Susan also said he had to deal with the fact that he was going to die.
I don't think that Joe knew for sure, that he was going to die so young. He knew that he his illness
could have been fatal, but didn't seemed preoccupied or concerned with knowing he was dying. He didn't even take proper precautions to avoid becoming seriously ill (ie. when he was supposed to be doing his breathing treatment, and Susan explained to his babysitter that he was only doing "half" his treatment, by not bothering to wear the vest.) When Susan makes mention of Joe being "afraid to say good-bye" after his death, I think she was referring more to him being adopted. He had probably been bounced around from foster home to foster home, not making any real connections, and didn't really allow himself to accept that Susan's home was his permanent home. I work with children in care and I see similar behavior: trust, and anger issues, attachment to biological parents and the belief that someday they will live with them, because that's the only "family" that they feel some sort of a connection to.
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