~98,000 Dead. Zero Accountability.
Confirmed: 76,475 (Health Canada 6th Annual Report, corrected through Dec 2024). 16,499 killed in 2024 — 5.1% of all Canadian deaths. Estimated today: ~98,000 at 45.2 deaths/day. Growth rate declining — the programme is normalising. Veterans offered death for PTSD. Disabled choosing MAID over poverty. The UN called for repeal. 10 provinces oppose expansion. The PM holds $6.8M in Brookfield options. Every 32 minutes, another Canadian.
The Numbers
| Year | MAID Deaths | % of All Deaths | YoY Growth |
|---|---|---|---|
| 2016 | 1,018 | 0.35% | — |
| 2017 | 2,838 | 0.96% | +178% |
| 2018 | 4,480 | 1.47% | +58% |
| 2019 | 5,631 | 1.88% | +26% |
| 2020 | 7,595 | 2.45% | +35% |
| 2021 | 10,064 | 3.28% | +33% |
| 2022 | 13,241 | 4.14% | +32% |
| 2023 | 15,343 | 4.7% | +16% |
| 2024 | 16,499 | 5.1% | +6.9% |
| CONFIRMED | 76,475 | — | +1,521% |
| EST. TODAY | ~98,000 | — | +45.2/day |
Context
Canada now has the fastest-growing MAID program in the world. The Netherlands — which pioneered euthanasia in 2002 — had 8,720 cases in 2022 (4.8% of deaths) after 20 years. Canada reached similar percentages in just 7 years. Belgium, after 20 years, had 3,423 (2.7%). Canada's growth rate has no international precedent.
Growth Rate Decelerating — The Programme Is Normalising
Annual growth dropped from +35% (2019–2020) to +6.9% (2023–2024). This is not a victory. It means MAID has reached steady-state institutional saturation — the program has become as routine as any other medical procedure. Health Canada itself notes: “the number of annual MAID provisions is beginning to stabilise.” Normalisation is the final stage of institutional killing.
Track 2 — Killing People Who Aren't Dying
The Cases That Define the Problem
These are not edge cases. They represent systemic patterns documented in parliamentary testimony, media investigations, and the veterans ombudsman's findings.
Veterans Offered MAID for PTSD
VETERANMENTAL HEALTHMultiple Canadian veterans testified to Parliament that Veterans Affairs Canada (VAC) caseworkers offered MAID during calls about other services. One veteran seeking help with a wheelchair ramp was asked if they had "considered MAID." VAC employee later confirmed offering MAID to veterans, claiming it was part of their options. Minister of Veterans Affairs apologized but stated it was an "isolated incident" — a claim contradicted by at least 5 separate veteran testimonies.
Disability and Poverty
DISABILITYPOVERTYIn 2022, a 51-year-old Ontario woman with Multiple Chemical Sensitivities (MCS) received MAID after years of being unable to find affordable housing that accommodated her condition. She told media: "The government sees me as expendable." CTV News directly tracked multiple cases where citizens with disabilities cited inadequate social supports — not terminal illness — as their primary motivation. Health Canada's own data shows that in 2023, "isolation or loneliness" was cited as a contributing factor in 35.3% of Track 2 MAID cases (where natural death is not reasonably foreseeable).
Track 2 Expansion — Death Without Terminal Illness
DISABILITYMENTAL HEALTHBill C-7 (2021) expanded MAID eligibility to persons whose natural death is not reasonably foreseeable ("Track 2"). This was the inflection point. Before C-7, MAID required a reasonably foreseeable natural death. After C-7, chronic conditions, disabilities, and (potentially) mental illness alone could qualify. Track 2 cases have grown to 4.2% of all MAID provisions — and growing.
The Mental Illness Expansion (Delayed)
MENTAL HEALTHBill C-7 included a sunset clause to expand MAID to persons whose sole underlying condition is mental illness, originally set for March 2023. After backlash from psychiatrists, disability advocates, and the UN, the government delayed expansion to March 2024, then again to March 2027. The delay itself is telling — it suggests the government knows the safeguards are inadequate but won't repeal the provision.
