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.
Crime
Numbers don’t lie—crime up significantly in Toronto and across Canada
From the Fraser Institute
By Matthew Lau
It’s no secret that politicians often cherry-pick statistics instead of telling the full story when the full story doesn’t look great for them. For example, amid concerns of rising auto theft and crime, the federal Liberals recently highlighted that auto theft is down 17 per cent versus last year. But this statement deserves scrutiny.
It’s true, according to an insurance fraud prevention group, there was a 17 per cent year-over-year decline in auto thefts in the first half of 2024. But this doesn’t mean the number of stolen cars is low. The reason for the year-over-year decline is that auto thefts spiked significantly in 2023. While down in the first half of 2024, auto thefts remain at elevated levels relative to prior years.
For example, the Toronto Police Service reports 5,049 auto thefts in the first half of 2024—down 21 per cent year-over year, but still very high relative to the first half of 2022 (4,480 auto thefts) and the first half of 2021 (2,769 auto thefts). In light of an 82 per cent increase in auto thefts in Toronto compared to just three years ago, the Trudeau government shouldn’t celebrate too loudly its record at stopping auto theft.
In addition, cherry-picking auto theft stats ignores crime increases in other areas. In the first half of 2024 (again, according to Toronto Police Service data), assaults were up 8 per cent year-over-year, breaking and entering was up 6 per cent, homicides were up 36 per cent, robberies were up 21 per cent, and sexual violations were up 17 per cent.
And it’s not just Toronto.
Take York Region as another example. Faced with criticism that violent crime had risen dramatically in Ontario since the Liberals took office, a Liberal MP from York Region called such criticism “false and misleading” and declared “our community is safe,” citing the York Region Police’s published crime statistics. But what do York Region crime statistics actually show?
Like in Toronto, in the first half of 2024 auto thefts were down significantly versus the first half of 2023, and weapons violations and sexual violations were also down. However, assaults, breaking and entering, drug violations and robberies were all up. And again, the longer-term trend shows most types of crime on the rise. Despite the decline versus 2023, in the first half of 2024 auto thefts were 120 per cent higher than in 2021. And compared to 2021, the first half of 2024 in York Region saw 58 per cent more assaults, 99 per cent more breaking and entering incidents, 193 per cent more robberies, 69 per cent more firearm violations and 51 per cent more violations with other weapons.
Across Canada, That’s just a fact. Statistics Canada’s violent crime severity index in 2023 was 41 per cent higher than in 2014, and a recent report from the Ottawa-based Macdonald-Laurier Institute revealed a surge in violent crime in Canada’s largest urban centres.
However you crunch the numbers, the Trudeau government’s record on crime is nothing to boast about.
Author:
Energy
TMX Pipeline a Success Story – Despite All the Green Battles Against It
From Energy Now
“As we go into winter months, Canada will set new export records”
We remember well the green battles against the “TMX” expansion of the Trans Mountain oil pipeline from Alberta to B.C. The idea was, they said, at best unnecessary and at worst thoroughly dangerous to the world environment.
One group said the expansion “threatens to unleash a massive tar sands spill that would threaten drinking water, salmon, coastal wildlife, and communities.” It would also, others said, impede investment in clean energy and undermine Canada’s efforts to deal with climate change.
Some said the expanded line would be an imposition on First Nations. But a number of First Nations are interested in acquiring an equity stake in the pipeline (and the federal government, which owns the line, is looking to sell a 30-percent stake to them).
Despite the loud opposition, the federal government went ahead and purchased the pipeline and the expansion project in May 2018, completing the pipeline’s expansion this year at a total cost of $31 billion.
Prime Minister Trudeau’s explanation: Ottawa stepped in because owner Kinder Morgan “wanted to throw up their hands and walk away,” and his government wanted to make sure that Canadian oil could reach new markets.
Alberta’s Canadian Energy Centre supported that outlook: “We’re going to be moving into a market where buyers are going to be competing to buy Canadian oil.”
Our Margareta Dovgal wrote: “What matters to us is the benefits to Canada. For one thing, we now will be able to ship more oil by tanker to refineries on the U.S. West Coast at a better price than oil by tanker from Alaska. And . . . we’ll have more oil more readily available for overseas buyers.
“So, all in all, we can expect to see higher returns on our oil, and we can continue to see the immense benefits of high-paying jobs in Canadian energy, and the benefits of revenues to government.”
It has all been happening, in spades.
And the opening of the expanded pipeline on May 1 this year also helped bring down gasoline prices.
In Vancouver, for example, regular gasoline in April ran as high as $2.359 a litre. At the beginning of May, as key refineries returned to normal after seasonal maintenance work, it stood around $2.085. As October opened, the price was as low as $1.579.
Economist G. Kent Fellows said at an event hosted by Resource Works and the Business Council of B.C.: “Our analysis shows that insufficient pipeline capacity was costing B.C. consumers an estimated $1.5 billion per year in higher gasoline prices.
“With TMX now operational, wholesale gasoline prices in Vancouver dropped by about 28 cents per litre compared to earlier this year.”
As for those buyers competing for our oil, some thought the prime export destination would be California. But the summer just past brought exports on tankers from Vancouver to China, Japan, India, Hong Kong, South Korea, and Brunei.
As of now, California is indeed leading as a destination, with Asian buyers having eased off after their initial purchases. Experts say that was expected, with Asian refineries first taking test cargoes to see how their systems handle our oil.
Kevin Birn, chief Canadian oil markets analyst for S&P Global, told Business in Vancouver: “There is always a market for crude oil in the Pacific Basin. We always saw the need for the Trans Mountain pipeline. We saw Canadian production continuing to grow.”
Birn added: “It’s still relatively early. I’d expect volumes to continue to build, cargoes to test different markets all over the place, and over time you’ll start to see patterns.
“As we go into winter months, Canada will set new export records, because as capacity’s been optimized and new product projections and wells are brought online, the winter tends to be the peak period.
“Every year, I think, for the next couple of years, Canada will set new records.”
That would be good news for Canada’s economy — and for Alberta’s.
There are no statistics available yet on the TMX line’s impact on the economy, but in 2019 Trans Mountain estimated that construction and operation would mean $46 billion in revenue to governments over the first 20 years.
Today, as reported by Alberta’s energy minister, Brian Jean, Alberta continues to break records for crude oil production, with global demand continuing to grow.
The latest numbers from the Alberta Energy Regulator show Alberta’s oil production averaged a little over 4 million barrels per day in August — the highest on record for any August.
“The addition of 590,000 barrels per day of heavy oil pipeline capacity from Alberta to the B.C. coast earlier this year with the completion of the Trans Mountain Pipeline expansion project has been instrumental in the recent production increases.”
All this as the International Energy Agency said that while oil demand is decelerating from 2023 levels due to a slowing economy in China, demand is still set to increase by 900,000 barrels per day (bpd) this year. That would push global consumption to a record level of almost 103 million bpd.
And that forecast came as Jonathan Wilkinson, our federal minister of energy and natural resources, declared: “Oil and gas will peak this decade. In fact, oil is probably peaking this year.”
A bevy of market-watchers disagreed with him. Among them, Greg Ebel, CEO of Calgary-based Enbridge, says global oil consumption will be “well north” of 100 million barrels per day by 2050 — and could exceed 110 million barrels.
“You continue to see economic demands, and particularly in the developing world, people continue to say lighter, faster, denser, cheaper energy works for our people. . . And that’s leading to more oil usage.”
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