Pegasos believes that for a person to be in the headspace of considering ending their lives, their quality of life must be qualitatively poor. Pegasos accepts that some people who are not technically ‘sick’ may want to apply for a VAD. But this does not mean the person is ‘well’. Professor David Goodall was one of these people. He was not sick but his eye sight was failing him, as was his mobility. Old age is rarely kind. The decision to end one’s life is an intensely personal one. Pegasos makes every effort to understand fully the unique circumstances of everyone who makes contact with us.