I have an acquaintance who has lived most of his life without kidneys(40 years). Looking in from the outside, his life seems normal; go to the gym and have a b

I have an acquaintance who has lived most of his life without kidneys(40 years). Looking in from the outside, his life seems normal; go to the gym and have a beer or two like anyone would, except for the dialysis trips. I then have a relative into their late 60's that was very laxed about diabetics within recent years.This has lead to kidney issues. They are refusing dialysis because of I guess the stigma attached to it. Now they are experiencing a cognitive decline due to poorly functioning kidneys. I guess when you want to live you would do whatever it takes.