And the thing about typhros is that it WAS curable with scientific intervention. It took like a day and a half (?) of access to a beacon for Essek to find a cure. And Deirta doesn’t take it for a lot of reasons (to punish Essek for doing something awful, to save Essek materially by ingratiating him to the bright Queen, to ‘save his soul’ by giving by him a chance to redeem himself according to her religion) but one of the big ones is that it’s simply against her beliefs.
Luxon doctrine dictates that a soul suffering from typhros has to be deconsecuted and culled. Taking or even pursuing a cure would contradict the state religion, and so the dynasty suppresses any treatment aside from euthanasia for what we learn was actually a treatable disease all along.
Even if she chose not to take it (which is well within her rights) Deirta could have at least had the choice not to. She (and any other patients like her) could have had the option to live out her life to its natural end, in her own right mind in her home and with her family. Maybe she wouldn’t be permitted or even want to rejoin the cycle of rebirth after that but she would’ve at least had many more years of a healthy life ahead of her. She could have had a lot more time to say goodbye and let go on her own terms if she lived in a society that allowed a cure to be pursued through legitimate non-treasonous means.
For all the ways Essek’s pursuit of a cure was problematic and dismissive of her choice, the dynasty’s theocratic structure also robs typhros patients of choice. With medical intervention they DO have options, but they live under a society and religious structure that forbids any recourse aside from ritual execution. It’s not hard to draw Jehovah’s Witness/antivax real world parallels to the attitude the dynasty has about typhros and it’s not hard to see why Essek has so much vitriol and bitterness bc of it.
A patients (in this case Deirtas) autonomy and wishes should always be respected no matter how bananas or illogical it may seem to anyone else, but they don’t really have autonomy in the first place either if viable alternative courses of treatment are suppressed by a government where church and state are one and the same.
Now at the time of Deirtas death a lot of this became moot bc at that point her options were not just limited by religious doctrine but by the circumstances of Essek’s treason and what she had to do to cover his ass. But this whole thing represents an intensely flawed part of the dynasty that we didn’t explore in the campaign. There is an easily attainable cure to a horrific disease that threatens their entire government and power structure literally sitting right there in front of them and they would rather ignore and suppress it than have to reexamine the religious status quo