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If you knew your brain was atrophying (rotting) at a fast rate would you choose to die with dignity while you can still think for yourself?

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Yes.
I already have the means, just in case such a dire diagnosis might be made - or similar scenarios, such as some disease which guarantees severe pain until death with no drugs or other remedies that work.
It's important to have the means and use it before one loses the capacity to make the choice.
It's also important to discuss it with loved ones. Make an agreement that either they will be absent so that they can't possibly be implicated,
or that they choose to be there to support and farewell you.
Also best to organise to be in a place where it's legal.

The laws around the world are changing fast. Soon it will be legal everywhere so long as there is proof that the person made that choice of their own free will while still sane and able.

Given that medicine is now extending life to well past 90 and 100 years old - but often without any meaningful quality of life or relationships - the right to die is fast becoming a profound ethical issue.

Medicine should never be such a profitable and powerful industry that people are compelled to live.