we “do” death. We have a very short cultural memory when it comes to death rituals in and methods in this country.

Lam: How did your career as a mortician take a turn from tradition?

Doughty: I knew almost immediately after I started working in the industry that I wanted the public to see what I was seeing behind the scenes. The environment was so industrial, so removed from families, so behind the black curtain. But the thought of putting myself out there to say it was terrifying, because being a woman on the internet is not always the warm and fuzziest place. It was early 2011 when I couldn’t stand it anymore and felt I was ready, so I started putting things up online.

 

My boss at my funeral home knew I was doing it, but I don’t think he totally understood what I was doing. He was in a “this darn email!” place, as an old school funeral director. The idea of YouTube videos was not in his wheelhouse.

Lam: What do you want to accomplish with Ask a Mortician and Smoke Gets In Your Eyes?

Doughty: The hope is to create an environment where people aren’t afraid to admit they’re morbid, and have questions about death—what’s going to happen to their corpse, what their funeral is going to look like, what a decomposing body looks like, how cremation works. These are all totally natural questions, 2.5 million people die in the U.S. every year after all, but we’ve built up this idea that talking about death is deviant. Death is not deviant, it’s actually the most normal and universal act there is.

Lam: What are you up to now?

Doughty: I have a business called Undertaking LA, which is essentially two licensed morticians telling the public, “you don’t need us!” It’s a way for people who are interested in DIY death, taking care of their own dead, not having to pay large amounts of money to a funeral home, to do most everything—except the actual cremation or burial—themselves. There are people who think that’s ghoulish or terrifying, but that perception comes from a very modern, sanitized, American view of death.

Lam: How can this perception be changed? Aren’t you discounting the fact that people are grossed out and scared to do these DIY funeral tasks?

Doughty: They are grossed out, but that’s because they’ve been told their whole lives that death and bodies are best kept to the “professionals” and that they are dangerous. Most corpses are safer than living bodies. Corpses don’t decompose immediately. They’re not a time bomb of deadness waiting to attack. They’re your mom or your husband, or the shell of them, at least.

Changing perceptions will be an uphill battle (understatement of the year) but just 30 to 40 years ago the cremation rate wasn’t much more than three percent. It was “devil’s work” and “pagan” and “burning you loved one” and “disposal.” But look how the public has come around. It is possible.

Lam: What about the fear of disease? Ebola?

Doughty: Your average corpse is completely safe. Cancer, lung disease, car accident, heart attacks, all the things humans typically die of create a safe corpse. Even a decomposing corpse is safe, as the bacteria causing decomposition are not the bacteria causing disease. If the person did die of some wildly contagious disease, like Ebola or Creutzfeldt-Jakob, they’re not going to be dying at home with their family. They will be in a highly medicalized environment, and the doctor will know if there is any risk to the family. But that’s, obviously, incredibly rare.

Lam: Can you explain the title of your book?

Doughty: Smoke Gets in Your Eyes is a song from the 1930s. I knew it as a Platters song. The idea was that there was the literal smoke from the cremation machines I was operating, as well as the metaphorical smoke of being swept up in emotion and my changing relationship with death. Plus it just seems to sound good.

Lam: What’s your dream funeral?

Doughty: My dream funeral is one where the family is involved, washing and dressing the body and keeping it at home. When they’ve taken the time they need with the dead person, transporting the person to a natural burial cemetery and putting them straight into the ground, no heavy sealed casket or vault. Just food for worms.

 
Death Map

You Live in Alabama. Here’s How You’re Going to Die.

A look at the most common causes of death by state.

By 

Two months ago, I wrote about the fun and the pitfalls of viral maps, a feature that included 88 simple maps of my own creation. Since then I’ve written up a bunch of short items on some of those maps, walking through how they can both illustrate great information and hide important details. At one point, I said I was done with these. Well, I wasn’t. Here’s another, on death. Enjoy!

The data used to create the table below are from a 2008 CDC report that’s based on numbers from 2005. Ideally, we’d have more up-to-date information, but their page on mortality tables indicates that there’s nothing more recent on state-by-state causes of death.

Blatt_Death_1

Data source: Centers for Disease Control and Prevention. Map by Ben Blatt/Slate.