The Oversight Gap
Canada has no independent MAID oversight body. The monitoring system works like this:
- Doctors self-report each MAID provision to their provincial regulatory body
- Provincial bodies compile data and send it to Health Canada
- Health Canada publishes annual reports — typically 12–18 months after the reporting year
- No real-time monitoring exists — there is no triggering mechanism if a single doctor provides an unusual number of MAID deaths
- The 10-day reflection period was removed by Bill C-7 for Track 1 (foreseeable death) — MAID can now be provided the same day as the request
- Two independent medical assessments required — but "independent" means the two doctors cannot be business partners; they can still know each other
Comparison with Belgium & Netherlands
Belgium has a Federal Control and Evaluation Committee on Euthanasia that reviews every case within 2 months. The Netherlands has Regional Euthanasia Review Committees that review every case. Canada has no equivalent body. The AG has never audited the MAID program. The data is entirely self-reported by providers.
United Nations — Concerns
In 2023, the UN Special Rapporteur on the Rights of Persons with Disabilities raised concerns about Canada's MAID regime, stating it could incentivize death for persons with disabilities who lack adequate social supports. The UN Human Rights Committee also flagged Canada's MAID expansion as a potential rights concern in its 2023 review.
The Providers — 102 Doctors, 373 Kills Each
The Kill Chain
102 doctors. 7.3% of providers. 38% of all deaths. 373 kills each on average. This is not distributed healthcare. This is a concentrated kill chain operated by a small group of prolific practitioners. A peer-reviewed study called it “policy capture by activists colonizing medicine.” These 102 individuals can be identified, investigated, and held accountable under the Rome Statute, the Nuremberg Code, and Criminal Code s.504.
428 Violations. Zero Police Referrals.
Ontario regulators tracked 428 possible legal violations in MAID cases. Zero were referred to police. The system monitors itself and finds nothing wrong. Leaked compliance documents confirm the oversight apparatus is cosmetic.
Dedicated Kill Facilities
Shoreline (Vancouver, BC) — dedicated MAID facility opened January 2025, operated by Vancouver Coastal Health, adjacent to St. Paul’s Hospital. St-Charles-Borromée (Lanaudière, Quebec) — $8 million facility with a dedicated MAID room, opened August 2025. Canada is building physical infrastructure for industrial-scale death.
The Geography of Death
The Fiscal Motive — $1.273 Trillion in Savings
Systemic Ethical Concern
Financially incentivizing MAID shifts healthcare priorities away from providing support, devaluing vulnerable lives and fostering reliance on assisted death as an economic solution. The United Nations has condemned the program for lacking safeguards.
Source: Government Economics of Expanding MAID, Jamil & Pearce, 2025 (SAGE) DOI: 10.1177/00302228251323299
Follow the Money
Organ Harvesting — They Take the Parts Too
CIHI Confirms: 6% of All Deceased-Donor Transplants
The Canadian Institute for Health Information confirms that MAID organ donation accounted for 6% of all transplants from deceased donors in Canada in 2021. With over 4,000 Canadians on transplant waiting lists, the state has created a pipeline where killing patients generates a supply of organs for other patients. The programme started in 2016 — the same year MAID was legalised.
Quebec and Ontario: They Don’t Wait for You to Ask
In other countries, patients must initiate the conversation about organ donation themselves. Quebec and Ontario moved to proactively offering organ donation to MAID patients. Dr. Sam Shemie, ICU physician in Montreal and medical adviser to Canadian Blood Services, confirmed: “In our province, in fact, the law says if somebody is going to die, you should offer them organ donation and tissue donation, and we should apply that to MAID patients as well.” The patient does not bring it up. The state offers it.
Home to Hospital: Sedated, Transported, Harvested
Canada pioneered “ODEH” — Organ Donation after Euthanasia starting at Home. The patient is sedated in their home. They are loaded into an ambulance. They are transported to a nearby hospital. There, the MAID procedure is completed and their organs are immediately harvested. By 2023, there were 8 documented ODEH cases worldwide. Five were in Canada. 44.2% of all MAID provisions in Canada take place at home — creating a massive pool of potential home-to-hospital organ donors.
