We know that MAID usage varies from jurisdiction to jurisdiction. It is rarely used in Italy, Germany, and Austria. It is far more commonly used in Canada and the Netherlands. But MAID usage also varies within countries.
For example, usage is significantly higher in British Columbia (5%) and Quebec (7%) than in other Canadian provinces (<4%). In the United States, usage in New Mexico is ten times what it is in New Jersey and Washington, DC. And as this recent Go Gentle 2026 State of VAD Report shows, usage is more than three times higher in Queensland than Victoria.

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