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If one makes that refusal in the present under conditions of reasonable sanity -- that's fine. If one is impaired or confused and refuses that refusal should not be acceopted. And no statement no matter how witnessed and signed from times when things were heathly and comfortable should ever be considered at all. Because compassion errs for life and makes the presumption (true in many cases) one would still wish to live.

Look -- I was assigned the soon-to-die status myself long ago and put in wards with others in similar condition. If they decided to die -- to give up, that they had lived long enough -- they did. Including at least one I realky came to appreciate and always encouraged to live. He had run away from home at eleven and joined the circus. Lived an interesting and vibrant life. Had children and grandchildren who loved him.

He was working at an inner-city liquor store one Saturday night and got involved in a shotgun fight. But he could have lived!