The term "detainees" needs unpacking somewhat. Canada's system is equally evil in its own way, depending as it does on brainwashing and social engineering. It's only a matter of time before physician assisted suicide becomes the treatment of choice for many cases, and eventually the only available option.

Meanwhile, let's not kid ourselves the rest of the world isn't doing it as well. The UK kills many patients by stealth and a fatalistic approach to care, blaming assumed terminality of the patient for its own institutional ineptitude.

Britain's most prolific serial killer was a doctor with a god complex, administering painkillers to the elderly. But the Gosport Inquiry suggests Harold Shipman was part time, tip of the icerberg: and a doctor or doctors at Gosport Hospital levered the institutional resources to scale up Shipman's ideas to an industrial scale.

Lastly, let's not forget the biggest myth about organ transplantation - that the patient must be dead. Au contraire - the patient must still be alive. As soon as the heart stops beating the organs are useless.