Ontario's Handbook on Certification of Death opens with a quote from the 1955 U.N. Handbook of Vital Statistics Methods: "It may truthfully be said that virtually every large-scale problem in preventive medicine has been brought to light – in part at least – by statistics of death, and further that the adequacy of remedial or curative action is, in the last analysis, reflected in these same statistics."

That, of course, is only true if the statistics are recorded accurately. Later in the same handbook, for example, is this instruction: "For deaths involving MAiD, the illness, disease, or disability leading to the request for assistance is to be recorded as the underlying cause of death. This condition will be selected as the cause of death for vital statistics. There should be no mention of the injection or ingestion of drugs."

Thus, when someone is killed by a euthanasia practitioner via lethal injection in Ontario, the lethal injection is not recorded as their cause of death. Instead, the cause of death is recorded as whatever the "MAiD assessors" decided made the patient eligible for a lethal injection in the first place. If someone is euthanized for a non-life-threatening disability or disease, the death certificate records what amounts to an official lie: That they were killed by their condition, rather than … what actually killed them.