Why/How individual’s who are ill or suffering can (seemingly) “choose” to live or die, but in generally good health we cannot “choose” to simply let go in the same way?

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It just seems in certain age or conditions there is a point in which a person can hang on or let go. Why is this not something we have within us at all times? How does the body register this. I understand how organs must be working and bodily systems, too, but how/why does the mind/body only accept this choice to pass on only when suffering?

Edit: I am not referring to physically harming one’s self to end their own life, but more the mental, psychological, & perhaps spiritual realization/decision that automatically influences the body to shut down on its own.

In: Biology