The DCDD Protocol: Heart Stops for 5 Minutes, Then They Cut
Under the Donation after Circulatory Determination of Death (DCDD) protocol, the MAID medications are administered. The patient’s heart stops. Physicians wait exactly 5 minutes to confirm circulatory death. Then the surgical team moves in to harvest the organs. The timing is critical — organs must be procured rapidly to remain viable. A 63-expert Canadian Blood Services forum developed this protocol. The National Post headline: “Death by donation: Why some doctors say organs should be removed from some patients before they die.”
Sharron Demchuk — First in New Brunswick
ALSSharron Demchuk had ALS. She donated her kidneys and lungs after her medically assisted death in September 2021 — becoming the first person in New Brunswick to donate organs after MAID. Her daughter Darlene told CTV News her mother pushed doctors to find a way she could help people: “She kept doing follow-ups, kept pushing and even though she wasn’t able to speak, she would make notes for my dad. ‘Here’s what I want you to ask them. Here’s what I want you to say.’”
The Organs Function “Almost as Good as Living Donors”
An Ontario study of kidney recipients found that 8 of 9 kidneys from MAID donors began working normally almost immediately after transplant, with patients avoiding temporary dialysis. Dr. Patrick Luke, co-director of the Multi-organ Transplant Program at London Health Sciences Centre: “Some of the functions of these organs were almost as good as living donor organs.” Lung transplants showed similar success. Researchers are now investigating islet cells from MAID donors to treat diabetes. The programme is expanding because the organs are high quality — and the supply is growing at 6.9% per year.
The Financial Value of MAID Organs
A single organ donor can save up to 8 lives and provide tissue for 75 more. The average kidney transplant saves the healthcare system $250,000 in dialysis costs over 5 years. With 136 Canadian MAID organ donors by 2021, and MAID deaths growing at thousands per year, the state has an escalating financial incentive: kill the patient, save $20,685 in palliative care, then harvest their organs and save an additional $250,000+ per kidney transplant. Canada is not just killing its citizens. It is selling the parts.
Global Timeline of MAID Organ Harvesting
2008: Belgium — first organ donation after euthanasia (patient “Diane”, reported by surgeon Olivier Detry).
2013: Netherlands — first Dutch MAID organ donation.
2016: Canada — first Canadian MAID organ donation, same year MAID was legalised.
2019: Canadian Blood Services publishes 63-expert national guidance (CMAJ).
2019: Canada pioneers ODEH — organ donation after euthanasia starting at home.
2021: Spain — first Spanish MAID organ donation. First international roundtable: 286 ODE procedures confirmed.
2023: Australia — first Australian MAID organ donation (March). CTV News confirms Canada as world leader.
5 countries now harvest organs from MAID donors. Canada leads them all.
What Accountability Looks Like
We are not making an argument about MAID's existence. The Supreme Court of Canada ruled in Carter v. Canada (2015) that a blanket prohibition on physician-assisted dying violated Sections 7 and 15 of the Charter. MAID exists because the courts said it must.
The accountability questions are:
- Why is there no independent oversight body? Every comparable jurisdiction has one. Canada does not.
- Why was the reflection period removed? Same-day MAID for Track 1 removes the last structural safeguard against impulsive or coerced decisions.
- Why are social support gaps driving MAID requests? When citizens choose death because they can't afford housing, the problem is not excess demand for MAID — it's the failure of the social safety net.
- Why has no Auditor General audit been conducted? A program that has ended ~98,000 lives has never been independently audited at the federal level.
- Why has the RCMP not investigated cases where MAID was offered unsolicited? Three consecutive RCMP Commissioners (Paulson, Lucki, Duheme) — zero investigations.
Section 504 of the Criminal Code gives every Canadian the right to lay a private prosecution. When the system refuses to investigate, citizens still have legal recourse.
