Dear Gregz~
I confess I'm not sure what you are saying here in these two posts, please forgive me for being dense. Some things like being at home as long as possible are very often the best way to be.
I had a friend pass way abut 18months ago who lived alone and was in the fortunate situation of being able to meet their own needs concerning food, medication and so on with just the help of a regular visitor that brought in the groceries and medication. It was only in the last few days that weakness made activity impossible and the person decided it was better to pass away without medical intervention at home. Great determination and belief was the basis both of their survival and their end.
Another I knew well years ago was in hospital for 9 months before passing way and had access to all that modern medicine in a hospital environment could provide. I guess it may have prolonged their life a while, and did offer comforts and company of staff and family, no isolation.
I guess it depends upon the basic nature of the person and their circumstances, and sufficient control to decide.
In any case you are right that death is a natural part of life and should ideally be met with equanimity, acceptance and little discomfort.
So have I missed the point of what you are trying to say? My apologies if so. Perhaps you would like to say more.
Croix