A Matter of Life and Death

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American Heritage Dictionary of Idioms:

matter of life and death, a

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A very urgent issue, situation, or circumstance. This expression can be used either literally, as in She told the doctor to hurry as it was a matter of life and death, or hyperbolically, as in Don't worry about finishing on time--it's hardly a matter of life and death. First recorded in 1849, it alludes to such urgency that someone's life depends on it. Although a matter of life or death would make more sense, it is rarely put that way.

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A Matter of Life and Death

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matter (Idiom)
death (Idiom)
Hod (parapsychology)