The Expectation of a Poor Quality of Later Life Encourages People to Want an Earlier Death

Why is it that, when asked, people largely express the desire not to live much longer than the present human life span? Usually they want to do a little better than their peers, but no more than that. I have suggested that this is a matter of conformity and discounting of future value - that the value of expressing a conforming opinion now, or holding a conforming belief, wins out over the future value of more years of good health and life.

Another popular hypothesis is that most people believe that longer lives will be accompanied by more suffering, more dysfunction and disease, and thus they have no great appetite for it. This has sometimes been called the Tithonus error, after the mythic figure granted eternal life without eternal health. It is an erroneous belief because there is no practical way to achieve this outcome through progress in medical technology. One cannot keep a damaged machine running without addressing the damage, and one cannot keep an aged human alive without addressing aging. The only way to improve matters is to repair the underlying cell and tissue damage that causes aging, and thus improve function as well as life span.

The patient advocacy community has long tried to make it clear that effective therapies capable of extending human life span would also extend healthy life span, indeed must also extend healthy life span, rather than produce a longer and worse decline. To be effective, a therapy must slow or reverse the damage that causes aging, and that will inevitably produce a better state of health in later life in addition to a longer life. Advocates clearly still have a long way to go in delivering that message to the world at large, however.

Preferred life expectancy and the association with hypothetical adverse life scenarios among Norwegians aged 60+

How long older individuals prefer to live given hypothetical adverse changes in health and living conditions has been insufficiently studied. The current study addressed how long individuals want to live and under a set of adverse hypothetical life scenarios. The sample was a population of adults aged 60 years and above in Norway from the NORSE study. The results suggest a relatively high preferred life expectancy (PLE) compared to findings from other investigations, although comparisons across culture and context are inherently problematic.

The desire to live is considered a basic driving force, but high life expectancy may also be related to individual unfinished business aims, and tasks one would like to finish before dying. Older age translated into higher PLE, particularly among the very old respondents. In our study, there was a tendency for longer PLE among men compared to women, but the difference was not significant. Thus, we did not replicate findings from other studies reporting that women prefer somewhat shorter lives.

Adverse health and living conditions prevalent at older ages may reduce preference to live longer. This study investigated the relationship between six hypothetic situations and PLE: dementia, spousal death, becoming a burden, poverty, loneliness, or chronic pain. The finding that dementia had the strongest negative effect on PLE concurs with prior studies suggesting a widespread fear of dementia. Chronic pain was also strongly associated with lower PLE in this study. For many people, chronic pain has been found to reduce quality of life and limit opportunities for social activities. It is also noteworthy that the third-highest ranked reason for lower PLE in this study was the belief that one represents a burden. Perceiving oneself to be a burden can relate to other outcomes in terms of self-view, including a loss of dignity at older ages.

Slightly above half of the respondents stated that poverty would decrease how long they would like to live. Poverty increases the risk of lower quality of life, autonomy, and wellbeing at older ages and relates to a greater disease burden. Severe poverty is rare in Norway. Older age groups have experienced rapid decreases in poverty levels over the last decades. Nevertheless, the fear of poverty in old age can still be widespread among older individuals, many of whom have grown up in a context where poverty was more prevalent.

Comments

I hate to say it, but I think about this when I'm in my 3rd and 4th day of fasts. I say to myself: "If you had to live like this indefinitely, without the knowledge of relief on the 5th day, would you want to go on?" A very mild opiate (when I had some left over from a dental procedure) made it go away. So I hope the Government will leave me alone and let me have a few poppy plants in my yard when I'm very old.

Posted by: Thomas Mark Schaefer at July 20th, 2021 3:31 PM

Advocacy alone won't do it. They will understand only when therapies will be out. They must experience it, like a flat-earther must go to space to understand he was wrong.

Posted by: Jonathan Weaver at July 20th, 2021 3:54 PM

A 3rd hypothesis is that all deeply inside, nearly as an instinct understands that we need new generations.

Posted by: Norse at July 20th, 2021 4:47 PM

For those of us who have lost loved ones there is also an additional difficulty of trying to accept both mentally and emotionally a very long life without them while dealing with the siren's call of hoping to see them again someday in an afterlife.

Posted by: Corbin at July 20th, 2021 5:04 PM

Sure, that is a major factor. But you fail to even consider the plight of the underclass. The masses of men lead lives of quite desperation. A thousand years a wage slave would be hell on earth for them. For them death is the great equalizer.

Posted by: JohnD at July 20th, 2021 6:10 PM

@Thomas Mark
Are you sure your protocol is good? Of you fast on nice or less regular basis you shouldn't feel that bad. Low on energy, swings on mood and cravings are possible but not real suffering. What is remarkable is that low blood sugar depletes the will power (actually it lowers your resolve). It is extremely easy to fall off the wagon but the worst I felt was nauseated .

Posted by: Cuberat at July 20th, 2021 7:20 PM

@JohnD
I could tolerate menial phisical work as long as I am in good health. Besides if there's life there's hope, so if the question was so you want to line to 100 and feel like day 30 years old how many would refuse?

Posted by: Cuberat at July 20th, 2021 7:23 PM

Well, duh... I'd rather die 10 years sooner still with all my marbles and managing my life than spend them in some shoddy care home without even remembering my name and shitting myself.

Posted by: mcmp at July 20th, 2021 7:29 PM

I am not sure I understand why some crave for other people to want what they want.
Is it money? Can SENS not get off the ground on 1-in-100 G7 country people (similar to those who have had or would seriously consider cosmetic surgery) contributing to anti-ageing work above and beyond what their insurance would cover (i.e. at it's very-early, pre-clinical, and early roll-out stages - say next 20 years)?
Is it regulatory? Requiring a ground-swell of interest and demand may nudge the FDA, etc., to 'open up'?
Is it cultural? do we feel that an ageing-is-not-inevitable culture is required to undo much of the fatalist, retire-ist, age-ist, and otherwise slow-down mentality that leads people to prioritize early life accomplishment?
In my ideal world, anti-ageing is a voluntary program - like a fitness regime that you join at any level of interest, commitment, and investment; hopefully available to most people of moderate means and possibly otherwise subsidized.

Posted by: Jer at July 21st, 2021 7:03 AM

@Jer
it is not only thet other people don't care but they would actively ridicule and oppose any anti-aging publication or study. So it is all of the above :)

Posted by: Cuberat at July 21st, 2021 7:44 AM

Post a comment; thoughtful, considered opinions are valued. New comments can be edited for a few minutes following submission. Comments incorporating ad hominem attacks, advertising, and other forms of inappropriate behavior are likely to be deleted.

Note that there is a comment feed for those who like to keep up with conversations.