The map above, included in the original interactive, showed the most common causes of death excluding heart disease and cancer. The reason for the exclusions was to create more geographic variation. Heart disease and cancer, the top two leading causes of deaths in every state, account for more deaths than the next eight causes of death combined

Blatt_Death_2

Data source: Centers for Disease Control and Prevention. Map by Ben Blatt/Slate.

In these first two maps, we still only see five causes of death: heart disease, cancer, stroke, accidents, and respiratory diseases. Inspired by an , I created a map in the original interactive that showed which cause (in the national top 10) affected each state at a rate most disproportionate to what one would expect based on the national rates. (I measured this using a ratio of state level rate to national rate, also known as the location quotient.)

The 10 causes as classified by the CDC are “diseases of heart” (heart disease), “malignant neoplasms” (cancer), “chronic lower respiratory diseases” (respiratory diseases), “cerebrovascular diseases” (stroke), “accidents,” “Alzheimer’s disease,” “diabetes mellitus” (diabetes), “influenza and pneumonia,” “nephritis, nephrotic syndrome, and nephrosis” (kidney diseases), and “septicemia.”

Blatt_Death_3

Data source: Centers for Disease Control and Prevention. Map by Ben Blatt/Slate.

I included this map because it illustrates a few things the other two don’t, mainly the regionalism in diseases like septicemia and kidney diseases. But this map—like many maps which purport to show attributes meant to be “distinct” or “disproportionate”—can be misleading if not read properly. For one thing, you cannot make comparisons between states. Looking at this map, you probably would not guess that Utah has the sixth-highest diabetes rate in the country. Diabetes just happens to be the one disease that affects Utah most disproportionately. Louisiana has a higher diabetes death rate than any state, but is affected even more disproportionately by kidney disease.

If you’re interested in geographic variation of cause of death, I’d recommended looking through the data (either on the CDC site or easily organized on this site). But I also realize data tables are not as fun as maps, so below is an attempt to break down the numbers in a more granular but still visual manner. For instance, take this map that shows which states have more people die from accidents than the national average.

Blatt_Death_4

Data source: Centers for Disease Control and Prevention. Map by Ben Blatt/Slate.

It should be noted that each state’s rate is compared with the national average, not the median. That’s why it’s possible for 30 states to have more deaths than the national average.

Blatt_Death_5

Data source: Centers for Disease Control and Prevention. Map by Ben Blatt/Slate.

It should also be clear that this data is not normalized by state. This means a cause of death may be uncommon for its own state, but still higher than the national average. For instance, a person from Alabama dies from every single one of the nation’s top 10 causes of death at an age-adjusted rate that exceeds the national average.

By contrast, the age-adjusted death rates for the top 10 causes of death are all lower in Minnesota than they are nationally. It makes sense, then, that the most recent estimatesby the CDC have the life expectancy in Minnesota as nearly five years longer than in Alabama.

Below are maps for the other top eight causes of death. Accidents are the fourth-leading cause and heart disease is the first. The rest are presented in sequential order.

Blatt_Death_6

Data source: Centers for Disease Control and Prevention. Map by Ben Blatt/Slate.

Blatt_Death_7

Data source: Centers for Disease Control and Prevention. Map by Ben Blatt/Slate.

Blatt_Death_8

Data source: Centers for Disease Control and Prevention. Map by Ben Blatt/Slate.

Blatt_Death_9

Data source: Centers for Disease Control and Prevention. Map by Ben Blatt/Slate.

Blatt_Death_10

Data source: Centers for Disease Control and Prevention. Map by Ben Blatt/Slate.

Blatt_Death_11

Data source: Centers for Disease Control and Prevention. Map by Ben Blatt/Slate.

Blatt_Death_12

Data source: Centers for Disease Control and Prevention. Map by Ben Blatt/Slate.

Blatt_Death_13

Data source: Centers for Disease Control and Prevention. Map by Ben Blatt/Slate.

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Ben Blatt is a Slate staff writer and co-author of I Don't Care if We Never Get Back. Email him at  This e-mail address is being protected from spambots. You need JavaScript enabled to view it  or follow him on Twitter.

 
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