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.