Why does Ava keep her diagnosis secret?

She fears adding medical debt to her family and wants to protect them from further strain.

What does Ava's spirit witness after her death?

She sees Sophie die in an accident and their mother blame Ava, not knowing Ava has already passed away.

I Saw My Ex-Wife’s Death on Divorce Day

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I Saw My Ex-Wife’s Death on Divorce Day — An eight-year-old conceals a fatal illness, takes her life after a parent's harsh words, and observes the tragic fallout as a spirit.

Ava Miller hides her brittle bone diagnosis to avoid burdening her parents. After her mother wishes Ava were the sick child, she overdoses. Her spirit witnesses Sophie's accidental death and their mother blaming Ava, unaware she is already dead.

Quick answers

Why does Ava keep her diagnosis secret?: She fears adding medical debt to her family and wants to protect them from further strain.
What does Ava's spirit witness after her death?: She sees Sophie die in an accident and their mother blame Ava, not knowing Ava has already passed away.