Maybe because it's from Spain and almost no one has seen it. Believe me, it's a beating. Although every character in the movie, except the main one, gave pro-life speeches and tried to stop him...including a paraplegic priest who was in worse condition than him.
There's a difference between a movie that has characters going on about the benefits of euthenasia and this movie, which is not ABOUT euthenasia. Go rent WHOSE LIFE IS IT, ANYWAY? Now there's a movie 100% about euthenasia. This movie isn't.