I have multiple medical issues that all have the effect of "you will go downhill fast in your 60s". I'm actually optimizing my health choices for QoL now over l

I have multiple medical issues that all have the effect of "you will go downhill fast in your 60s". I'm actually optimizing my health choices for QoL now over long term survival. Lots of more intense medications have side effects that get felt at point (high dosage Prednisone makes you go blind early, my most likely flavor of chemo makes you go deaf similarly) Decide now on what QoL isn't acceptable to you and plan accordingly. The idea you have to wait around forever to die is a strong cultural belief, but you get to pick how you live your life. That includes how and when it ends.