Legislative Timeline
Sources
- Health Canada — Annual Reports on Medical Assistance in Dying (1st through 6th, 2017–2024)
- Supreme Court of Canada — Carter v. Canada (Attorney General), 2015 SCC 5
- Quebec Superior Court — Truchon v. Attorney General of Canada, 2019 QCCS 3792
- Parliament of Canada — Bill C-14 (2016), Bill C-7 (2021)
- House of Commons Special Joint Committee on MAID (AMAD) — Reports and testimony (2022–2024)
- UN OHCHR — Special Rapporteur on Rights of Persons with Disabilities (2023)
- UN Human Rights Committee — Concluding observations on Canada (2023)
- Veterans Ombudsman — Public statements on MAID offers to veterans (2022)
- CTV News — Rose Finlay / "Last Resort" MAID investigation series
- Globe and Mail — MAID investigations (2022–2024)
- Canadian Association of MAiD Assessors and Providers (CAMAP) annual data
Who Voted to Kill — The Parliamentary Record
76,475 Canadians are confirmed dead because these MPs voted YEA. Two bills. Two votes. One outcome: the largest state-administered killing program in the Western world.
Bill C-14 (2016) — 186 YEA — Legalized Killing
Royal Assent: June 17, 2016. Made medical killing legal in Canada for the first time. 172 Liberal + 14 Conservative MPs voted YEA.
Source: ourcommons.ca Vote 76 (42-1)
Bill C-7 (2021) — 180 YEA — Expanded to Non-Terminal
Royal Assent: March 17, 2021. Removed the "reasonably foreseeable death" requirement. Opened MAID to people who are not dying. 144 Liberal + 30 Bloc + 3 Independent + 1 Green + 2 NDP voted YEA.
Source: ourcommons.ca Vote 72 (43-2)
Foreign-Born MPs Who Voted for MAID — 31 Identified
MPs who came to Canada as immigrants, obtained citizenship, got elected to Parliament, then voted to legalize the killing of the citizens of the country that took them in.
| Name | Born | Riding | Votes |
|---|---|---|---|
| Chandra Arya | India | Nepean | C-14 + C-7 |
| Navdeep Bains | India | Mississauga-Malton | C-14 + C-7 |
| Sukh Dhaliwal | India | Surrey-Newton | C-14 + C-7 |
| Harjit S. Sajjan | India | Vancouver South | C-14 + C-7 |
| Kamal Khera | India | Brampton West | C-14 + C-7 |
| Sonia Sidhu | India | Brampton South | C-14 + C-7 |
| Randeep Sarai | India | Surrey Centre | C-14 + C-7 |
| Ramesh Sangha | India | Brampton Centre | C-14 + C-7 |
| Anju Dhillon | India | Dorval-Lachine-LaSalle | C-14 + C-7 |
| Han Dong | China | Don Valley North | C-7 |
| Geng Tan | China | Don Valley North | C-14 |
| Iqra Khalid | Pakistan | Mississauga-Erin Mills | C-14 + C-7 |
| Salma Zahid | Pakistan | Scarborough Centre | C-14 + C-7 |
| Ahmed Hussen | Somalia | York South-Weston | C-14 + C-7 |
| Maryam Monsef | Iran/Afghan | Peterborough-Kawartha | C-14 + C-7 |
| Omar Alghabra | Saudi Arabia | Mississauga Centre | C-14 + C-7 |
| Faycal El-Khoury | Lebanon | Laval-Les Iles | C-14 + C-7 |
| Emmanuel Dubourg | Haiti | Bourassa | C-14 + C-7 |
| Ya'ara Saks | Israel | York Centre | C-7 |
| Pablo Rodriguez | Argentina | Honore-Mercier | C-14 + C-7 |
| Jean Yip | Hong Kong | Scarborough-Agincourt | C-7 |
Note: Han Dong is under investigation for foreign interference (Hogue Commission). Maryam Monsef misrepresented her birthplace to Canadian authorities.
Provincial Pushback
The Pause Letter (January 2024)
Signed: BC, Ontario, Alberta, Saskatchewan, New Brunswick, PEI, Nova Scotia, Nunavut, NWT, Yukon.
Refused: Manitoba, Quebec, Newfoundland & Labrador.
10 provinces and territories demanded an indefinite pause on expanding MAID to mental illness as a sole underlying condition. The federal government set March 17, 2027 regardless.
