I guess to me it sounds like it's at best orthogonal to the idea of dragging out life; sometimes it drags out longer than it might otherwise have to, sometimes it ends much earlier than it would otherwise have to. I think my confusion was over mentioning "opt out of medical treatments" right after "we don't have to drag out life" in a way that sounded to me like it was calling them equivalent, and from my perspective, sometimes forgoing medical treatments can itself drag life out longer than someone might want.

Ultimately it sounds like we mostly agree that people can make personal decisions for themselves about their medical care; I just found the way you described it above fairly confusing.

(edit: I apparently missed that the response was from a different person than I originally responded to)