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What Canada’s Euthanasia Surge Reveals About Single-Payer Health Care

Medical assistance in dying now accounts for roughly one in 20 deaths in Canada, according to the latest government data. That makes it the country’s fifth-leading cause of death.

For patients facing severe illness and suffering, the option is framed as an act of compassion. But its rapid expansion raises uncomfortable questions about how government-run health systems respond to the reality of scarce public resources.

Caring for patients with complex, chronic or terminal conditions is among the most expensive obligations in any health system. That creates an inherent tension in systems where the government both finances care—and decides what care is worth covering.

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