Nearly 40 years later, I am asking again what it means to live well
By Daren Anderson
I opened The Doctor Stories, by William Carlos Williams, with some trepidation. Would I read the words that had moved me so many years ago and still find them inspiring, or would I find them empty? When I first read this book, I was a confused youth trying to sort out the kind of life I wanted to lead. These stories inspired me to pursue a career in medicine and community health. Nearly forty years later, having just walked away from the life I had built, I found myself seeking answers to many of the same questions about life, purpose, and meaning, and wondering whether I had stayed true to my ideals.
When we first decided to pack up our lives and move to Italy, I had trouble explaining the reasons for doing so to others. It just felt like what I needed at this point in my life. Of course, there were many common clichés that I employed, like “If not now, when?” or “We found the courage to follow our dream.” But these sentiments, while containing shards of truth, didn’t do justice to the real motivations behind this major life change.
For me, far more than ticking clocks or following dreams, I was motivated by a subtle, gnawing sense of what I can only describe as unease. Something felt off, and things that I had considered certain no longer felt so. I found a quote by Linda Rose Cooper in her essay “The Teacher in Disguise” that expressed exactly what I was feeling:
What once felt solid no longer does. The roles we have lived inside begin to loosen. The explanations that once satisfied us no longer reach deeply enough. We find ourselves questioning things we accepted for years. Not because something has gone wrong, but because consciousness is asking more of us. It is asking us to look beneath the surface of our lives and see what has been there all along.
I was beginning to feel that the path I was on might no longer be the right one. Had I lost my way and failed to live the life I had intended, or was the life I intended no longer the life that I wanted? The whispered question question was hard to discern and was only audible in those rare moments when the noise and chaos of daily living briefly quieted and the chatter of my overactive mind slowed for a second, allowing the voice to be heard. Moving overseas allowed me to step away from the life I was living, drastically change the setting, and devote more time to contemplation.
Once we settled down into our new routine in Italy, I began to dedicate time each day to reading and reflection. I started with a variety of contemplative books about life, including The Second Mountain, by David Brooks, The Alchemist, by Paulo Coelho, and Falling Upwards and Eager to Love, both by Richard Rohr. Each of these books deals with questions of identity, purpose, and meaning in life, the very questions with which I was wrestling.
My wife Esterina and I spent hours discussing them. She was wrestling with similar questions. Our combined experience, our reflections, and our deep conversations formed the foundation for my own inward exploration. We bounced ideas off each other, shared observations, discussed things that we were reading, and challenged each other along the way.
Several months into our journey, I decided to revisit a college literature class that had changed my life. While I was a junior, I had been wrestling with many of the same questions that were reappearing now: What is the meaning of a life “well-lived”? What do I owe to others? What is my life’s purpose? Does it even have a purpose? The course was entitled “The Literature of Social Reflection” (Gen Ed 105). Led by Robert Coles, MD, a child psychiatrist, writer, poet, and well-loved professor, the class introduced me to authors who had tangled with the same sorts of questions. Some of the most impactful for me included The Death of Ivan Ilyich by Leo Tolstoy, Invisible Man by Ralph Ellison, and The Doctor Stories by William Carlos Williams.
While reading these books I began to struggle with the concept of inequality in our society and was disturbed by what felt to me to be my unearned place at the top of the social strata. Each morning on my way to class I would walk by a group of homeless men who camped out on top of a subway grate, taking advantage of the warm air escaping from the Red Line to take the bite out of the nighttime chill. My place in this scene, a student walking comfortably by, contemplating the meaning of life, while they struggled for warmth, seemed arbitrary and based more on the accident of birth rather than any personal merit on my part. It left me feeling guilty yet also motivated to do something, but I wasn’t sure what.
I found inspiration and a direction during the course, bolstered by my somewhat naïve, youthful idealism. I decided that I must find a way to ensure that I was using the many gifts that I had been given to make a difference in the lives of others, particularly those less fortunate than myself. “For of those to whom much is given, much is required”, a quote commonly attributed to John F. Kennedy, drawn from the Bible, summed up how I was feeling.
