Answer:
I think German healthcare workers resumed the T4 program becuase it is cruel to keep people alive who cant tell you they want to be alive, it is like keeping dogs alive who are in immense pain and are unable to be cured.
Explanation:
You can. If I were you, I would try to use your character inner thoughts to try and start it off. You can do that by using italics. Here's an example:
(Based on a different show, Riverdale. I'm using the last sentence from your story to show you how it would work)
(...) I tried getting my arm free from underneath the bed. As I pulled, I was able to get my hand out. I was appalled, but grateful.
<em>How did that happen? </em>Betty thought to herself as she shook her head.
I hope you undertood that and that it helps.
A he does not recognize his homeland
Yes! The tense has to stay consistent throughout the sentence! ;)