You've made some bargains.

We all have. Maybe you allow yourself a single Tommy’s burger every six months. Maybe you’ve given up meat altogether, or red meat anyway, most of the time. Maybe you’re serious about this and you’ve given up all refined grains and any processed anything; the extra buck a pound to buy organic seems a reasonable sacrifice. You’ve given up booze, cigarettes, pills, cocaine, sex with strangers. You tell yourself you don’t miss them. You wear sunscreen and eat flaxseeds. You go to the gym on breezy Sundays when you’d rather lie around. You go to yoga classes even though the chanting makes you want the world to end. You sold your motorcycle years ago. You cross at the light and look both ways.

No matter how many sacrifices you make to Lady Death, no matter how rich the offerings you lay before her altar, she will know where to find you. When she comes, she will hold you tight, and she will never let you go. Don’t be frightened. She takes us all.

Even here in Los Angeles, in the glow of so much newness, she takes 60,000 of us each year. That’s 164 each day. Imagine them all lying side by side, napping forever without a snore. The sun goes down and rises again, and 164 more are sleeping beside them, resting cheeks on shoulders, ears on arms. One day you will join their still parade. Chances are good—about one in four in L.A. County—that death will grab you by the heart. Coronary disease is by far our leading cause of mortality, as it is in the rest of the country. L.A.’s specific inequities, though, travel as deeply through death as they do through life. In this and other ways, death maps life. If you’re an African American or a Latino male and you die before 75, you’re more likely to die of homicide than any other cause. The same goes if you’re of any race or either gender and you live in South L.A. If you’re white or live west of La Cienega and it’s not your ticker that gets you, it will most likely be...