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And claiming to know best for others if they should live or die would be recognized as vicious, tyrannical & morally bankrupt.

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In an enlightened society, suicide would carry no stigma. Planning for death and planning for life would not be morally charged.

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those that I knew that killed themselves weren't looking for death, but freedom from their own minds.

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Practically speaking the same thing.

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not if other paths exist - the karma of suicide vs an ayahuasca trip are different.

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Circles back to the taboo. We assume that suicide is pathological, then shame and invalidate those who choose it.

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Furthermore, respecting someone's wishes does not preclude offering alternative paths - just compulsion or coercion.