Gavin Francis - How should we live?

Gavin Francis is a GP in Edinburgh, and also one of the best writers I know of on what it means to be a body moving through a life. In this conversation we got into territory I didn't quite expect — how much of modern spiritual hunger ends up in the consulting room, why a diagnosis can be both a relief and a trap, and what it actually looks like to help someone climb out of a dark period without reaching straight for a prescription.

He has a ten-point list he shares with patients in despair. It's practical without being glib, and I think it's quietly one of the most useful things in this episode.

We also talked about attention — how flow and deep engagement are being quietly eroded, what AI convenience might be costing us in terms of capability and friction, and why awe and equanimity aren't soft ideas but things that actually hold communities together.

He's thoughtful, unhurried, and genuinely humble about what medicine can and can't do. I came away with a clearer sense of what flourishing actually means — which is not the same thing as happiness, and is worth distinguishing.

If it resonates, please pass it on. You can find more conversations like this at This Examined Life — and if you'd like updates and new episodes delivered to you, sign up on Substack.

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