Death by Decision is not a book about wanting to die. It is a book about refusing to suffer by default. Every person will die. What remains contested-often fiercely-is who gets to decide how the final chapter unfolds, and at what cost. In clear, unsentimental prose, this book examines the quiet harms created by forced waiting: physical decline, invisible suffering, financial ruin, and the loss of agency that arrives long before death itself. This is not an argument for despair, nor a policy manual dressed as philosophy. It is a moral inquiry into autonomy, dignity, mercy, and the systems that delay choice until it is hardest to exercise. Drawing careful distinctions between suicide and end-of-life choice, between care and coercion, it asks why clarity is so often dismissed until suffering validates it. Death by Decision is written for readers willing to face an unavoidable truth with honesty: death is inevitable. How we meet it-and whether suffering is required along the way-should not be decided by fear.