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So what's stopping two Kevorkian's from just signing off on everything?
You can pretend that safeguards will prevent undesirable deaths (like say patient manipulation, or informed consent which Canada has stopped pretending to care about), but the permissibility alone makes it inevitable.
Backflips and somersaults scenario. How many people in every hospital right now are spending the last week of their lives suffocating? Dozens? Hundreds? Thousands?
You invent scenarios to make MAID unpalatable. The people who want MAID have actually lived through reality.
It's unfortunate that people want to die and they physically can't kill themselves at that moment, but there is no moral obligation to grant desires that people can't fulfill themselves. (There is also the autonomy objection, even if the patient has perfect decision making, killing them now derives then if any future decision making).
We do have an obligation to prevent unreasonable deaths, especially if we are the one's actively killing them as is the case with MAID.
Therefore a system that potentially (or rather inevitably) causes moral bad without any moral good, is not a morally good system and has no benefit to existing.
The reality is that unreasonable deaths will happen, and expanding it (and lowering the thresholds) will increase the percentage of assisted suicides that don't meet some metric of moral permissibility.
There is also the societal harm objection, if illnesses/conditions are treated by euthanasia, and euthanasia becomes a popular way of death (like it is increasingly so in Canada) the incentive to improve treatment of those conditions is weaker. It does not result in a improving society in the long run if euthanasia is an acceptable option to certain conditions (note, this refers to more than just medical health but also living or social conditions).
Part of the system works off of a similar system to triplicate prescriptions which has a cooling effect. Basically every time a single doctor signs off on this it gets flagged in the system along with what other doctor is doing it. Doctors know their data is being tracked by an active investigative body, physical hard copies are required and who their second doctor is is relation to their participation is actively logged and guaged. A two kevorkian system would set up a red flag and cause an in depth investigation with potential criminal persecution.
Not saying that it could not happen but it would create an undue legal risk for any doctors who would try it and doctors are made very aware of the data logging requirements of the program.