Canada’s Assisted-Suicide Boom Reveals the Human Costs of Single-Payer

When patients face long waits and limited options, euthanasia looks more like a policy response to a floundering health-care system.

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In Canada, access to medical care can take months. Access to assisted suicide, however, is much easier to come by.

Ten years ago today, Canada’s Medical Assistance in Dying (MAID) program was legalized, and this year, Canada is on track to surpass 100,000 assisted-suicide deaths. Earlier this year, an Ontario physician met a 45-year-old man outside a Tim Hortons restaurant to assess his eligibility for euthanasia. After approving him for MAID, the doctor drove him to the facility where the procedure was carried out.

Sally C. Pipes

About the Author

Sally C. Pipes

Sally C. Pipes is president, CEO, and Thomas W. Smith Fellow in Health Care Policy at the Pacific Research Institute. Her latest book is The World’s Medicine Chest: How America Achieved Pharmaceutical Supremacy — and How to Keep It (Encounter 2025). Follow her on X @sallypipes.

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