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Is not helping someone to survive, although you know for sure that you could, nearly as bad as killing someone?
That's kind of a gray area for me. There was a high profile case here recently where some girl encouraged her suicidal boyfriend to end his life, which he did. She was charged with it as a crime, but it was a very contentious. IMO she should have in that particular case, but someone who does nothing to help shouldn't be found guilty of anything short of "being a dick".
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