There is always going to be a great variety of views on this. My take on it is that I am now 80 and have run my life to the best of my ability, and have every intention of doing so for the rest of it, long or short. So long as I was not causing problems for others I have made my own decisions and accepted the result of that. So think Diana Trent in Waiting for God, if you ever saw that. There is no way that I would go and live in a care home , if I can help it. They may suit other people , but as long as I can possibly do so, I will live in my own space , and so , while health and lack of funds might stop me doing some things, I have the joy of music, radio 3, and 4, and surrounded by many books, and the ability to go out and come in at times that suit me and be beholden to no one, and not have to "clock in" . I accept the down sides, when I struggle to move about much or cant bend for something or whatever. Then things just have to wait until I can manage. I have always cooked most things from scratch, preferring my own cooking to shop bought stuff and knowing what makes up the contents of my plates. Yet I have had to find a few things that I can have in the freezer , for days when I just cant stand up and cook.
I did 10 years hospital car and have seen how unforeseen things can alter your life and not in a way you would choose. So I gave up my house and lovely garden with regret but chose to move to a ground floor flat, ensuring that I could manage for longer with no hills etc. But it has ensured that I can remain in charge of my life for longer, well that is how I see it. I have cancer again now which is not good news , but am coping and again , by living here I am able to go for treatment, and remain at home. Actually my back causes me much more everyday hassle and frustration, and if I was in a care home I recognise that I would have more help, and probably much less pain, yet even that does not make me want to leave here. As regards to medication, I listen carefully to what doctors say, do some checking up of my own and try to come to a sensible decision. I am diabetic and take tablets for that, but with reasonable care I can manage my food intake and of course sometimes eat less healthily , but over all I am coping.
We all have our own views on what is important in life. If I can still enjoy music and art and reading, be able to enjoy eating and drinking occasional treats then I will continue to plod along. If I am feeling particularly down or struggling a lot then I have bits of Billy Connolly recorded, and I just find him very funny and makes you laugh out loud. Definitely something that , for me, is much better than medication. I listen to J S Bach every day, and many other things too, which can still surprise and cheer me, and enjoy watching the wonderful Nature programmes which allow us to see things that we may never have the opportunity to see in real life. There is a lot of rubbish on tv , in my opinion but those wonderful nature programmes I thoroughly enjoy. So with things like that and my radio, I have much to still enjoy, and can please myself when I listen or watch. This may not be the best life but it IS a life , in a way that matters to me. I just hope that I am never in a situation where I am bedbound without the chance to enjoy these things that count so much for me in my life. If I can no longer enjoy anything and am only living because I am breathing, then I would not want to continue. We all have things that make our lives still worthwhile, and I think we are all responsible to try and live in a sensible manner so that we can continue to enjoy our choices. However , one mans meat etc., I do not think I have the right to tell anyone else how they live their lives. GN is also part of my life too now, and there is much to learn, and enjoy , and occasionally feel annoyed about, but how great it is to have something to read about at rubbish oclock in the morning when you cant sleep! I never look up on Google or whatever about illness things, If I cant actually do anything myself about it , it would just be one more thing to worry about, so I dont look. After all these years I think I recognise when I need to see a doctor, although they usually moan at me and say I should have come sooner, but if something hasnt been affecting me much I prefer to see how it goes. I hate injections and dont much care for tablets, so will definitely not be trying to have any unnecessary costly treatment, and accept it is my own fault if I should have gone earlier. If they suddenly discovered that coffee shortened your life by a day a month, I would still choose to drink it as fresh coffee is my favourite drink, and so again I make my choice and live by the consequences. Enjoying what you can in life seems to me to be the measure of what you can do for yourself within reason.