No, you do not have to live as a man; it is an act of moral choice. But you cannot live as anything else—and the alternative is that state of living death which you now see within you and around you, the state of a thing unfit for existence, no longer human and less than animal, a thing that knows nothing but pain and drags itself through its span of years in the agony of unthinking self-destruction.

Ayn Rand