This, however, is by no means the end of the story. It is now cash-in time. The mortuaries that did take AIDS cases began charging healthy “AIDS handling fees,” usually $200 to $500. Others used subcontractors to do the embalming, covertly adding the cost by inflating the basic service fee. When the problem began to reach crisis proportions in New York City, the Gay Men’s Health Crisis (GMHC), with the help of volunteers, surveyed the city’s five-hundred-odd licensed funeral homes to identify their AIDS policies. With that information in hand, it put together a guide recommending only forty-two of the five hundred mortuaries to the thousands of friends and relatives of people with AIDS.

The New York City Human Rights Commission got involved in the matter and, as reported in the Boston Phoenix(March 12, 1993), published GMHC’s list, which fanned public outrage. Loss of business and some successful damage actions helped produce a turnaround, and many mortuaries asked to be added to the referral list.

Elsewhere, however, the AIDS surcharge persisted in one form or another, despite its illegality under the Americans with Disabilities Act (ADA), which requires funeral homes to “provide their services on a non-discriminatory basis to persons who have had AIDS.” Since the government was doing nothing to ensure compliance, California assemblywoman Jackie Speier, prodded by the funeral and memorial societies, in 1992 introduced two antisurcharge measures in the state legislature. The leaders of the campaign—Ann Tompkins, president of the California-Hawaii Federation of Funeral and Memorial Societies, and Karen Leonard (dubbed by the Boston Globethe “scourge of the funeral industry”)—feeling that something was needed to waken the legislators from their lethargy, had Ann appear dressed in a “state-of-the-art” protective suit, the outfit that coroners wear when opening and dissecting bodies for autopsies… a far more invasive procedure than embalming. Ann then did her striptease, removing the entire “protective” outfit down to the latex gloves, while Karen explained that the gloves were the sum total of protection needed, or prescribed by OSHA (Occupational Safety and Health Administration), for handling supposedly diseased cadavers. Wholesale cost: two dollars per hundred pair.

Everyone enjoyed the performance except the funeral directors, who were there en masse. The bills passed and were signed into law, the first such legislation in the nation.

7. THE ALLIED INDUSTRIES

The undertaker, who pockets slightly more than half of the funeral dollar, has generally drawn the spotlight upon himself when the high cost of dying has come under scrutiny. But he is not the whole show. Behind the scenes, waiting for their cue, are the cemeteries, florists, monument makers, vault manufacturers. The casket-manufacturing companies, to whom the undertakers are perennially and heavily in debt, are often lurking in the wings like ambitious understudies waiting to move in and assume control of the funeral establishments should financial disaster strike.

The cast in this drama is not always one big happy family. There are the usual backstage displays of irritation, pique, jealousy, a certain vying and jockeying for position. There are lawsuits and scathing denunciations which arise because of the stiff competition. These can be submerged in the interests of a common endeavor, for the show must go on, and the common goal must be served: that of extracting the maximum admission fee from the paying audience.

The casket companies reported that the alarming condition of the industry’s accounts receivable was “far more aggravated in the casket field than in any other manufacturing endeavor.” Back in 1961, the funeral establishments owed the casket makers more than $39 million, 20 percent of the year’s production, an amount equal to about 317,000 caskets, of which, groaned the creditors, some 40 percent had “already been interred!” Presumably making repossession a most inconvenient remedy for the creditor.

The answer to this problem is, of course, to sell in ever-higher brackets. As Herbert L. Stein, vice president of the National Casket Company and president of the Casket Manufacturers Association, said, “Since the public’s purse limits funeral expenditures and nature limits the number of funerals… skillful merchandising of quality goods is about the only avenue for upping profits anywhere along the line.”

Selling the public on the “quality” of his merchandise can tax the ingenuity of the undertaker. The costliest caskets are those built of the thickest metal. The cheaper lines of metal caskets, constructed of thin sheet metal over a wooden frame, achieve the same look of massive elegance, and can hardly be distinguished (except by grateful pallbearers) from the heavyweights that weigh hundreds of pounds more and sell for thousands of dollars more. A writer in Mortuary Managementdescribed the average run of lightweight metal caskets as “nothing more or less than stovepipes. Stovepipe gauges are always misleading the public…. ‘Metal is metal,’ says John Public.”

The method hit upon by the casket makers to solve this knotty problem is essentially the method used by furniture manufacturers (whose direct descendants they are): that is, to make the cheaper lines so hideous that only customers who can afford the barest minimum will buy them. Mr. John Beck, then president of the Balanced Line Casket Company and of Elgin Associates, [5]carefully explained the position:

And Mr. Leroy R. Derr, president of the Boyertown Casket Company:

So well did the anti-cheapie program succeed that sales of metal caskets soared. The significance of this industry-engineered change in funeral fashions lies in the circumstance that the wholesale cost of a metal “sealer” casket is today $350, while a cloth-covered softwood wholesales at about $160. Grained-hardwood caskets, which wholesale on an average for about as much as metal ones, have held their own over the years, accounting for about 15 percent of unit sales. The metals, however, which can be mass-produced more cheaply than the hardwoods, are the ones that are pushed most vigorously by the manufacturers.

Here again, what is good for one segment of the burial business has its odd and painful repercussions in another. So enthusiastically are metal caskets pushed that fairly often they are sold even in cases where the deceased is to be cremated. This is most irksome to the crematories, whose equipment—designed for the expeditious combustion of wood—is not geared to the combustion of metal receptacles.

One crematory operator told me how they solve the problem: the lightweight metal caskets are put into the retort, where they eventually buckle and partially melt. “The remains are actually baked,” he explained. The heavier and costlier grades cannot be disposed of in this way because they are likely to ruin the crematory equipment. The body is removed from this type of casket and cremated as is—which leaves the problem of disposing of the casket. “State law prohibits the reuse of them,” the crematory operator said. “You can’t very well take it out to the city dump, because what if the family should happen to pass by and see it there? So we have to break them up and scrap them.”