The heart transplant will have them live in a state of uncertainty, most likely having to use a defibrillator until a suitable heart is found, if it is found. I

The heart transplant will have them live in a state of uncertainty, most likely having to use a defibrillator until a suitable heart is found, if it is found. It is risky, with many points of failure. As such, a certain death of their own terms might be more valuable than a chance of a life with the certainty that they will have to go through the suffering that has already driven them to disable the defibrillator mixed in with some more risk and pain. It would be a rollercoaster ride for the hungover, except they don’t know id they will get to step off. And the loved ones get to watch on from the side lines. Even with all that, it is tough to imagine not opting for the transplant, but this should just serve to help you empathise with pain they are going through.