It's one of those things; you just get a very nice stroke from being included in the next thing.
Every state in America has an end of life directive or durable power of attorney provision. For the peace of mind of your children and your spouse as well as the comfort of knowing the government won't make these decisions, it's a very popular thing. Just not everybody's aware of it.
From a religious point of view, if God had thought homosexuality is a sin, he would not have created gay people.