Alberta Bill 18: “Safeguards for Last Resort Termination of Life Act”
Introduced March 18, 2026. Not yet passed. Would limit MAID to Track 1 only (death within 12 months). Bars mental illness as sole condition. Prohibits physicians from suggesting MAID — patient must request information first. Prohibits out-of-province referrals. Mandates family member be present. Creates 150m exclusion zones around refusing facilities. Directly contradicts 2021 federal law — Charter challenges anticipated.
Quebec: World’s Highest MAID Rate
Over 6,000 MAID deaths between April 2024 and March 2025 — 7.9% of all deaths, the highest rate in the world. Quebec did not sign the pause letter and has instructed prosecutors not to pursue charges against doctors who process advance MAID requests, effectively moving ahead of federal law.
The Constitutional Collision
MAID eligibility is federal criminal law. Healthcare delivery is provincial jurisdiction. Alberta claims Bill 18 does not contravene the Criminal Code. Legal experts anticipate Charter challenges if it passes. The result: Canadians’ right to die — or right to live — depends on which province they live in.
The Law They Are Breaking
Rome Statute — Crimes Against Humanity (Art. 7)
Canada ratified the Rome Statute on July 7, 2000 — the first country to pass implementing legislation (Crimes Against Humanity and War Crimes Act, SC 2000, c.24). Article 7 defines crimes against humanity as a “widespread or systematic attack directed against any civilian population.” 76,475 confirmed deaths directed by legislation is the definition of systematic.
Nuremberg Code — Principle 1: Consent Without Coercion
“The voluntary consent of the human subject is absolutely essential… without the intervention of any element of force, fraud, deceit, duress, overreaching, or other ulterior form of constraint or coercion.” When a veteran calls seeking help and is offered death, that is coercion by deprivation. When a disabled person requests MAID because the state refuses to provide housing or disability support, the “consent” is manufactured by government failure.
Canada Abolished the Death Penalty — Then Brought It Back
In 1976, Parliament voted 130–124 to abolish the death penalty for convicted murderers, traitors, and pirates. Last execution: December 11, 1962. Canada decided it was immoral to execute a convicted killer. Then in 2016, it legalised the execution of the disabled, the elderly, the depressed, and the veteran — and called it compassion.
The World Is Watching
UN Committee on Rights of Persons with Disabilities (March 2025)
Recommendation: Repeal Track 2 entirely, including the 2027 mental illness expansion. The Committee expressed “extreme concern” about Canada’s MAID program and its impact on persons with disabilities. Canada’s response: no plans to act.
Charter Challenge #1: Disability Rights Coalition
Inclusion Canada and the Council of Canadians with Disabilities challenge Track 2 as unconstitutional discrimination against disabled persons. Before the Ontario Superior Court. The plaintiffs argue MAID is being offered as a substitute for support services the government fails to provide.
Charter Challenge #2: Religious Hospital Exemptions
Sam O’Neill, age 34 with terminal cancer, was forced to transfer from St. Paul’s Hospital in Vancouver because the Catholic facility refused to provide MAID on-site. Four weeks of hearings in B.C. Supreme Court, January 2026. Dying With Dignity argues the refusal violates the Charter.
Alberta Bill 18: Provincial Pushback
Introduced March 18, 2026. Would provincially prohibit MAID for mental illness and limit eligibility to patients likely to die within 12 months.
BREAKING — Bill C-218 “The Right to Recover Act” — Vote This Week
Second reading vote expected April 13–17, 2026. Introduced by MP Tamara Jansen (CPC — Cloverdale-Langley City). Would permanently block MAID expansion to mental illness as sole underlying condition. Needs at least 24 Liberal MPs to cross the floor to advance to committee. Liberals and Bloc Québécois have signalled opposition. Canadian Conference of Catholic Bishops, Evangelical Fellowship of Canada, and disability rights organizations supporting. 10 provinces back the pause.
Veterans: Official 4, Testified 20
Veterans Affairs Canada officially confirmed 4 cases of a single employee offering MAID inappropriately. But veteran Kelsi Sheren testified before Parliament that 20 veterans have documented proof of being offered MAID when seeking healthcare, including audio recordings. The discrepancy between 4 and 20 remains unresolved.