A confidential British Columbia government document obtained by Canadian Catholic News shows that doctors, nurse practitioners, and pharmacists in that province committed what observers say is a “shocking” and “alarming” number of procedural errors while managing euthanasia cases.
The Ministry of Health report, entitled “Medical Assistance in Dying (MAiD) Oversight 2024 Year End Report,” was made public in response to a Freedom of Information application.
It shows that more than half of all “MAiD case outcomes”—51.9 percent, to be exact—during that year required some sort of corrective “follow-up” by the province’s secretive MAiD Oversight Unit.
The oversight unit found 2,807 errors in all such MAiD files, 353 of which “required education to practitioners and pharmacists to ensure they understand legal requirements and the professional standards associated with MAiD,” the confidential report states.
“It’s all very shocking that you have such a large amount and percentage of errors in British Columbia,” Alex Schadenberg, executive director of the Ontario-based Euthanasia Prevention Coalition, said in an interview. “It’s clear there are huge problems.”
The situation is particularly acute because B.C. leads the country in the percentage of all deaths that are caused by MAiD, Schadenberg pointed out. In 2024, for example, 6.5 percent of the province’s deaths were attributed to euthanasia, compared with the national average of 5.1 percent.
Amanda Achtman, ethics director of Canadian Physicians for Life, said the report has troubling implications as it suggests that MAiD is not really medical care, “but rather abandonment.”
“The staggering level of errors surrounding the practice of euthanasia in Canada betrays a level of indifference and callousness toward Canadian patients at end of life,” Achtman said in an interview. “At the same time, every euthanasia death is a medical ‘error’ because it is an aberration of sound medical practice rooted in the Hippocratic oath to ‘do not harm.’”
The harm caused by the errors is widespread. For families, whose loved ones have been euthanized, errors by MAiD practitioners are not merely gaps in bureaucratic paperwork, “but represent the negligence with which their loved ones were dismissively treated at the height of their greatest vulnerability,” she said.
B.C.’s Minister of Health, Josie Osborne, did not respond to a request for an interview on the subject. And nor has she yet answered questions, raised in the B.C. Legislature in April by Opposition Health Critic Dr. Anna Kindy, about the need for better and more-public oversight of B.C.’s MAiD regime.
“Will B.C. commit to public annual reporting, not just of MAiD volume but of compliance concerns, referrals ... [MAiD ]trends, and recommendations for system improvement?” Dr. Kindy asked Osborne.
Dr. Kindy’s questions were based, in part, on the B.C. Catholic newspaper’s July 2025 publication of a report on the MAiD Oversight Unit’s 2023 report, which found 2,833 errors in the management of 3,808 MAiD cases. B.C. family doctor Kevin Sclater, who quit his job at a hospice in 2022, in part, because of the “moral distress” he said he suffered by having to discuss MAiD with patients, said he is “shocked about an error rate that is so high. The Ministry of Health really should tighten up that issue.”
With the Minister not yet answering questions about the error rate, CCN turned to B.C.’s professional medical association, Doctors of B.C., for comment on the need to better manage MAiD in the province.
A spokesman answered that the evaluation of “clinical outcomes falls outside our scope,” and said answers to “questions related to regulatory oversight” were the purview of the College of Physicians and Surgeons of BC.
But that institution, in turn, said its mandate is only to regulate physicians and surgeons, not to “comment on clinical, health or health system matters.” It suggested contacting the Ministry of Health, instead.
Dr. Sclater agreed that the ministry should be responsible for improving the administration of MAiD. As it stands now, “a MAiD assessment is really only a superficial competency assessment,” he said. Because it “doesn’t evaluate and document a person’s competence for medical decision-making ... the entire evaluation process is really a sham.”
He added that the current process also leaves the public “very vulnerable to the whims of the euthanasia provider, who may be on a mission to ‘help’ a group of people who have a restricted capacity to object.”
The overlapping issues—of lax oversight, multiple agencies’ failure to take responsibility for enforcement of rules, and rogue euthanasia-specialist doctors—also arose in a parliamentary committee’s June 17 recommendation to “indefinitely exclude” from eligibility for MAiD a patient whose sole underlying medical condition is a mental illness.
Committee co-chair Dr. Marcus Powlowski (Lib – Thunder Bay-Rainy River) wrote in a “supplementary opinion” to the main report that the committee “heard disturbing stories of questionable conduct by some MAiD providers.”
In fact, Dr. Powlowski, a physician himself, wrote, “it is not hard to conclude that some providers take an exceedingly expansive interpretation” of MAiD-eligibility rules and exhibit “a seemingly cavalier attitude towards end of a life.”
Furthermore, he said the committee heard “scant, if any evidence” to indicate that bodies, such as colleges of physicians and surgeons, “provide adequate safeguards” or have “seriously pursued allegations of misconduct by MAiD providers.”
“Several witnesses suggested the criminal system, the medical colleges, and at times the government ministries responsible for MAiD provision ... all allegedly treat enforcement as someone else’s responsibility,” he wrote.
He could have been describing CCN’s failure to find a government or professional organization willing to comment about the MAiD Oversight Unit’s report.
Release of the B.C. document comes at the same time as Canada marked the 10th anniversary of the legalization of MAiD on June 17—an anniversary that prompted the Canadian Conference of Catholic Bishops’ Standing Committee for Family and Life to issue a statement urging Catholics to “remain steadfast in opposing euthanasia and assisted suicide, to pray for the conversion of hearts and minds away from this practice, and to be present to persons who are sick and vulnerable.”
While elimination of legalized euthanasia is also the ultimate goal of the Euthanasia Prevention Coalition, Schadenberg said tighter control, better oversight, and public reporting on MAiD remains an urgent need in British Columbia and elsewhere.
Indeed, B.C.’s own confidential data paint a picture of a MAiD system operating with significant procedural failings and no clear lines of accountability.
With the Ministry of Health not responding to an interview request, professional bodies deflecting responsibility, and at least one federal lawmaker warning of “cavalier” practices among some providers, British Columbians are left with a regime in which thousands of life‑and‑death decisions proceed with limited transparency and inconsistent oversight.
As MAiD continues to expand and the province continues to record the highest euthanasia rate in Canada—and Canada itself continues to record the second highest such rate in the world—the unanswered questions about safety, competence, and public protection appear more urgent than ever.
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