There are some things which are worse than death and this is one of them.
but yeah, this one is definitely the absolute worse thing that could happen to someone, and let's not forget it is entirely man-made, given that fully paralyzed people are being forcefully kept alive by some f*cking sadist of a pro-lifer...
However, "anything is worse than death" seems like an ironic hyperbole; "cake or death?" he chooses death because cake is worse?