Canada’s Medical Assistance in Dying (MAID) program began as a narrow, compassionate response to terminal illness. Today, it has become one of the most permissive assisted-dying regimes in the world.

In this episode of Global Risk Profile, we trace how MAID evolved—from a tightly controlled end-of-life exception into a system shaped by legal logic, institutional incentives, healthcare scarcity, and bureaucratic drift.

We examine real cases, court decisions, and policy changes that expanded eligibility beyond terminal illness, and ask a harder question: what happens when assisted dying becomes easier to access than housing, treatment, or long-term care?

We explore:

* How MAID started, and why lawmakers believed it would remain rare

* Why legal and institutional incentives pushed the program far beyond its original scope

* Documented cases where MAID was suggested to vulnerable individuals

* A global comparison: how the U.S., U.K., France, Germany, Israel, Japan, Australia, South Korea, Switzerland, and the Netherlands draw very different lines

* The concept of “soft eugenics”: not ideology or conspiracy, but systems quietly steering certain lives toward exit because support is hard and expensive

* Why civilizations across history have treated suicide with extreme caution—and where modern policy may be losing its moral guardrails

This episode is not about accusing individuals of bad intentions. It’s about understanding how good intentions collide with real-world incentives—and why outcomes, not motives, ultimately matter.

Chapters: 00:00 Introduction 02:14 The Narrow Promise That Couldn't Stay Narrow 04:19 What Expansion Looks Like 06:08 When Systems Stop Fighting for Certain Lives 09:22 The Moral Landscape