Especially because bystanders are usually dragged into the supposedly private/family decision.
That happens because, whenever one person or group is guaranteed "rights," another group or person gets obligations to enforce or carry out those "rights." The people who are asked to enforce or carry out those "rights" may believe they are forced to act against their consciences.
* "[Nancy Cruzan, three days before her death from starvation] turned and looked at me and stared at me with a panicky look, sweating profusely, and the thought I had was, she was thinking, Oh, heres a policeman, hell help me. But we werent allowed to do that,"...Doug Seneker
Thank you. YOU get it.