This thread reminds me of my cousin's husband, a doctor, and his end of life story. In his early 60's he came down with some terrible disease that left him completely paralyzed for many months. Then it went into remission and he got his life back. Eventually, a couple of years later, the disease started to resurface and he got permission to fly his airplane one last time before the disease took over again. (They lived in a small town in remote western Kansas and for years pre-disease he had flown to the various towns where there were clinics at which he provided care.) He took off and flew up a few thousand feet and then his plane nosedived and smashed to the ground, killing him instantly. Apparently he chose suicide by airplane over going back into the the complete helplessness of a repeat paralysis situation that was expected to be permanent this time. If that's in fact what he did I can totally understand the decision.