Thank you for the question.
The best way for me to respond is from my direct experience and observations working on the curriculum through which MAID practitioners receive their instruction.
My work on that group, when you read my testimony and my article, is that the medical profession has not risen to the gravity of the decisions that we have entrusted them with. They are unable or unwilling to disentangle those structural forces—I believe you're referring to them as social determinants of health. They're unable to disentangle that kind of suffering in cases involving stable physical disability.
I therefore conclude that there is no basis on which to be confident that they will do so when mental illness is the sole underlying condition. In other words, if they cannot or will not apply the very highest level of scrutiny to these assessments and the moral seriousness that these decisions require, they can't be entrusted with greater power and greater authority over the lives of people who are very vulnerable to harm.