In reality, many choices are between things that are not that much different. The value of choice depends on our ability to perceive differences between the options.
The quality of health care continues to improve, and people are living longer, but these developments mean that we're likely to eventually find ourselves in a situation in which we're forced to make difficult choices about our parents, other loved ones, or even ourselves that ultimately boil down to calculations of worth and value.
I do think that there are cultural differences in the extent to which we value having more and more choice.
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