“To see to it that Richard Forthrast’s last will and testament—including the health care directive and the disposition of remains—is enforced,” El said.

“You see that as something you have the moral and ethical authority to do?”

“I don’t know anything about the family,” El said. “You are a different matter, C. Even though we haven’t met, I can evaluate who you are based on your track record, your LinkedIn profile. I came into this bar knowing that you and I would be able to have a conversation that was calm and technically well informed.”

“What does that have to do with my question?”

El held up a hand to placate him. Stay with me, bro. “A thought experiment. A man is born into a primitive tribe where medical care is in the hands of witch doctors. Their most advanced therapeutic technology is a rattle. Later he manages to get an education. He moves to London and becomes well-off. He wants to make sure that, if he gets sick, he’ll get the same medical care as anyone else in London. So he writes a health care directive that—never mind the polite language—basically says the following to the doctor. It says, ‘If I get sick and can’t speak for myself, some of my relatives might show up and try to heal me using rattles. They might try to prevent you, the doctors, from giving me the medical care I want. Well, fuck them. Keep them out of my room. They can hang around on the street outside the hospital shaking their rattles all day and all night, but the only people I want inside the room making decisions about medical care are actual doctors and nurses.’ He writes that all up in a form that is completely bombproof from a legal standpoint and he signs and seals it six ways from Sunday and he files it away in a safe place. Now, let’s say that the worst comes to pass and this man does in fact get so sick that he can’t speak for himself anymore. He winds up in the hospital, and sure enough, his relatives show up with their rattles. And not only do they want to stand by his bed and shake their rattles but they want to exclude the doctors and nurses, pull out the IVs, turn off the machines, withdraw the medicine. In that situation, Corvallis, would you say that the doctor has the moral and ethical authority to have security escort the rattle shakers to the exit?”

“So you want to know if Richard’s next of kin are rattle shakers?”

“Yes.”

“And,” Corvallis said, “just to be clear about your analogy—you are the doctor. And the medical care you are talking about is not just normal medical care as we would conventionally understand it, but—”

“But ion-beam scanning of his brain. Yes.”