down. Then she told me that EfraÃn wanted to die. I was really surprised. I thought perhaps she might be joking. Of course he must want to die, but the tone in which she said it implied something else. She said again that he wanted to die, that he was fed up with the whole business and tired of living like that. In principle, the procedure was simple: he just had to stop coming for dialysis. Thatâs all he needed to do. If, for one reason or another, he stayed at home, that would be that. His body wouldnât be able to stand it, some organ would simply stop working and he would die. You could almost call it a natural death.â
Andrés nods silently. He signs to the waiter and asks for another whisky.
âThatâs what the guy wants,â Miguel goes on. âHe just wants the nightmare to end. So do his family. Theyâve had enough, theyâre as ill as he is. His illness has infected them, itâs killing them as well. Theyâve spent years in the same hideous situation. You know what itâs like. The man canât do anything for himself now, heâs half-blind, he stinks of bicarbonate from the machine, he has to take special medicines; they have to ferry him back and forth, keep an eye on his blood pressure, feed him, wash him . . . Viewed coldly and objectively, for his family it would be a great relief, in every sense, if he were to die. And thereâs another point too: if you consider the situation from an institutional point of
view, from the point of view of providing a public service, it would suit society as well if old EfraÃn were to die. You and I have discussed this kind of thing before. Heâs nearly seventy and, given his age and state of health, he has no chance of being selected for a kidney transplant. But heâs taking up a place, a turn, on a dialysis machine. At the time, there was a seventeen-year-old girl on the list, waiting for a chance to start treatment at the unit. Wouldnât it be fairer for that girl to be there, rather than EfraÃn? I know that someone else, hearing this same story, might think it was tantamount to sanctioning homicide or murder or assisted suicide. But at the time, we all thought that EfraÃnâs death could be a blow for justice as far as the girl and her family were concerned, and for EfraÃn as well. As you yourself said: he already knew what his end date, his deadline was. All he wanted was to exercise his right to hasten that moment and not to continue this painful, long-drawn-out death. I talked to a priest about all this once. He, of course, gave me a sermon. I waited, and when heâd finished, I asked him: is masochism a sin? He was surprised, he hesitated, and then he said, yes, it was. Well, EfraÃn didnât want to go on sinning. Living, for him, was a masochistic act. He simply wanted his death to be a gentle one, he wanted his death to put an end to the torment of his life.â
âWhat are you getting at with all this? What did you do?â
âDo you know what happened? We decided to take the risk. All of us in the unit. If anyone had found out, we would have been in big trouble. The media would have had a field day, but that didnât frighten us; we decided
to take the risk anyway. I took it on myself to speak to EfraÃnâs family, to his wife and his eldest daughter. It was rather awkward, as you can imagine, one of those conversations in which no one says exactly what they mean; we spoke as if in code. There was a silent, secret pact. EfraÃn agreed to it too. He would go home, stop coming to dialysis, and that would be that. But it came to nothing. It all fell flat. And do you know why? Because we needed a signature, we needed one member of EfraÃnâs family to sign a piece of paper, saying that EfraÃn Salgado had stopped coming to the dialysis unit of his own free will. It was just a way of protecting ourselves, so that no one else in his family could come to