Why Autopsies Are in Decline and Why it Matters

Death, Sex & Money

In the 1950s, about 50% of patients who died in a hospital in the U.S. received an autopsy. Today, that figure is in the single digits, which is a big loss according to two people who care a lot about this topic: 


One is Dr. Alex Williamson, an forensic and pediatric pathologist who performs autopsies and talks to families of the deceased about what he learned in the process. The other is Sam Ashworth, a novelist who went looking for a storytelling device and found an obsession. This week, both men explain why autopsies are important and what they can teach us about living. 


Sam Ashworth’s novel The Death and Life of August Sweeny is available now. 


This episode was produced by Cameron Drews.


Get more Death, Sex & Money with Slate Plus! Join for exclusive bonus episodes of DSM and ad-free listening on all your favorite Slate podcasts. Subscribe from the Death, Sex & Money show page on ⁠Apple Podcasts⁠ or ⁠Spotify⁠. Or, visit ⁠slate.com/dsmplus⁠ to get access wherever you listen.

If you’re new to the show, welcome. We’re so glad you’re here. Find us and follow us on ⁠Instagram⁠ and you can find Anna’s newsletter at annasale.substack.com. Our email address, where you can reach us with voice memos, pep talks, questions, critiques, is deathsexmoney@slate.com.

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In the 1950s, about 50% of patients who died in a hospital in the U.S. received an autopsy. Today, that figure is in the single digits, which is a big loss according to two people who care a lot about this topic: 


One is Dr. Alex Williamson, an forensic and pediatric pathologist who performs autopsies and talks to families of the deceased about what he learned in the process. The other is Sam Ashworth, a novelist who went looking for a storytelling device and found an obsession. This week, both men explain why autopsies are important and what they can teach us about living. 


Sam Ashworth’s novel The Death and Life of August Sweeny is available now. 


This episode was produced by Cameron Drews.


Get more Death, Sex & Money with Slate Plus! Join for exclusive bonus episodes of DSM and ad-free listening on all your favorite Slate podcasts. Subscribe from the Death, Sex & Money show page on ⁠Apple Podcasts⁠ or ⁠Spotify⁠. Or, visit ⁠slate.com/dsmplus⁠ to get access wherever you listen.

If you’re new to the show, welcome. We’re so glad you’re here. Find us and follow us on ⁠Instagram⁠ and you can find Anna’s newsletter at annasale.substack.com. Our email address, where you can reach us with voice memos, pep talks, questions, critiques, is deathsexmoney@slate.com.

Need to set up your Slate Plus feed? If you subscribed through Slate.com, check out our FAQ at slate.com/podcastfaqs for easy instructions. Members subscribed via Apple Podcasts get automatic access—no setup required.

Hosted on Acast. See acast.com/privacy for more information.

2026-01-13 42 min
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