deaths in LTC
to LTC homes
cost per resident
(vs LTC annual)
What the Military Found
Ontario and Quebec LTC Deployments — Spring 2020
When COVID-19 overwhelmed long-term care homes, the Canadian Armed Forces were deployed to assist. The military reports documented conditions that shocked the nation: residents left in soiled bedding for extended periods, cockroach and pest infestations, residents not fed or given water, aggressive behaviour by some staff, residents calling out for help with no one responding, and infection control practices that were non-existent or inadequate. These were not isolated incidents — they were documented across multiple facilities in both provinces.
For-Profit vs. Non-Profit Outcomes
Research published in the Canadian Medical Association Journal found that for-profit LTC homes had higher COVID-19 death rates than non-profit and municipally operated homes. For-profit operators were more likely to have older facilities, lower staffing ratios, and fewer infection control measures. Yet for-profit operators reported continued profits during the pandemic. The financial incentive structure rewards cost minimization (lower staffing, less infection control) rather than quality of care.
The Financial Architecture
Private Equity and Seniors Housing
Brookfield Asset Management — where PM Carney served as Vice Chairman — manages $1T+ in assets including healthcare-adjacent infrastructure and seniors housing globally. As documented in the Brookfield-MAID analysis, MAID reduces demand for long-term care facilities. Each MAID death that prevents a patient from entering LTC saves $50,000-$100,000 annually in care costs. The PM holds $6.8M in Brookfield stock options.
The Cost Comparison
One MAID death: $8,150. One year of LTC: $50,000-$100,000. Ten years of LTC: $500,000-$1,000,000. The financial incentive is documented: every patient diverted from LTC to MAID saves the system hundreds of thousands of dollars over the patient's remaining life expectancy. The Pearce Study models this cost avoidance for 15.1 million chronic condition patients.
LTC Failure + MAID Expansion = The Business Model
LTC facilities provide inadequate care → patients suffer → suffering becomes "irremediable" → MAID becomes available → each MAID death reduces demand for the LTC beds → Brookfield's portfolio benefits from reduced care costs.
The system that fails to care for the elderly offers to kill them instead. The PM who sets MAID policy holds stock options in a company that benefits from the killing.