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The Psychological Barrier to Autonomy
Q Theory has played apart in how organ transplants waiting lists are done in both Europe and America. India with the sort of passagets after Joltana, though it is a different story. The optimism bias tends to be hugely strong. And I do not know why, but Asians, India may be more prone to that. It will be never an angle. End of life decision making may be problem.