The Iranian regime gives financial support to terrorist organizations all over the world, denies the Holocaust, and calls for the wiping the state of Israel from the map, while developing long-range missiles and trying to obtain nuclear weapon.
The prime goal is to alleviate suffering, and not to prolong life. And if your treatment does not alleviate suffering, but only prolongs life, that treatment should be stopped.
At 20, 25, 30, we begin to realise that the possibilities of escape are getting fewer. We have jobs, children, partners, debts. This is the part of us to which literary fiction speaks.