As a young physician caught up in the early years of the H.I.V. epidemic, I was struck by my patients’ will to live, even as their quality of life became miserable and when loved ones and caregivers would urge the patient to let go. I thought it remarkable that patients never asked me to help end their lives (and found it strange that Dr. Kevorkian managed to encounter so many who did). My patients were dying young and felt cheated out of their best years. They did not want immortality, just the chance to live the life span that their peers could expect. What de Grey and other immortalists seem to have lost sight of is that simply living a full life span is a laudable goal. Partial success in extending life might simply extend the years of infirmity and suffering — something that to some degree is already happening in the West.