The Core Equation
Death vs. Care — The Government's Own Numbers
Sources: Parliamentary Budget Officer, "Cost Estimate for Bill C-7" (Oct 2020); Canadian Institute for Health Information, palliative care cost data.
At Scale
The Fiscal Impact of 76,475 Deaths
The PBO published its cost estimate in October 2020 — before Parliament voted to expand MAID with Bill C-7. Every MP who voted yes knew the government had calculated how much money it would save by expanding eligibility for state-administered death. The projected savings trajectory reaches $1.273 trillion by 2047.
Provider Payments
Physician Compensation — Provincial Billing
MAID is billed through provincial health insurance plans. Each province sets its own fee schedule for MAID-related services. Physicians bill for: initial assessment, second assessment (or referral), the procedure itself, and follow-up documentation. Total physician compensation per MAID case ranges from approximately $1,500 to $3,500 depending on the province and complexity.
| Component | Typical Fee Range | Notes |
|---|---|---|
| Initial Assessment | $400 – $800 | First physician evaluates eligibility criteria. May include home visit premium. |
| Second Assessment | $400 – $800 | Independent second physician confirms eligibility. Required by law. |
| Procedure (IV Administration) | $500 – $1,500 | Lethal injection administration. Includes preparation and monitoring time. |
| Documentation & Reporting | $200 – $400 | Mandatory Health Canada reporting, death certificate, pharmacy coordination. |
| Total Per Case | $1,500 – $3,500 | Varies by province, complexity, location (hospital vs. home visit) |
Concentration
The Top 102 Providers
102 Physicians — $18 Million — 373 Deaths Each (Average)
Ontario regulatory data identifies 102 physicians who collectively earned approximately $18 million from MAID-related billing. At an average of 373 MAID deaths per physician, these top providers represent an extreme concentration of state-administered death. For context, 373 deaths per physician means roughly one MAID procedure every business day for 1.5 years.
Source: Ontario Health Insurance Plan (OHIP) billing data via Ontario Physician Payment disclosures.
428 Regulatory Violations — Zero Police Referrals
Ontario regulatory bodies tracked 428 legal and procedural violations related to MAID administration. Common violations include: inadequate waiting periods, incomplete informed consent documentation, insufficient exploration of alternatives, and failure to ensure all eligibility criteria are met. Of these 428 violations, zero were referred to police for criminal investigation.
Incentive Analysis
The Structural Incentive Problem
The Carney-Brookfield Financial Convergence
PM Mark Carney holds $6.8M in Brookfield Asset Management options. Brookfield is one of the world's largest owners of seniors housing and long-term care infrastructure. MAID directly reduces demand for long-term care beds. The government saves $20,685 per death vs. palliative care. The PM's personal financial holdings benefit from the same programme that kills 45 Canadians per day. No independent blind trust has been established.
Provincial Billing Creates Volume Incentives
MAID is a billable medical service like any other. Physicians are compensated per procedure through provincial health insurance plans. There is no mechanism to flag high-volume MAID providers for additional scrutiny. A physician performing 373 MAID deaths generates the same billing profile as a surgeon performing 373 procedures — the system does not distinguish between life-saving and life-ending services in its payment architecture.