Happy couple looking a map while sightseeing Barcelona city.

How travel 'bucket lists' help cancer patients handle life and death

13 May 2024
Does ticking off a bucket list translate to a life well-lived?
Dr Leah Williams Veazey, Dr Katherine Kenny and Professor Alex Broom from the Sydney Centre for Healthy Societies explore the significance and potential downfalls of bucket lists for cancer patients, and how dreams of adventure change in the face of illness.

In the 2007 film The Bucket List Jack Nicholson and Morgan Freeman play two main characters who respond to their terminal cancer diagnoses by rejecting experimental treatment. Instead, they go on a range of energetic, overseas escapades.

Since then, the term “bucket list” – a list of experiences or achievements to complete before you “kick the bucket” or die – has become common.

You can read articles listing the seven cities you must visit before you die or the 100 Australian bucket-list travel experiences.

But there is a more serious side to the idea behind bucket lists. One of the key forms of suffering at the end of life is regret for things left unsaid or undone. So bucket lists can serve as a form of insurance against this potential regret.

The bucket-list search for adventure, memories and meaning takes on a life of its own with a diagnosis of life-limiting illness.

In a study published this week, 54 people living with cancer, and 28 of their friends and family said a key bucket list item was travel.

Why is travel so important?

There are lots of reasons why travel plays such a central role in our ideas about a ‘life well-lived’. Travel is often linked to important life transitions: the youthful gap year, the journey to self-discovery in the 2010 film Eat Pray Love, or the popular figure of the ‘grey nomad’.

The significance of travel is not merely in the destination, nor even in the journey. For many people, planning the travel is just as important. A cancer diagnosis affects people’s sense of control over their future, throwing into question their ability to write their own life story or plan their travel dreams.

Mark, the recently retired husband of a woman with cancer, spoke about their stalled travel plans:

“We’re just in that part of our lives where we were going to jump in the caravan and do the big trip and all this sort of thing, and now [our plans are] on blocks in the shed.”

For others, a cancer diagnosis brought an urgent need to ‘tick things off’ their bucket list. Asha, a woman living with breast cancer, had always been driven to ‘get things done’ but the cancer diagnosis made this worse:

“So, I had to do all the travel, I had to empty my bucket list now, which has kind of driven my partner round the bend.”

People’s travel dreams ranged from whale watching in Queensland to seeing polar bears in the Arctic, and from driving a caravan across the Nullarbor Plain to skiing in Switzerland.

Humpback whale jumping out of the water in Australia. The whale is falling on its back and spraying water in the air.

Whale watching in Queensland featured in some study participant's bucket lists.

Nadia, 38, said travelling with her family had made important memories and given her a sense of vitality, despite her health struggles. Being diagnosed with cancer had given her the chance to live her life at a younger age, rather than waiting for retirement:

“In the last three years, I think I’ve lived more than a lot of 80-year-olds.”

But travel is expensive

Of course, travel is expensive. It’s not by chance Nicholson’s character in The Bucket List is a billionaire.

Some people empty their savings, assuming they would no longer need to provide for aged care or retirement. Others had used insurance payouts or charity to make their bucket-list dreams come true.

“We’ve actually bought a new car and [had been] talking about getting a new caravan… But I’ve got to work. It’d be nice if there was a little money tree out the back but never mind,” said Jim, a 60-year-old whose wife had been diagnosed with cancer.

Not everyone’s bucket list items were expensive. Some chose to spend more time with loved ones, take up a new hobby or get a pet.

Our study showed making plans to tick items off a list can give people a sense of self-determination and hope for the future. It was a way of exerting control in the face of an illness that can leave people feeling powerless. 

“This disease is not going to control me. I am not going to sit still and do nothing. I want to go travel,” explained Asha.

Something we ‘ought’ to do?

Bucket lists are also a symptom of a broader culture that emphasises conspicuous consumption and productivity, even into the end of life.

Indeed, people said travelling can be exhausting, expensive and stressful, especially when they’re also living with the symptoms and side effects of treatment. Nevertheless, they felt travel was something they “ought” to do.

Travel can be deeply meaningful, as our study found. But a life well-lived need not be extravagant or adventurous. Finding what is meaningful is a deeply personal journey.

Names of study participants mentioned in this article are pseudonyms.

Dr Leah Williams Veazey is ARC DECRA Research Fellow in the Sydney Centre for Healthy Societies in the School of Social and Political Sciences.

Dr Katherine Kenny is Deputy Director of the Sydney Centre for Healthy Societies, ARC DECRA Senior Research Fellow, and SOAR Prize recipient in the School of Social and Political Sciences at The University of Sydney.

Professor Alex Broom is Director of the Sydney Centre for Healthy Societies. He is recognised as an international leader in sociology, with a specific interest in health, illness, and care. 

This story was first published in The Conversation. Hero Photo: Adobe Stock Image

The Conversation

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