National
Medical Assistance in Dying now accounts for over 4% of deaths in Canada
The following are interesting statistics pulled directly from the:
Fourth annual report on Medical Assistance in Dying in Canada 2022
Growth in the number of medically assisted deaths in Canada continues in 2022.
- In 2022, there were 13,241 MAID provisions reported in Canada, accounting for 4.1% of all deaths in Canada.
- The number of cases of MAID in 2022 represents a growth rate of 31.2% over 2021. All provinces except Manitoba and the Yukon continue to experience a steady year-over-year growth in 2022.
- When all data sources are considered, the total number of medically assisted deaths reported in Canada since the introduction of federal MAID legislation in 2016 is 44,958.
Profile of MAID recipients
- In 2022, a slightly larger proportion of males (51.4%) than females (48.6%) received MAID. This result is consistent with 2021 (52.3% males and 47.7% females), 2020 (51.9% males and 48.1% females) and 2019 (50.9% males and 49.1% females).
- The average age of individuals at the time MAID was provided in 2022 was 77.0 years. This average age is slightly higher than the averages of 2019 (75.2), 2020 (75.3) and 2021 (76.3). The average age of females during 2022 was 77.9, compared to males at 76.1.
- Cancer (63.0%) is the most cited underlying medical condition among MAID provisions in 2022, down from 65.6% in 2021 and from a high of 69.1% in 2020. This is followed by cardiovascular conditions (18.8%), other conditions (14.9%), respiratory conditions (13.2%) and neurological conditions (12.6%).
- In 2022, 3.5% of the total number of MAID provisions (463 individuals), were individuals whose natural deaths were not reasonably foreseeable. This is an increase from 2.2% in 2021 (223 individuals). The most cited underlying medical condition for this population was neurological (50.0%), followed by other conditions (37.1%), and multiple comorbidities (23.5%), which is similar to 2021 results. The average age of individuals receiving MAID whose natural death was not reasonably foreseeable was 73.1 years, slightly higher than 70.1 in 2021 but lower than the average age of 77.0 for all MAID recipients in 2022.
Nature of suffering among MAID recipients
- In 2022, the most commonly cited sources of suffering by individuals requesting MAID were the loss of ability to engage in meaningful activities (86.3%), followed by loss of ability to perform activities of daily living (81.9%) and inadequate control of pain, or concern about controlling pain (59.2%).
- These results continue to mirror very similar trends seen in the previous three years (2019 to 2021), indicating that the nature of suffering that leads a person to request MAID has remained consistent over the past four years.
Eligibility Criteria
- Request MAID voluntarily
- 18 years of age or older
- Capacity to make health care decisions
- Must provide informed consent
- Eligible for publicly funded health care services in Canada
- Diagnosed with a “grievous and irremediable medical condition,” where a person must meet all of the following criteria:
- serious and incurable illness, disease or disability
- advanced state of irreversible decline in capability,
- experiencing enduring physical or psychological suffering that is caused by their illness, disease or disability or by the advanced state of decline in capability, that is intolerable to them and that cannot be relieved under conditions that they consider acceptable
- Mental Illness as sole underlying medical condition is excluded until March 17, 2024
3.1 Number of Reported MAID Deaths in Canada (2016 to 2022)
2022 marks six and a half years of access to MAID in Canada. In 2022, there were 13,241 MAID provisions in Canada, bringing the total number of medically assisted deaths in Canada since 2016 to 44,958. In 2022, the total number of MAID provisions increased by 31.2% (2022 over 2021) compared to 32.6% (2021 over 2020). The annual growth rate in MAID provisions has been steady over the past six years, with an average growth rate of 31.1% from 2019 to 2022.

Access to MAID for individuals whose deaths were not reasonably foreseeable marked its second year of eligibility in 2022. In Canada, eligibility for individuals whose death is not reasonably foreseeable began on March 17, 2021, after the passage of the new legislation.Footnote8 There were 463 MAID provisions for persons whose natural death was not reasonably foreseeable, representing 3.5% of all MAID deaths in 2022. This is just over twice the total number of provisions for individuals where natural death was not reasonably foreseeable in 2021 (223 provisions representing 2.2% of all MAID provisions in 2021). Table 3.1 represents total MAID provisions in Canada from 2016 to 2022, including provisions for individuals where natural death was not reasonably foreseeable.
