John Derbyshire writes:
If a person is biologically male—one X chromosome, one Y—but believes himself to be female and can lawfully engage surgeons to do what is necessary to bring his body into conformity with his belief, then what about a person suffering from Cotard’s syndrome? In one variant of this disorder, a person who is biologically alive believes himself to be dead. Can such a person lawfully engage surgeons to kill him?