I am certain that many other young people have landed on this same conviction and found motivation from its simple calling. And I am sure that many eyes have rolled at hearing one more idealistic kid say how much they wanted to help others. But at the time, this guiding principle gave me the moral energy to seek a path in life that would be focused on finding ways to give back, and it still resonates with me today.
I found a way to act on this conviction when Dr. Coles assigned The Doctor Stories to read for the class. In this simple collection of vignettes about life as a doctor in Northern New Jersey caring for the poor, I found what I thought was my life’s purpose. Reading this book in my college library as a junior, I remember the moment distinctly. I entered the library with the book in hand, but with no clear idea what I wanted to do with my life. As I sat on the leather couch reading the stories, there was a moment when I said to myself: “This is what I want to do.” As I read it now for the second time, I found what I believe was the exact paragraph that sent me down a path that I had previously never considered.
It’s the humdrum, day-in, day-out, everyday work that is the real satisfaction of the practice of medicine; the million and a half patients a man has seen on his daily visits over a forty-year period of weekdays and Sundays that make up his life. […] But the actual calling of people, at all times and under all conditions, the coming to grips with the intimate conditions of their lives, when they were being born, when they were dying, watching them die, watching them get well when they were ill has always absorbed me.
I wrote my final essay for Coles’s class on my epiphany and how I felt the literature of social reflection could call us to a vocation. Afterwards, I had a chance to meet individually with Dr. Coles on several occasions. I don’t remember exactly what he said to me. But I remember the impression he made. He was disheveled. He would often go off on tangents, and he always seemed to be looking far away, wrestling with inner questions, unsettled, and unsure. It was apparent that he didn’t have all the answers. But he inspired me in a way that no one else had.
The Doctor Stories motivated me to go to medical school, to pursue a career in primary care, and to take a job at the Community Health Center of New Britain, Connecticut. Connecting with other people, listening to their stories, showing them respect and compassion, and helping them wrestle with their medical and social issues was infinitely rewarding, just as I had hoped.
Once I did a house call for a frail, elderly patient on a snowy day in January. While I was inside, the snowplow came by and blocked my car in the driveway. I shoveled out his driveway and he thanked me, not only for the medical care, but also for the snow plowing. I attended a wedding for two of my patients with HIV who were stable on antiretroviral treatments I was prescribing. I attended patients’ funerals. I got to know people in the community and felt connected in a very direct way.
But things got complicated along the way. I began hearing another call that was pulling me away from patient care. I started thinking that I wanted to find ways to make things work better for patients at a systems level, rather than one patient at a time. I took on a new administrative role at the Community Health Center and cut substantially back on patient care. Over the years I moved “up the ladder” and took on research, increasingly senior leadership positions, and eventually a company to run. Each of these new opportunities seemed to align with my original purpose. Each role kept me engaged in health care and working with the underserved, just as I had set out to do. Or did it?
Nearly forty years later I have come full circle, back to the questions I had in Coles’s class. What is the meaning of a life well-lived? Does this life, still in process, pass muster? More importantly, does it pass muster for me? Have I stayed true to the principles I had adopted after reading The Doctor Stories? If so, why do I feel I’m on the wrong path?
Walking away from it all was a dramatic step, but one that I felt I had to take to sort out the conflicting feelings that were making me uneasy. It is far too easy to keep following a path simply because we’ve been on it for a long time, without asking where it is taking us, or whether we still want to go there. I can still see traces of my youthful idealism in myself and trace them back to the Coles class. But I am also beginning to wonder whether my sense of purpose was too dependent on my career. I’m trying to look at the whole of my life: what I truly want, what I believe my life is for, where I find satisfaction and meaning, what balance might look like, and how relationships and human connection shape the way I want to live.
What path I’ll follow when we return to the U.S. is not clear yet, but I expect it will be different. As I continue on this journey I will share more about my reflections as they unfold.



































































