I am not one to dislike birthdays but here is what I know. Some people really do not like being the center of attention. Even to have someone give them a gift feels as if they are in the spot light.
I would also agree with your thoughts that some may not want to see some relatives during what should be their special day.
Personally, I am grateful to still be on the planet for yet another day. I think everyday should be our birthday because it truely is.
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