All jurisdictions, except Manitoba and Yukon, experienced growth in MAID provisions in 2022. The highest percentage year over year increases occurred in Québec (45.5%), Alberta (40.7%), Newfoundland and Labrador (38.5%), Ontario (26.8%) and British Columbia (23.9%). Nova Scotia (11.8%), Prince Edward Island (7.3%) and Saskatchewan (4.0%) had lower growth rates. The Yukon remained at the same level as 2021, while Manitoba was the only jurisdiction to experience a decline in MAID provisions for 2022 (-9.0%).
| MAID | NL | PE | NS | NB | QC | ON | MB | SK | AB | BC | YT | NT | NU | Canada |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2016 | – | – | 24 | 9 | 494 | 191 | 24 | 11 | 63 | 194 | – | – | – | 1,018 |
| 2017 | – | – | 62 | 49 | 853 | 839 | 63 | 57 | 205 | 677 | – | – | – | 2,838 |
| 2018 | 23 | 8 | 126 | 92 | 1,249 | 1,500 | 138 | 85 | 307 | 951 | 12 | – | – | 4,493 |
| 2019 | 20 | 20 | 147 | 141 | 1,604 | 1,788 | 177 | 97 | 377 | 1,280 | 13 | – | – | 5,665 |
| 2020 | 49 | 37 | 190 | 160 | 2,278 | 2,378 | 214 | 160 | 555 | 1,572 | 13 | – | – | 7,611 |
| 2021 | 65 | 41 | 245 | 205 | 3,299 | 3,102 | 245 | 247 | 594 | 2,030 | 16 | – | – | 10,092 |
| 2022 | 90 | 44 | 274 | 247 | 4,801 | 3,934 | 223 | 257 | 836 | 2,515 | 16 | – | – | 13,241 |
| TOTAL 2016-2022 |
267 | 156 | 1,068 | 903 | 14,578 | 13,732 | 1,084 | 914 | 2,937 | 9,219 | 84 | – | – | 44,958 |
3.2 MAID Deaths as a Proportion of Total Deaths in Canada
MAID deaths accounted for 4.1% of all deaths in Canada in 2022, an increase from 3.3% in 2021, 2.5% in 2020 and 2.0% in 2019. In 2022, six jurisdictions continue to experience increases in the number of MAID provisions as a percentage of total deaths, ranging from a low of 1.5% (Newfoundland & Labrador) to a high of 6.6% (Québec). MAID deaths as a percentage of total deaths remained at the same levels as 2021 for Prince Edward Island, Nova Scotia, and Saskatchewan, while Manitoba experienced a decline in MAID deaths as a percentage of all deaths (from 2.1% in 2021 to 1.8% in 2022). As with each of the three previous years (2019 to 2021), Québec and British Columbia experienced the highest percentage of MAID deaths as a proportion of all deaths within their jurisdiction in 2022 (6.6% and 5.5% respectively), continuing to reflect the socio-political dynamics of these two jurisdictions in the context of MAID.
4.5 Profile of Persons Receiving MAID Whose Natural Death is not Reasonably Foreseeable
2022 marks the second year that MAID for persons whose natural death is not reasonably foreseeable is permitted under the law if all other eligibility criteria are met (Table 1.1). New federal MAID legislation passed on March 17, 2021, created a two-track approach to procedural safeguards for MAID practitioners to follow, based on whether or not a person’s natural death is reasonably foreseeable. This approach to safeguards ensures that sufficient time and expertise are spent assessing MAID requests from persons whose natural death is not reasonably foreseeable. New and enhanced safeguards (Table 1.2), including a minimum 90-day assessment period, seek to address the diverse source of suffering and vulnerability that could potentially lead a person who is not nearing death to ask for MAID and to identify alternatives to MAID that could reduce suffering.
