John Oliver dives into the unexpectedly essential world of coroners and medical examiners

John Oliver used his last Game of Thrones lead-in to discuss death. "Specifically, this story is about the people who investigate deaths when they happen," he explained on Sunday's Last Week Tonight. "And if you're thinking, 'I don't want to see that on TV,' are you completely sure about that? Because death investigators aren't just supporting characters on some of the most popular shows."

"In real life, every year about 2.8 million Americans die," Oliver said, and while doctors identify cause of death on most death certificates, "if someone dies under suspicious or unnatural circumstances, their body may be sent for further examination and possibly a forensic autopsy. That's what happens to about a half a million bodies each year, and those investigations are incredibly important. A death certificate isn't like a degree from USC — it actually means something." Autopsies are important in murder investigations, but they also highlight trends in drug deaths, help identify defective products, and warn of infectious disease outbreaks.

"So tonight, let's learn about our death investigation system, specifically how it works, why it's such a mess, and what we can do about it," Oliver said. First, medical examiners and coroners aren't synonymous — medical examiners must be doctors, coroners are often elected, with shockingly few qualifications. That's "frankly weird enough," he said, but "in some jurisdictions, the coroner is also the county sheriff, and that has led to some serious problems."

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The medical examiner system is better, but there are problems there, too, Oliver said. "The resources crunch is so bad that some offices wind up outsourcing work to private contractors, and this is where this story gets absolutely incredible." He focused on one contractor. "Look, I know this issue is tempting to ignore — it combines two things that people hate thinking about the most: Death and municipal funding," he said. But he tried to make it palatable, roping in Beyoncé, Glenn Close's spleen, and Tracy Morgan. (There's NSFW language.) Peter Weber

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