I agree with you...MS can and does kill people...it is splitting hairs to say it's the "complications". The complications wouldn't be there if the MS wasn't there.    You don't hear anyone saying "no one dies of cancer...they die of the complications..."   So a realistic approach is good. MS may very well not kill you, but if you have primary progressive and are getting worse fast...it may...   Arm yourselves with info, get the doctors to help you a treatment plan, a plan to remain comfortable and pain free, and help your caregivers help you to find a plan to enjoy what you can still enjoy...