Alix Spiegel

This story is in no way an endorsement of suicide. It's a description of one woman's choice and what came of it.

Five years ago, after doctors told her that she had Alzheimer's disease that would eventually steal her ability to read, write and recognize people, Sandy Bem decided to kill herself.

Sandy was 65 years old, an unsentimental woman and strong willed. For her, a life without books and the ability to recognize the people she loved wasn't a life she wanted.

It was late, almost 9 at night, when Justin Holden pulled the icy pizza box from the refrigerator at the Brookville Supermarket in Washington, D.C.

He stood in front of the open door, scanning the nutrition facts label.

The morning I met Elaine Rich, she was sitting at the kitchen table of her small town home in suburban Maryland trying to estimate refugee flows in Syria.

It wasn't the only question she was considering; there were others:

Will North Korea launch a new multistage missile before May 10, 2014?

Will Russian armed forces enter Kharkiv, Ukraine, by May 10? Rich's answers to these questions would eventually be evaluated by the intelligence community, but she didn't feel much pressure because this wasn't her full-time gig.

On Feb. 21, Alexandra Wolff ate steak, mashed potatoes and broccoli for dinner. Later that night, sitting in her room, she spent 20 minutes scanning pictures in InStyle magazine.

She remembers those things, just as she remembers that on Aug. 2 she stopped at Target and bought Raisin Bran; and on April 17 she wore a white button-down shirt; and on Oct. 2 she went to TGI Fridays and spoke to the hostess, who was wearing black leather flats with small bows on them.

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