Satire site The Babylon Bee recently ran the headline, ‘Canadian Healthcare System Introduces Punch Card Where On Your 10th Visit You Get Free Suicide.’ Sadly, the joke isn’t too far off from reality.
Earlier this year, I posted a meme on Facebook that brutally skewered Canada’s euthanasia regime. It showed an American doctor telling a patient his stitches would cost $58,000; a British doctor that the waitlist for stitches was 38 months; and a Canadian doctor solicitously inquiring: “Have you considered killing yourself?” (Another variation of the same meme has the doctor bluntly stating: “Kill yourself”—that’s because in Canada, we have the waitlistand the suicide.)
Facebook pulled the image and restricted my account. It violated their rules on the promotion of suicide. The Canadian Association of MAiD Assessors and Providers (CAMAP), however, operates freely on Facebook despite the fact that facilitating suicide is their entire job.
I’ve noted before in this space that Canada’s euthanasia regime has turned us into an international cautionary tale—a country where we can, as it turns out, have the worst of all worlds. We can have a woke government that talks constantly about helping the poor, but implements euthanasia policies that victimize them (leading to headlines in the international press such as: “Why is Canada euthanizing the poor?”) The steady conveyer belt of horror stories as disabled, sick, and desperate Canadians seek lethal injections—often the only “treatment” they’re eligible for in our broken system—makes the old Mitchell and Webb sketch seem plausible:
Consider that in the midst of all of this, the Trudeau government is—for the moment—still hellbent on expanding assisted suicide to the mentally ill in March, despite desperate calls to halt these plans from the psychiatric community, Canadian medical schools, suicide prevention experts, the disability community, and virtually everyone but the suicide enthusiasts at Dying with Dignity. It actually boggles the mind—the prime minister’s own mother has written several memoirs describing her own struggled with mental illness which would, come March, make her eligible to die under the regime her son has introduced.
As Canada’s MAID (Medical Assistance In Dying) system continues to alleviate the pain of patients and the financial strain on the nation’s healthcare system, a recent innovation is expected to further improve results: Parliament just announced a punch card that allows patients to receive a free suicide after 10 doctor visits.
‘From a small-scale maple syrup overdose to a full-blown moose attack, you receive a punch on your card every time you are admitted for an injury or sickness.’ The Canadian Healthcare website published a blog this week outlining the new program.
‘Filling out your punch card is mandatory, for data tracking purposes. No one sick person can be allowed to drain more than their share of the taxpayer’s dollars!’
Trudeau praised the new initiative, positioning it as a way to better engage citizens and prevent any one citizen from becoming a burden on the system. ‘Canadians are team players,’ said Trudeau. ‘It’s important for every citizen to make sure he’s not wasting taxpayer money to sustain a life that’s not worth living. And now with this punch card, they know that with each hospital visit they’re one step closer to the end!’
For anyone offended by this, I would remind them that Canadians right across the country have been pro-actively offered assisted suicide by doctors—including military veterans suffering from PTSD. Cancer patients have been told that treatment that might save their lives is not available—but assisted suicide is. A disabled man in a hospital in London recorded an ethicist telling him that he should consider assisted suicide because his care was costing the system so much money. One Canadian doctor told me that his colleagues feel obligated to present “MAiD” as an option—and that increasingly, sick and vulnerable Canadians will feel obligated to take it.
More from The Bee:
Critics have contended that the new approach preys on disabled and impoverished Canadians who may see assisted suicide as their only option, but the criticism has already been quieted since Canadian Prime Minister Justin Trudeau froze the bank accounts of anyone who spoke out against his regime’s policies in the comments section of the healthcare website’s blog, or on Twitter, or elsewhere. At publishing time, the burden on Canada’s healthcare system was further alleviated when Parliament announced that the policy would retroactively apply to people who had already been admitted for 10 prior hospital visits.
That sort of thing provokes what they call a “painful chuckle.” The truth is that, as Ross Douthat noted in the New York Times, Canada has already entered a truly dystopian period—when over 4% of recorded deaths are Canadians being lethally injected by doctors, we’re all the way down the slope and there’s a huge pile of corpses at the bottom. I really wish that article was more satirical than it is.
