Moore's how-to style of narrative seems to change with every story. Some have more choices than others, in a more choose your own adventure style, while others just tell you what to do. "How" is the first story that we get where Moore employs a narrative that has many choices for the reader to choose from.
The story starts off with, "Begin by meeting him in a class, in a bar, at a rummage sale." (55) giving the illusion of a choice that would determine the type of relationship present in the story. However, this doesn't happen. Instead of giving the main character in the story a choice in her life, we find that it is rather arbitrary. It doesn't matter where the characters met, what their jobs or hobbies are, or the time frame of the relationship, the relationship seems predestined to failure. This story is an interesting twist on the common cliche of one person falling out of love with their partner and then the partner getting a disease. There is a struggle in the mind of the person as to whether they should stay with and support someone who they really don’t love any more or if they should just leave. Moore presents this with a sense that any choice is arbitrary. At one point, the main character has a choice to sleep with another man, which seems to be a very important decision that one could make in a failing relationship, but in the end the outcome doesn’t change. In both situations, the relationship continues for a long while until the main character cannot stand to struggle anymore.
Moore seems to be using the lack of real choice to show that you cannot control everything. At some point, any choice that the main character makes won’t have any effect on her relationship. Even a choice that is as important as cheating on your partner really doesn’t affect much, other than when she gets home. We understand that her partner got a disease, but there is no way that the disease can be traced back to the background of either of the characters because there were so many choices that could be made. Moore wants the reader to understand that you can only control a small subsection of what happens in the world around you, and that you cannot blame yourself for things that are outside of your control.
In addition, the story ends with, “The sadness will die like an old dog” (64), which shows how everything will pass. Moore throughout the story is trying to get the reader to understand that whatever happens to make this situation happen, and whatever happens afterwards, as long as it is outside of your control to a certain extent, you won't need to feel guilty for the rest of your life. Many things in life are arbitrary, so control what you can and don’t let what you cannot control affect you more than it needs to.