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The accumulation of health problems as grounds for euthanasia often poses a challenge for physicians. The distinction between the accumulation of health problems and a 'completed life' is sometimes hard to make. Suffering is subjective and the question is if and to what extent pronounced anticipatory suffering and detachment should be considered in the request for euthanasia. A very old lady, who sets great store by propriety, requests euthanasia because she feels she will no longer be able to live an independent life. Her symptom