A distraught Canadian family has condemned the country’s Medical Assistance in Dying (MAID) program after their 26-year-old son, Kiano Vafaeian, was euthanized despite his struggles with seasonal depression, Type 1 diabetes, and partial blindness.
Vafaeian, who died in December 2025, had his procedure approved by Dr. Ellen Wiebe under Track 2 of MAID, where natural death is not imminent—a category his mother, Margaret Marsilla, calls a “failure of ethics, accountability, and humanity.” Vafaeian’s ordeal began after a 2016 car accident at age 17 left him blind in one eye and battling mental health issues.
In 2022, Marsilla discovered and halted a MAID appointment by posing as a patient and publicizing the case. Vafaeian improved, moving to a Toronto condo, joining a gym, and planning trips. But in late 2025, he deteriorated, flew to Vancouver, and was approved for MAID despite family pleas. His death certificate listed blindness, severe peripheral neuropathy, and diabetes as causes.
Marsilla accused Wiebe of “coaching” her son on qualifying: “We believe that she was coaching him on how to deteriorate his body and what she can possibly approve him for.” She criticized the lack of safeguards, like family notification: “Realistically, safeguards for patients would be reaching out to their family members, giving them a whole bunch of different treatment options.”
Canada’s MAID program, expanded in 2021, saw 16,499 deaths in 2024—5.1% of all deaths. This case exemplifies the slippery slope toward devaluing life, where mental health vulnerabilities lead to state-sanctioned killing rather than support.