I did say it was not a pleasant option!
However, I do stand by the point that at the extreme end of the scale. I loved my grandmother. However, for the last 10 years of her life, her quality of life was so poor that, if it was an option I would have sadly, but kindly called time on it, as would have every member of her family. For her sake primarily, but the state’s finances would have also benefited. The grandmother I knew and loved died in 2009, just over ten years before her funeral.
She had dementia for about 15 years. The first few she still had an active life, and good social interactions, and I think (hope) she got joy from it. But by the end? She had no idea who anyone was. She couldn’t read/watch tv/hold any sort of conversation with anyone because she couldn’t hold anything in her mind for more than a moment or two. She became angry, and abusive, with moments of pure fear. Her previous, true, self would have been horrified. She was in a lot of pain from conditions that weren’t life threatening but nonetheless made her final few years a misery. What was she getting out of it? I would be arrested for keeping my dog in that state. She moved in with family so they could look after her but eventually had to move into care. Within a few years the proceeds of her house sale/life savings were gone. The state was paying for her care for years. I don’t think the spending all that money was in her interest or the tax payers. To me, that’s a very clear cut situation.
I appreciate there are very murky grey areas- weighing up the cost/quality of life benefits and balancing the wants of the individual vs the whole population when trying to share limited resources. Obviously if a person is paying privately from their own money then it’s entirely their decision. But in the case where the person’s quality of life is gone, they are in pain and not getting better but not immediately terminal, it doesn’t matter how much the state spends looking after them, the inevitable is coming. I don’t think it’s in the interests of the individual, the state or the younger generations to pour huge amounts of limited resources into dragging that out.