In 2022, 3.5% of MAID recipients (463 individuals) were assessed as not having a reasonably foreseeable natural death, up slightly from 2.2% (223 individuals) in 2021. As a percentage of all MAID deaths in Canada, MAID for individuals whose natural death is not reasonably foreseeable represents just 0.14% of all deaths in Canada in 2022 (compared to all MAID provisions, which represent 4.1% of all 2022 deaths in Canada). The proportion of MAID recipients whose natural death was not reasonably foreseeable continues to remain very small compared to the total number of MAID recipients.
This population of individuals whose natural death was not reasonably foreseeable have a different medical profile than individuals whose death was reasonably foreseeable. As shown in Chart 4.5A, the main underlying medical condition reported in the population whose natural death was not reasonably foreseeable was neurological (50.0%), followed by ‘other condition’ (37.1%), and multiple comorbidities (23.5%). This differs from the main condition (as reported in Chart 4.1A) for all MAID recipients in 2022, where the majority of persons receiving MAID had cancer as a main underlying medical condition (63.0%), followed by cardiovascular conditions (18.8%) and other conditions (14.9%) (such as chronic pain, osteoarthritis, frailty, fibromyalgia, autoimmune conditions). These results are similar to 2021.

Of the MAID provisions for individuals where death was reasonably foreseeable, the majority were individuals ages 71 and older (71.1%) while only 28.9% were between ages 18-70. A similar trend was observed for individuals where natural death was not reasonably foreseeable which also showed a greater percentage of individuals who received MAID being 71 and older (58.5%) and a lower number of MAID provisions for individuals between 18-70 years (41.5%). Overall, however, MAID provisions for individuals whose death is not reasonably foreseeable tended to be in the younger age categories than those where natural death is foreseeable.

espionage
Carney Floor Crossing Raises Counterintelligence Questions aimed at China, Former Senior Mountie Argues
Michael Ma has recently attended events with Chinese consulate officials, leaders of a group called CTCCO, and the Toronto “Hongmen,” where diaspora community leaders and Chinese diplomats advocated Beijing’s push to subordinate Taiwan. These same entities have also appeared alongside Canadian politicians at a “Nanjing” memorial in Toronto.
By Garry Clement
Michael Ma’s meeting with consulate-linked officials proves no wrongdoing—but, Garry Clement writes, the timing and optics highlight vulnerabilities Canada still refuses to treat as a security issue.
I spent years in the Royal Canadian Mounted Police learning a simple rule. You assess risk based on capability, intent, and opportunity — not on hope or assumptions. When those three factors align, ignoring them is negligence.
That framework applies directly to Canada’s relationship with the People’s Republic of China — and to recent political events that deserve far more scrutiny than they have received.
Michael Ma’s crossover to the Liberal Party may be completely legitimate, although numerous observers have noted oddities in the timing, messaging, and execution surrounding Ma’s move, which brings Mark Carney within one seat of majority rule.
There is no evidence of wrongdoing.
But from a law enforcement and national security perspective, that is beside the point. Counterintelligence is not about proving guilt after the fact; it is about identifying vulnerabilities before damage is done — and about recognizing when a situation creates avoidable exposure in a known threat environment.
A constellation of ties and public appearances — reported by The Bureau and the National Post — has fueled questions about Ma’s China-facing judgment and vetting. Those reports describe his engagement with a Chinese-Canadian Conservative network that intervened in party leadership politics by urging Erin O’Toole to resign for his “anti-China” stance after 2021 and later calling for Pierre Poilievre’s ouster — while advancing Beijing-aligned framing on key Canada–China disputes.
The National Post has also reported that critics point to Ma’s pro-Beijing community endorsement during his campaign, and his appearance at a Toronto dinner for the Chinese Freemasons — where consular officials used the forum to promote Beijing’s “reunification” agenda for Taiwan. Ma reportedly offered greetings and praised the organization, but did not indicate support for annexation.
Open-source records also show that the same Toronto Chinese Freemasons and leaders Ma has met from a group called CTCCO sponsored and supported Ontario’s “Nanjing Massacre Commemorative Day” initiative (Bill 79) — a campaign celebrated in Chinese state and Party-aligned media, alongside public praise from PRC consular officials in Canada.
China Daily reported in 2018 that the Nanjing memorial was jointly sponsored by CTCCO and the Chinese Freemasons of Canada (Toronto), supported by more than $180,000 in community donations.
