Sandro Galea, the dean of BU’s School of Public Health, recently wrote a wonderful (free) Substack post reflecting on the nature of health in the pandemic and post-pandemic era. I’m writing about Galea’s post here because the questions it raises are absolutely philosophical ones.

He closes with the important comment: “we do not live to be healthy—we aspire to be healthy so we can live.” In other circumstances this might seem a truism. But the past fourteen months have made it all too clear how much this needs to be said. For we have all become all too aware of just how much can be given up for the sake of health. Government restrictions already placed major limits on our activity. Most people I know, myself included, limited their activity considerably further than what was required by the government. And most of us also know others whose restrictions went even further than our own. A number of people effectively became voluntary shut-ins, losing all physical contact with the outside world out of fear of a dread disease.