Excerpted from Agony: A Proposal, a book that pro­poses to put in play at the cen­ter of American life a kind of game. A game called Agony.

The Lunatic, at any time, may excom­mu­ni­cate or grant retire­ment to any or all of The Country Doctors beneath her, save Little Fuadie, who may be excom­mu­ni­cated but is never pro­vided with retire­ment. Every deci­sion The Lunatic makes is sub­ject, of course, to pub­lic scrutiny. While the pub­lic can­not reverse A Lunatic’s deci­sion, A Lunatic who has been unfair is sub­ject to impeachment.

Only A Lunatic can be impeached.

When a Country Doctor is removed from power, it is usu­ally by way of retire­ment. Retirement means enter­ing into Laughter and dwelling among Smut Peddlers, True Dreamers, and retired Country Doctors. Excommunication is a much rarer fate; to be excom­mu­ni­cated, A Country Doctor must have per­pe­trated a decid­edly heinous act, an act bla­tantly dis­re­spect­ful toward the Agony he or she has been entrusted with.

Excommunication of Country Doctors may be of one sort or another.

The first sort of excom­mu­ni­ca­tion applies only to The Glutton, and pro­ceeds in this fash­ion: The Excommunicated Glutton is removed from The Frontier and taken to The Great City, which is a jail located just ten miles from The Frontier. In The Great City, the excom­mu­ni­cated Glutton will live out the rest of her days in a small cell. The cell is “nice.” She is well-fed and receives med­ical atten­tion when she needs it, but, aside from food, shel­ter, and med­ical care, she has access to just one other resource: a lethal dose of mor­phine. This morphine-dose is known as A Bare Bodkin, and it can be requested at any point. A Bare Bodkin is all an Excommunicated Glutton needs, should she decide that her excom­mu­ni­ca­tion is not some­thing she can endure.

An Excommunicated Glutton is allowed no books—nothing at all which might be read and noth­ing with which to write—no music, and no human com­pany. An Excommunicated Glutton’s food is deliv­ered and her med­ical care given by a dumb­waiter, and when Game

Officials are pressed to come into her pres­ence, they are not allowed to speak with her. She is pro­vided with just one diver­sion: her tele­vi­sion plays, con­tin­u­ally and in order, all the episodes of The Andy Griffith Show. When the last show fin­ishes, the first follows—a con­tin­u­ous loop. The Excommunicated Glutton watches again and again as Opie grows up, Andy searches for a proper wife, and Aunt Bee dreams of absolute sta­sis. With her Bare Bodkin always firmly in place at the back of her mind, she is encour­aged to under­stand the impli­ca­tions of a world with­out Agony.

The sec­ond sort of excom­mu­ni­ca­tion applies to The Glutton’s male col­leagues: Yahweh, The Torso-Painter, and Little Fuadie. It dif­fers from the first sort only in that there are unnec­es­sary surg­eries involved. The surg­eries are yearly (one per year) and pro­ceed in this way: after one year, a foot is removed; after another year, the other foot is removed; after another year, a leg is removed; after another year, the other leg is removed; after another year, an arm is removed; after another year, the other arm is removed. The Great City in this way urgently encour­ages Excommunicated Country Doctors who are not The Glutton to con­sider their Bare Bodkins. Excommunicated Country Doctors who achieve all of the surg­eries are thence­forth known as Basket Cases. A Basket Case is hooked up to a feed­ing tube and a colostomy bag.

Most Excommunicated Country Doctors who are not The Glutton are fated to become Basket Cases.

The Great City is where shame­ful Country Doctors are con­fined to their hor­rific last days.