Photos show that PRC consular officials and Toronto politicians appeared at related Nanjing memorial ceremonies, including Zhao Wei, the alleged undercover Chinese intelligence agent later expelled from Canada after The Globe and Mail exposed Zhao’s alleged targeting of Conservative MP Michael Chong and his family in Hong Kong.
The fact that Michael Ma recently met with some of the controversial pro-Beijing community figures and organizations described above — including leaders from the Hongmen ecosystem and the CTCCO — does not prove any nefarious intent in either his Conservative candidacy or his decision to cross the floor to Mark Carney.
But it does demonstrate something Ottawa keeps avoiding: the PRC’s influence work is often conducted in plain sight, through community-facing institutions, elite access, and “normal” relationship networks — the very channels that create leverage, deniability, and political pressure over time.
Canada’s intelligence community has been clear.
The Canadian Security Intelligence Service has repeatedly identified the People’s Republic of China as the most active and persistent foreign interference threat facing Canada. These warnings are not abstract. They are rooted in investigations, human intelligence, and allied reporting shared across the Five Eyes intelligence alliance.
At the center of Beijing’s approach is the United Front Work Department — a Chinese Communist Party entity tasked with influencing foreign political systems, cultivating elites, and shaping narratives abroad. In policing terms, it functions as an influence and access network: operating legally where possible, covertly where necessary, and always in service of the Party’s strategic objectives.
What differentiates the People’s Republic of China from most foreign actors is legal compulsion.
Under China’s National Intelligence Law, Chinese citizens and organizations can be compelled to support state intelligence work and to keep that cooperation secret. In practical terms, that creates an inherent vulnerability for democratic societies: coercive leverage — applied through family, travel, business interests, community pressure, and fear.
This does not mean Chinese-Canadians are suspect.
Quite the opposite — many are targets of intimidation themselves. But it does mean the Chinese Communist Party has a mechanism to exert pressure in ways democratic states do not. Ignoring that fact is not tolerance; it is a failure to understand the threat environment.
In the RCMP, we were trained to recognize that foreign interference rarely announces itself. It operates through relationships, access, favors, timing, and silence. It does not require ideological agreement — only opportunity and leverage.
That is why transparency matters. When political figures engage with representatives of an authoritarian state known for interference operations, the burden is not on the public to “prove” concern is justified. The burden is on officials to explain why there is none — and to demonstrate that basic safeguards are in place.
Canada’s allies have already internalized this reality. Australia, the United States, and the United Kingdom have all publicly acknowledged and legislated against People’s Republic of China political interference. Their assessments mirror ours. Their conclusions are the same.
In the United States, the Linda Sun case — covered by The Bureau — illustrates, in the U.S. government’s telling, how United Front–style influence can be both deniable and effective: built through diaspora-facing proxies, insider access, and relationship networks that rarely look like classic espionage until the damage is done.
And this is not a niche concern.
Think tanks in both the United States and Canada — as well as allied research communities in the United Kingdom and Europe — have documented the scale and persistence of these political-influence ecosystems. Nicholas Eftimiades, an associate professor at Penn State and a former senior National Security Agency analyst, has estimated multiple hundreds of such entities are active in the United States. How many operate in Canada is the question Ottawa still refuses to treat with urgency — and, if an upcoming U.S. report is any indication, the answer may be staggering.
Canada’s hesitation to address United Front networks is not due to lack of information. It is due to lack of resolve.
From a law enforcement perspective, this is troubling. You do not wait for a successful compromise before tightening security. You act when the indicators are present — especially when your own intelligence agencies are sounding the alarm.
National security is not ideological. It is practical.
The Bureau is a reader-supported publication.
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International
Ottawa is still dodging the China interference threat
This article supplied by Troy Media.
By Lee Harding
Clement even called the Chinese government “the largest transnational organized crime group in the history of the world.”
Alarming claims out of P.E.I. point to deep foreign interference, and the federal government keeps stalling. Why?
Explosive new allegations of Chinese interference in Prince Edward Island show Canada’s institutions may already be compromised and Ottawa has been slow to respond.
