No Stupid Questions
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So apparently yes, even in the later stages there's still awareness and in the latest stage the refusal to eat may be tied to an awareness of its relationship to death and the choice shouldn't be taken away from them.
(Though really, starving to death sounds pretty terrible and like there might be better options for a more evolved society.)
Like letting people go out on their own accord through a right to death. I hope that becomes a thing by the time I'm old, I don't want to just waste away and be a burden on my family