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I totally agree with you that this should mean that one of the characters is on his deathbed, and I think is Dr. Rosalene. I think is her because I disagree only in one point, I don't think that Dr. Watts doesn't know what is going on, because he realizes what just happened, turns his body and takes the pills (because are the pills, right?). Also this could be link with the last scene, when the rocket takes off and he tries to hug her. So, from my point of view she is in her deathbed, they are a couple in "real life" and now he is trying somehow to confort her... or he is the one in his deathbed (that's why he takes the pills), he is aware of it and he is trying something, I don't know what. I think that is the first option, so she is in her deathbed, but the second option seems plausible too.
Finally, if it is true that one of the main characters is in his deathbed (and I don't have a doubt about it), this means that each episode of the series will be like 1 hour of "To the moon", to say somehow, just a little part of a big work done to make true the last wish of the one dying.
Basically he's addicted to pain pills and if he doesn't take them he probably freaks out. But anything's possible.