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Should you save save up for retirement and be generally financially sensible? ... For example, for the terminally ill it is terrible advice

No it's not terrible advice. People that are terminally ill will quite commonly have loved ones that can benefit after their passing from their being financially prudent rather than spendthrift. That can involve children, young adults, widow/ers, and all manner of contexts (disabled brother that you've helped across your lifetime, and you worry about their situation after you're gone).

As someone's loved one I'd rather have them go broke and inherit nothing than see them choose death to give me money.

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