
In Canada in 2024, an astonishing total of 16,499 people died by euthanasia, according to the latest official report. It means the number dying in this way has trebled in just five years. Under Canada’s very liberal ‘assisted dying’ law, a person does not have to be terminally ill to avail of euthanasia. Worryingly, half of those who asked to be euthanised said they felt they were a burden on their relations. What was once presented as an exceptional measure has rapidly become a routine feature of the ‘healthcare’ system in Canada. This is not the mark of a civilised country.
Another 4,017 people who requested ‘Medical Assistance in Dying’ (MAID) died before receiving it. If they had not, then the number euthanised would have exceeded 20,000. This suggests not only rising demand, but also a growing cultural expectation: euthanasia is increasingly seen as a normal pathway at the end of life.
The expansion of eligibility criteria is central to this shift. Under Canadian law, a person must have a “grievous and irremediable medical condition”. However, since 2021 this includes individuals whose natural death is not reasonably foreseeable (so-called Track 2 cases). In 2024, there were 729 such cases and only 32.2pc of these patients had access to palliative care, according to the official report. People are choosing death because adequate care and support are lacking.
The nature of suffering reported by patients is equally revealing. The most common reason cited was loss of the ability to engage in meaningful activities (over 95pc in both tracks). But beyond this, deeply social and psychological factors loom large. Half of all patients reported feeling like a burden on family, friends, or caregivers, while 44pc of non-terminal patients reported isolation or loneliness.
These are not simply medical conditions; they are profoundly human experiences that, in many cases, could be addressed through better care, stronger community support, and more robust social services. The concept of “self-perceived burden” is well known in palliative care. It reflects a distressing sense of guilt and dependency that can fuel a desire for death. That such feelings are so widespread among MAID recipients should concern us deeply.
The percentage of disabled individuals among non-terminal euthanasia recipients was significantly higher. The data also show that 32.9pc of respondents identified as having a disability, rising sharply to 61.5pc among Track 2 (non-terminal) cases. This raises serious ethical concerns about whether some of society’s most vulnerable individuals are being failed rather than protected.
In every case in 2024, a lethal substance was administered by a medical practitioner. Although self-administration (assisted suicide) is legally permitted in most of Canada, it is very rarely chosen. The state-sanctioned ending of life is therefore overwhelmingly carried out by medical professionals, which is a profound betrayal of the healing vocation of medicine.
The human cost of this system is illustrated by the case of Roger Foley, a Canadian man with a severe neurological condition. Foley repeatedly warned that he felt pressured towards euthanasia due to inadequate care options. He spoke openly about being offered euthanasia while struggling to secure the support needed to live with dignity. “I’m fighting to my last breath, but I’m up against a regime that is cruel, desensitised, and out for blood,” he said.
Taken together, these figures and stories point to a profound shift in how Canadian society understands care, suffering, and human dignity. When loneliness, disability, and the fear of being a burden become pathways to assisted death, we must ask whether the healthcare system is no longer alleviating suffering, but instead eliminating those who suffer. Is this what we want for Ireland?




