Severe dementia and moral accountability: judgment follows capacity

Mike distinguishes dementia from lifelong cognitive disability. A person with severe dementia (e.g., late-stage Alzheimer's) was once fully capable of moral choices. Mike's view is that such a person will be judged on the decisions they made while lucid and responsible, not exempted from judgment wholesale. The loss of capacity does not grant a pass to heaven; it simply means they are no longer responsible for actions taken after that capacity is gone. He notes that Alzheimer's can feel like "the flesh unrestrained."