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He continues to meditate patiently, albeit drowsily, on the mortality of the emperors who preceded him. There’s nothing left of any of them now but bones and dust. Their once illustrious lives have gradually become insignificant to subsequent generations, who have already half-forgotten them. Even their names sound old, evoking memories of another era. As a boy, the Emperor Hadrian had befriended Marcus, and the two used to go boar hunting together. Now there are young officers under Marcus’s command for whom Hadrian is just a name in the history books, his real, living body long ago replaced by lifeless portraits and statues. Antoninus, Hadrian, Augustus—all equally dead and gone. Everyone from Alexander the Great right down to his lowly mule driver ends up lying under the same ground. King and pauper alike, the same fate ultimately awaits everyone …

This train of thought is rudely interrupted by a bout of coughing that brings up blood and tissue from the ulceration at the back of his throat. The pain and discomfort of his fever vie for his attention, but Marcus turns this into another part of the meditation: he tells himself that he’s just another one of these dead men. Soon he’ll be nothing more than a name alongside theirs in the history books, and one day even his name will be forgotten. This is how he contemplates his own mortality: using one of the many centuries-old Stoic exercises learned in his youth. Once we truly accept our own demise as an inescapable fact of life, it makes no more sense for us to wish for immortality than to long for bodies as hard as diamonds or to be able to soar on the wings of a bird. As long as we can grasp the truth firmly enough that certain misfortunes are inevitable, we no longer feel the need to worry about them. Nor do we yearn for things that we accept are impossible, as long as we can see with crystal clarity that it is futile to do so. As death is among the most certain things in life, to a man of wisdom it should be among the least feared.

Although Marcus first began training in philosophy when he was just a boy of about twelve, his practice intensified in his mid-twenties, when he dedicated himself wholeheartedly to becoming a Stoic. Since then he has rehearsed his Stoic exercises daily, trained his mind and body to obey reason, and progressively transformed himself, both as a man and a ruler, into something approaching the Stoic ideal. He has tried to develop his own wisdom and resilience systematically, modeling himself after the philosophers who shared their teachings with him and the other great men who won his admiration, foremost among them Antoninus. He studied the way they met different forms of adversity with calm dignity. He carefully observed how they lived in accord with reason and exhibited the cardinal virtues of wisdom, justice, fortitude, and temperance. They felt the pain of loss but did not succumb to it. Marcus has been bereaved so many times, has practiced his response to it so often, that he no longer weeps uncontrollably. He no longer cries “Why?” and “How could this happen?” or even entertains such thoughts. He has firmly grasped the truth that death is both a natural and inevitable part of life. Now that his time has come he welcomes it with a philosophical attitude. You might even say that he has learned to befriend death. He still sheds tears and mourns losses, but as a wise man does. He no longer adds to his natural grief by complaining and shaking his fist at the universe.

Since completing his journal of reflections on philosophy several years earlier, Marcus has been passing through the final stage of a lifelong spiritual journey. Now lying in pain and discomfort, nearing the end, he gently reminds himself that he has already died many times along the way. First of all, Marcus the child died as he entered the imperial palace as heir to the throne, assuming the title Caesar after Hadrian passed away. After Antoninus passed away, Marcus the young Caesar had to die when he took his place as emperor of Rome. Leaving Rome behind to take command of the northern legions during the Marcomannic Wars signaled another death: a transition to a life of warfare and a sojourn in a foreign land. Now, as an old man, he faces his death not for the first time but for the last. From the moment we’re born we’re constantly dying, not only with each stage of life but also one day at a time. Our bodies are no longer the ones to which our mothers gave birth, as Marcus put it. Nobody is the same person he was yesterday. Realizing this makes it easier to let go: we can no more hold on to life than grasp the waters of a rushing stream.

Now Marcus is growing drowsy and on the verge of drifting off, but he rouses himself with some effort and sits up in his bed. He has unfinished business to attend to. He orders the guards to send in the members of his family and his inner circle of courtiers, the “friends of the emperor,” who have been summoned to his camp. Though he appears frail and has suffered from illness throughout his life, Marcus is famously resilient. He has seemed on the verge of dying before, but this time the physicians have confirmed to him that he is unlikely to survive. Everyone senses that the end is near. He bids farewell to his beloved friends, his sons-in-law, and his four remaining daughters. He would have kissed each one of them, but the plague forces them to keep their distance.

His son-in-law Pompeianus, his right-hand man and senior general during the Marcomannic Wars, is there as always. His lifelong friend Aufidius Victorinus, another one of his generals, is also present, as are Bruttius Praesens, the father-in-law of Commodus, and another of his sons-in-law, Gnaeus Claudius Severus, a close friend and fellow philosopher. They gather solemn-faced around his bed. Marcus stresses to them that they must take good care of Commodus, his only surviving son, who has ruled by his side as his junior co-emperor for the past three years. He has appointed the best teachers available for him, but their influence is waning. Commodus became emperor when he was only sixteen; Marcus had to wait until he was forty. Young rulers, such as the Emperor Nero, tend to be easily corrupted, and Marcus can see that his son is already falling in with bad company. He asks his friends, especially Pompeianus, to do him the honor of ensuring that Commodus’s moral education continues as if he were their own son.

Marcus appointed Commodus his official heir, granting him the title Caesar when he was just five years old. Commodus’s younger brother, Marcus Annius Verus, was also named Caesar, but he died shortly thereafter. Marcus had hoped that the two boys would rule jointly one day. Any succession plans Marcus agreed with the Senate were always going to be precarious. However, at the height of the plague, as the First Marcomannic War broke out, it was necessary for Rome’s stability to have a designated heir in case a usurper tried to seize the throne. During a previous bout of illness five years earlier, rumors spread that Marcus had already passed away. His most powerful general in the eastern provinces, Avidius Cassius, was acclaimed emperor by the Egyptian legion, triggering a short-lived civil war. Marcus immediately had Commodus rushed from Rome to the northern frontier to assume the toga virilis, marking his official passage to adulthood. After the rebellion was put down, Marcus continued to accelerate the process of appointing Commodus emperor. If Marcus had died without an heir, another civil war would probably have ensued.