Jonathon Van Maren is a public speaker, writer, and pro-life activist. His commentary has been translated into more than eight languages and published widely online as well as print newspapers such as the Jewish Independent, the National Post, the Hamilton Spectator and others. He has received an award for combating anti-Semitism in print from the Jewish organization B’nai Brith. His commentary has been featured on CTV Primetime, Global News, EWTN, and the CBC as well as dozens of radio stations and news outlets in Canada and the United States.
He speaks on a wide variety of cultural topics across North America at universities, high schools, churches, and other functions. Some of these topics include abortion, pornography, the Sexual Revolution, and euthanasia. Jonathon holds a Bachelor of Arts Degree in history from Simon Fraser University, and is the communications director for the Canadian Centre for Bio-Ethical Reform.
Jonathon’s first book, The Culture War, was released in 2016.
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Mark Carney was supposed to be the adult in the room. After nearly a decade of runaway spending under Justin Trudeau, the former central banker was presented to Canadians as a steady hand – someone who could responsibly manage the economy and restore fiscal discipline.
Instead, Carney has taken Trudeau’s recklessness and dialled it up. His government’s recently released spending plan shows an increase of 8.5 percent this fiscal year to $437.8 billion. Add in “non-budgetary spending” such as EI payouts, plus at least $49 billion just to service the burgeoning national debt and total spending in Carney’s first year in office will hit $554.5 billion.
Even if tax revenues were to remain level with last year – and they almost certainly won’t given the tariff wars ravaging Canadian industry – we are hurtling toward a deficit that could easily exceed 3 percent of GDP, and thus dwarf our meagre annual economic growth. It will only get worse. The Parliamentary Budget Officer estimates debt interest alone will consume $70 billion annually by 2029. Fitch Ratings recently warned of Canada’s “rapid and steep fiscal deterioration”, noting that if the Liberal program is implemented total federal, provincial and local debt would rise to 90 percent of GDP.
This was already a fiscal powder keg. But then Carney casually tossed in a lit match. At June’s NATO summit, he pledged to raise defence spending to 2 percent of GDP this fiscal year – to roughly $62 billion. Days later, he stunned even his own caucus by promising to match NATO’s new 5 percent target. If he and his Liberal colleagues follow through, Canada’s defence spending will balloon to the current annual equivalent of $155 billion per year. There is no plan to pay for this. It will all go on the national credit card.
This is not “responsible government.” It is economic madness.
And it’s happening amid broader economic decline. Business investment per worker – a key driver of productivity and living standards – has been shrinking since 2015. The C.D. Howe Institute warns that Canadian workers are increasingly “underequipped compared to their peers abroad,” making us less competitive and less prosperous.
The problem isn’t a lack of money; it’s a lack of discipline and vision. We’ve created a business climate that punishes investment: high taxes, sluggish regulatory processes, and politically motivated uncertainty. Carney has done nothing to reverse this. If anything, he’s making the situation worse.
Recall the 2008 global financial meltdown. Carney loves to highlight his role as Bank of Canada Governor during that time but the true credit for steering the country through the crisis belongs to then-prime minister Stephen Harper and his finance minister, Jim Flaherty. Facing the pressures of a minority Parliament, they made the tough decisions that safeguarded Canada’s fiscal foundation. Their disciplined governance is something Carney would do well to emulate.
Instead, he’s tearing down that legacy. His recent $4.3 billion aid pledge to Ukraine, made without parliamentary approval, exemplifies his careless approach. And his self-proclaimed image as the experienced technocrat who could go eyeball-to-eyeball against Trump is starting to crack. Instead of respecting Carney, Trump is almost toying with him, announcing in June, for example that the U.S. would pull out of the much-ballyhooed bilateral trade talks launched at the G7 Summit less than two weeks earlier.
Ordinary Canadians will foot the bill for Carney’s fiscal mess. The dollar has weakened. Young Canadians – already priced out of the housing market – will inherit a mountain of debt. This is not stewardship. It’s generational theft.
Some still believe Carney will pivot – that he will eventually govern sensibly. But nothing in his actions supports that hope. A leader serious about economic renewal would cancel wasteful Trudeau-era programs, streamline approvals for energy and resource projects, and offer incentives for capital investment. Instead, we’re getting more borrowing and ideological showmanship.
