No. That has not been my experience at all. In fact, it's very interesting. When I work with the more vulnerable patients, they very much want aggressive medical care.
Often we talk about goals of care, or have end-of-life discussions with our patients, and whether they want to go through resuscitation, more comfort measures. Most of those vulnerable patients have an extreme lack of trust, for many good reasons, in the health care system. They become kind of suspicious if you start talking about maybe proceeding with a “do not resuscitate” or that it might cause more harm than good, etc. In fact, they want everything possible done, even maybe, from another perspective, to their detriment.
The experience with more vulnerable people asking for medical assistance in dying is actually quite uncommon. As known from many data, it's usually those who have a sense of control over their lives, usually higher socio-economic status, Caucasian, etc. All of those factors are very clear.
I would have to say there are patients who have asked for that, and that's when we go into the mode of addressing all of the issues of suffering, including the psychosocial issues and the mental health issues they are experiencing.