The revelations came out in August in a book entitled “Canada Under Siege: How PEI Became a Forward Operating Base for the Chinese Communist Party.” It was co-authored by former national director of the RCMP’s proceeds of crime program Garry Clement, who conducted an investigation with CSIS intelligence officer Michel Juneau-Katsuya.
In a press conference in Ottawa on Oct. 8, Clement referred to millions of dollars in cash transactions, suspicious land transfers and a network of corporations that resembled organized crime structures. Taken together, these details point to a vulnerability in Canada’s immigration and financial systems that appears far deeper than most Canadians have been told.
P.E.I.’s Provincial Nominee Program allows provinces to recommend immigrants for permanent residence based on local economic needs. It seems the program was exploited by wealthy applicants linked to Beijing to gain permanent residence in exchange for investments that often never materialized. It was all part of “money laundering, corruption, and elite capture at the highest levels.”
Hundreds of thousands of dollars came in crisp hundred-dollar bills on given weekends, amounting to millions over time. A monastery called Blessed Wisdom had set up a network of “corporations, land transfers, land flips, and citizens being paid under the table, cash for residences and property,” as was often done by organized crime.
Clement even called the Chinese government “the largest transnational organized crime group in the history of the world.” If true, the allegation raises an obvious question: how much of this activity has gone unnoticed or unchallenged by Canadian authorities, and why?
Dean Baxendale, CEO of the China Democracy Fund and Optimum Publishing International, published the book after five years of investigations.
“We followed the money, we followed the networks, and we followed the silence,” Baxendale said. “What we found were clear signs of elite capture, failed oversight and infiltration of Canadian institutions and political parties at the municipal, provincial and federal levels by actors aligned with the Chinese Communist Party’s United Front Work Department, the Ministry of State Security. In some cases, political donations have come from members of organized crime groups in our country and have certainly influenced political decision making over the years.”
For readers unfamiliar with them, the United Front Work Department is a Chinese Communist Party organization responsible for influence operations abroad, while the Ministry of State Security is China’s main civilian intelligence agency. Their involvement underscores the gravity of the allegations.
It is a troubling picture. Perhaps the reason Canada seems less and less like a democracy is that it has been compromised by foreign actors. And that same compromise appears to be hindering concrete actions in response.
One example Baxendale highlighted involved a PEI hotel. “We explore how a PEI hotel housed over 500 Chinese nationals, all allegedly trying to reclaim their $25,000 residency deposits, but who used a single hotel as their home address. The owner was charged by the CBSA, only to have the trial shut down by the federal government itself,” he said. The case became a key test of whether Canadian authorities were willing to pursue foreign interference through the courts.
The press conference came 476 days after Bill C-70 was passed to address foreign interference. The bill included the creation of Canada’s first foreign agent registry. Former MP Kevin Vuong rightly asked why the registry had not been authorized by cabinet. The delay raises doubts about Ottawa’s willingness to confront the problem directly.
“Why? What’s the reason for the delay?” Vuong asked.
Macdonald-Laurier Institute foreign policy director Christopher Coates called the revelations “beyond concerning” and warned, “The failures to adequately address our national security challenges threaten Canada’s relations with allies, impacting economic security and national prosperity.”
Former solicitor general of Canada and Prince Edward Island MP Wayne Easter called for a national inquiry into Beijing’s interference operations.
“There’s only one real way to get to the bottom of what is happening, and that would be a federal public inquiry,” Easter said. “We need a federal public inquiry that can subpoena witnesses, can trace bank accounts, can bring in people internationally, to get to the bottom of this issue.”
Baxendale called for “transparency, national scrutiny, and most of all for Canadians to wake up to the subtle siege under way.” This includes implementing a foreign influence transparency commissioner and a federal registry of beneficial owners.
If corruption runs as deeply as alleged, who will have the political will to properly respond? It will take more whistleblowers, changes in government and an insistent public to bring accountability. Without sustained pressure, the system that allowed these failures may also prevent their correction.
Lee Harding is a research fellow for the Frontier Centre for Public Policy.
Troy Media empowers Canadian community news outlets by providing independent, insightful analysis and commentary. Our mission is to support local media in helping Canadians stay informed and engaged by delivering reliable content that strengthens community connections and deepens understanding across the country.
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