It’s no longer credible to say Carney is better than Trudeau. He’s worse. Trudeau at least pretended deficits were temporary. Carney has made them permanent – and more dangerous.
This is a betrayal of the fiscal stability Canadians were promised. If we care about our credit rating, our standard of living, or the future we are leaving our children, we must change course.
That begins by removing a government unwilling – or unable – to do the job.
Canada once set an economic example for others. Those days are gone. The warning signs – soaring debt, declining productivity, and diminished global standing – are everywhere. Carney’s defenders may still hope he can grow into the job. Canada cannot afford to wait and find out.
Over the past few years, I’ve had canvassers coming to my home in Toronto on behalf of a wide range of non-profits – including hospitals and mental health and homeless support organizations. The fundraisers all “wear” a noticeable post secondary student vibe. That’s hardly news.
But curiously, no matter what they’re collecting for, every last one of them uses the exact same methodology. That is, they refuse to take a one-time donation, instead insisting I sign up for six (not seven, and definitely not five) monthly payments. They don’t want me donating online through the organization’s website (explaining that they wouldn’t get credit for that). They do expect me to enter my basic information on a high-end tablet they’re carrying. When that’s done, they’ll use their smartphones to make a call to a remote agent who would take my financial information.
I only completed the process once – for the Hospital for Sick Children (SickKids) in Toronto. But that was mostly because, at the time, they were in the middle of quite literally saving my granddaughter’s life. I couldn’t very well say no.
Because of the paranoia that comes with my background in IT systems administration, I generally don’t participate, explaining that I never share financial information on a call I didn’t initiate. At the same time, these campaigns are not fraudulent and, with the possible exception of UNICEF, they all represent legitimate organizations. Nevertheless, they all come with the clear fingerprints of a third-party, for-profit company. Which makes me curious.
After a little digging, it became clear that a company called Globalfaces Direct was the most likely employer of the face-to-face (F2F) canvassers I’m seeing. It’s also obvious that those canvassers are paid at least partially through revenue-based commissions.
Estimating how much of your donations are actually used for charitable work can be difficult. For once thing, in the case of SickKids, it’s not even clear which organization the money is going to. There at least three related non-profit accounts registered with CRA: The Hospital for Sick Children, The Hospital for Sick Children Foundation, and the SickKids Charitable Giving Fund.
But even where there isn’t such ambiguity we have only limited visibility into an organization’s finances. Covenant House, for instance, issued receipts for $26 million in donations for 2024, but there’s no way to know how much of that came through Globalfaces Direct F2F campaigns. And there’s certainly no public record indicating how much of that $26 million was spent on commissions and overhead. CRA filings for Covenant House do report fundraising costs of $9.4 million in 2024, which was 22 percent of their total spending and 32 percent of all donations.
It’s likely that their $9.4 million in fundraising costs includes Globalfaces Direct’s canvasser commissions and overhead costs. But those are only some of the costs – which likely include events, direct mail, and other in-house efforts. In fact, it’s not unreasonable to assume that only 20-30 percent of each dollar raised through F2F canvassing is actually spent on charity work.
From the perspective of the non-profit, hiring F2F companies can generate new sources of stable, long-term income that would have been otherwise unattainable. Especially if the F2F agreement specifies withholding a percentage of what’s collected rather than charging a flat fee, then a non-profit has nothing to lose. Why wouldn’t SickKids or Covenant House sign up for that?
Of course, a lot of that will depend on how you think about the numbers. Taken as a whole, an organization that spends just 32 percent of their donations on fundraising activities is well within CRA guidelines: “Fundraising is acceptable unless it is a purpose of the charity (a collateral non-charitable purpose).” But if we just looked at the money raised through a F2F campaign, that percentage would likely be a lot higher.
Similarly, CRA also expects that: “Fundraising is acceptable unless it delivers a more than incidental private benefit.” In other words, if a private company like Globalfaces Direct were to realize financial gain that’s “more than incidental”, it might fail to meet CRA guidelines.
Unfortunately, there’s no easy way for donors to assess the numbers on those terms. So regular people who prefer to direct as much of their donation as possible to the actual cause will generally be far better off donating through an institution’s website or, even better, through a single CRA-friendly aggregator like CanadaHelps.org.
But it would be nice if CRA reporting rules clearly broke those numbers down so we could judge for ourselves.
