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So it's not "assisted". By "assisted", I understand a kind of euthanasia where, for example, an anesthesiologist administer a cocktail composed by both an IV sedative then a lethal injection of something that'll make heart to stop beating, obviously after a long bureaucracy needed to ensure patient's will and consent.
It's assisted in the sense that a doctor can help them insert an IV, load up the correct drugs, make sure they understand the procedure, and monitor to ensure it goes smoothly, but the patient themselves need to press the button that releases the drugs (or nitrogen in the sarco pods case)
What if the patient opting for euthanasia is a tetraplegic (therefore, a person that lost their ability to press buttons) whose condition emerged from an underlying disease/condition that has no cure for the foreseeable future and that's why they chose euthanasia instead of suffering? How such person is even supposed to "press the button"? In this hypothetical example, I'm considering that such person is capable of explicit consent through speech before several witnesses and some judge or their lawful representative, saying something like "I, John Doe, as an exertion of my human right imbued free will, I hereby authorize my euthanasia because such-and-such and whatsoever... being done by M.D. Luke Doe as an anesthesiologist professional authorized by me to do so".
I mean, the very purpose of the right of euthanasia is to consider this right especially for people who're painfully suffering from irreversible conditions, such as terminal diseases, conditions that bring such unbearable suffering for those who have them, although I'm more inclined to the thought that "Life should be a right to everyone, but shouldn't be an obligation nor a duty to anyone" independent of any underlying conditions. In any case (be it euthanasia only for terminal diseases or euthanasia for anyone who wants it), of course explicit consent is a must, be it verbal or handwritten, and I think that the long bureaucracy is enough for the patient to authorize any assisted euthanasia.
If they are capable of giving consent, they are capable of activating the system themselves.
You're thinking of a big red push button, but a button can be a pad that you bite down on, or a eye twitch activated electrode, or any number of things.
The important thing is they initiate the process themselves, so that they have the option to withdraw consent as easily as they gave it.
True consent is not immutable.