Impermanence and doing

Reading Sogyal Rinpoche's The Tibetan Book of Living and Dying, the old question arises, Why work to improve [the world | ourselves], when, even should we create perfection, our achievement would eventually vanish (transform), as all things, being impermanent, do? It's answered with another question: Since we must do something, what alternative do you suggest?

Master Ma is unwell

Though it would seem we are all unwell at least some of the time (I happen to think now of Kierkegaard's Sickness Unto Death), the trick appears to rest in not identifying with—building an identity, or self, around—our unwellness, or our sickness, our emotions, our thoughts or whatever-it-may-be.