Personally if it came down to it, I would have taken the transfusion or bought the party card or signed the religious resignation letter even was I was active JW. I figured if Jehovah was such a loving God he would forgive. When reading the life stories of folks dying because they didn't sign a letter resigning from the JW, I used to think they should have signed it and the oppression was over, just go back to the KH.
I do believe Americans are less likely to die for their beliefs than other countries. That's why JWs in other countries are always praying for their American "brothers".