It's not so much the grab rails that allow you to really grunt out a loaf, but it's the higher toilets. Not only do they allow people in need to move from a wheel chair to the toilet with relative ease, but they also prevent your legs from falling a sleep. I know this due to my three 20 minute visits daily. Furthermore if you have to purge while wearing ski boots, this is not a luxury but a necessity. Funny, when I googled a HC toilet compartment picture it returned an article on a "6-Man Compression Chamber" that is one link I don't want to click.
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