The problem with this movie is basically that it never went into WHY he wanted to kill himself. The author went into it with the proposition that everyone would just get why someone in this situation would want to kill themselves and left it at that. The answer to her question of why, was it's his choice. That's a stupid answer. Is it my choice to kill myself right now, even if I'm not in a wheelchair and don't have a debilitating disease? I don't think many people would automatically say yes, it's your choice to me, while they would automatically say yes to him.
At the heart, I don't think it's even about him being a quadriplegic, it's about the fact he sees himself as an object of pity, instead of the object of envy he was before. Even if he was scarred in a fire, knife attack, shot and left with a limp etc, he still probably would have wanted to kill himself because he just couldn't deal with his new body, he didn't even try to deal with it. As she says in the movie he's selfish. Basically he was used to the best of everything in life, the best parties, best apartments, best clothes, best women, best jobs, etc. He views himself as being less than the best and anything less than the best just isn't worth living. He could have been happy, but he couldn't deal with the personal humiliation of needing people and possibly being pitied by strangers. Death was a better option for him.
I get if you have a debilitating disease that will eventually kill you as it progresses to want to end your life humanely and with some dignity before you die a very painful natural death. Be he didn't have a progressive disease. His health was relatively stable. He didn't kill himself because he was depressed or because he was in pain, he almost never took pain meds. He killed himself because he hated himself and his body and that's it. But instead of asking should someone be allowed to kill themselves because of self loathing, it just assumes we would all loath ourselves in the same situation, which is messed up.
The movie would have been much better if they would have given "the why" he wants to kill himself some depth and also the some depth into euthanasia. The ending was just so shallow, and it killed (no pun intended), what was otherwise a nice movie.
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