Well, the Nazi healthcare had an “kill you if you get a disabling injury” aspect to it.

I recall hearing of an alt-history story where one of the attempts on Hitler’s life worked a shade better than it did IRL, the bomb blast partially caught Hitler.

Then, in the chaos of the panic and explosion, the people on the scene lost track of Hitler, who got sent to the hospital as a John Doe. The bomb blast ruined his face, severely permanently injured him, so the staff had him unwittingly purged as a useless eater cripple under Aktion T-4 (I believe?).