What about quality of life adjusted life years? I don’t want to live to 100 and be miserable for the last 30
But if you can get me 90 years where I feel like a spring chicken until 89, then that’s just fine.
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I've definitely experienced mental states that were worse than being dead. I don't regret remaining alive because of all the positive experiences I've had afterwards. But if we are talking about extending suffering that's only followed by death, I don't see the point.