The legalization of Medical Aid in Dying (MAiD) in Canada has significant implications for palliative care and societal attitudes. MAiD is presented as a therapeutic option to patients, even without their request. There is a concerning lack of development in palliative care, with only 15% of those who need it having access, and a shortage of pain management specialists. In 2022, nearly 20% of euthanized Canadians didn’t receive palliative care. The Canadian Cancer Society highlights the growing deficit in quality palliative care, particularly in homes with few beds. Canada has fallen 10 places in international palliative care rankings since legalizing assisted dying, and public approval of MAiD, even without conditions, has risen, particularly regarding economically vulnerable individuals.