In my opinion, there’s also a third (and certainly controversial) option: suicide is the ultimate expression of freedom, self actualization, and human dignity. I don’t plan to kill myself in the foreseeable future, but the thought that I could gives me hope, power, and removes any fear from my life. A friend of mine is 94 and lives in constant, non-treatable pain, and the thought that she can end her life when she decides to do so makes things bearable for her.

I know that this ultimate freedom is also ultimate selfishness, because the loss is felt by your close ones, not you. But this makes me perhaps an asshole, but not sick.