In a surprising review of 30 years of major NDE studies, Nancy Evans Bush overturns the perception that distressing NDEs are rare and addresses inevitable questions about them: Are they true NDEs? How common are they? Why do some people have them? What do they mean? Noting the almost universal avoidance of these troubling experiences, she observes the absence of any evidence that “good people have good experiences and bad people have bad experiences,” and suggests other questions whose answers would increase the likelihood of dealing constructively with distressing NDEs.