You need an incredibly robust quality management system to even achieve certification (allowing you to place on the market) when creating systems which include life support function, or functions which potentially could kill a user. All potential changes both within and outside of the manufacturers’ control MUST be assessed and constantly monitored so such issues CANNOT arise.

No one should be able to legally place an unsafe app on the market, or legally perform changes to the app without the necessary checks and balances.

Medical device approvals in most countries are definitely not the wild west. Although they are not perfect.

Just read up on the Dutch cases and it appears only some details of some cases were released (900 partial released of 30,000 cases between 2012-2021). Of those 8 said their mental illness was the only factor leading to the request for euthanasia.

This leaves somewhere between worst case (8/900) 0.8% and best case (8/30,000) 0.03% of cases you mention here, where autism or other intellectual disability specifically led to a person being euthanased.

My intention is NOT to take the importance away from 8 lives potentially unnecessarily lost, but only to put the problem into relative terms. If I was in a dire position and suffering, I would want this option available to me.

If people wish to end their suffering, the means should be there for them to do so safely.