Personally, no I wouldn't. But I'd think highly of you if you chose to forgo expensive treatment for a very elderly and senile relative, in favor of spending the money on improving the quality of life for other people anywhere who desperately need it. I sure don't want any of my money, or my insurer's money (read: all policyholders' money), or taxpayers' money spent to keep me alive if I'm senile and incontinent and have no realistic possibility of any further enjoyment of life or of helping anyone else to enjoy life.