The Last Choice establishes that preemptive suicide in advanced age
can be rational: that it can make good sense to evade age-related
personal diminishment even at the cost of good time left. Criteria
are provided to help determine whether soundly reasoned, cogently
motivated and prudently timed self-destruction can be in one's
interests late in life. In our time suicide and assisted suicide
are being increasingly tolerated as ways to escape unendurable
mental or physical suffering, but it isn't widely accepted that
suicide may be a rational choice before the onset of such
suffering. This book's basic claim is that it can be rational to
choose to die sooner as oneself than to survive as a lessened
other: that judicious appropriation of one's own inevitable death
can be an identity-affirming act and a fitting end to life.
Discussion of preemptive suicide goes beyond contributing to
current widespread debate about assisted suicide. It is a matter
tightly interrelated with other "right to die" questions and one
bound to become a national issue. If there are good arguments for
escaping intolerable situations caused by age-related deteriorative
conditions, most of those arguments will equally support avoidance
of those conditions. If assisted suicide becomes more generally
acknowledged and accepted, preemptive suicide will almost certainly
follow. It is crucial, then, to examine whether preemptive suicide
constitutes a rational option for reflective aging individuals.
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