I can't manage to read this. At one time, I likely would have taken the euthanasia option if it had been available to me.
My life remains a living hell in some ways, but mostly for financial/social reasons. My physical suffering is substantially less.
I can't begin to express both how very much I am for the right to die and how very much I know that, given an easy out, most people won't do the hard stuff. So something like this can easily go very bad places.
There was an American, I think also nicknamed Dr. Death, who was providing euthanasia (illegally). A lot of his patients/clients were chronically ill women who didn't want to be a burden on their family.
One woman in particular seemed like she wanted to die primarily because she had a shitty, unsupportive family, not because her medical issue was really so serious that suicide seemed like a reasonable choice.
Chronically ill or disabled men are much more likely to marry someone and let her physically take care of him, especially if they were able bodied at one time and have a decent income still. It doesn't even have to be a great income.
I read an article once about a study of children in some less developed country where boys were valued more than girls. Boys were fed slightly better. Boys were taken to the doctor slightly sooner -- like in the evening versus "Oh, let's give it a few hours and see how she feels come morning."
Although this was not a case of girls being horribly abused, it was just a case of boys being a little bit pampered, the difference in outcomes could be measured in mortality.
In a world where racism, classism, sexism, etc are still rampant, a death machine has all kinds of potential for horrifying unintended consequences. And those consequences are a sort that are hard to talk about without sounding like a loon or conspiracy theory nutter because the forces at play are fairly subtle and human psychology innately tends to handwave them off as not important.