There is also a condition that is slightly above brain death where there is some level of consciousness but an inability to communicate. Some people might choose to end their lives when they are permanently incapacitated. Many of these people choose to live and to do the best with what they have left. Others might decide that their pain and suffering is more than they can deal with and choose not to continue.

The position of the Church of Reality is that the individual gets to make that choice. If the individual can't make that choice or can't communicate, then it is the right of the individual's family to make the choice on behalf of the patient. A severe permanent mental disability might be a fate that is far worse that a permanent vegetative state or death. It is important that we don't put someone in a state of perpetual torture from which there is no escape.