Looks like the young ones are going to have to repeat history. What is in your "best interest" is entirely subjective. Joe likes sausage and Peter likes pickles, so you solve a massive linear programming problem and you deliver them grapefruit. The idea that any person or system outside of yourself can objectively determine what is in your best interest is impossible. Even in defined settings, like healthcare, a good physician will give you a range of options. Maybe you'll opt for the transplant because you want to see your son graduate; or, maybe you won't because you cannot stomach being on immunosuppressants for the rest of your life.