44th Parl. 1st Sess.
February 13, 2023 11:00AM
Mr. Speaker, I rise to talk about this issue tonight, because for me it is deeply personal. As someone who has suffered with depression and mental health issues at various times in my life, including a severe depressive period for which I was seeking treatment, I think the expansion of medically assisted death to those with mental health conditions is incredibly troubling. The fact that this is where we are, almost a month away from when this would be available to Canadians suffering with mental health issues, is a catastrophic failure of the government to properly deal with this issue. I am so unbelievably disappointed that the Liberals are rushing through legislation now to try to delay the implementation of this because they did not do any of the hard work that was necessary in order to get this right. The problem is that there is so much evidence out there on how they could have gotten it right, yet they chose not to.
I want to talk a bit about an article that was written on December 15, 2022, by Dr. Karandeep Gaind, a professor of psychiatry at the University of Toronto and the chair of his hospital's MAID team. If anyone has not done it, they should read this article, because it outlines and summarizes the incredible challenges with this issue and how the government has failed in examining it.
I am going to start here: “[E]vidence shows it is impossible to predict that a mental illness will not improve in any individual.” He goes on to say, “Yet expansion activists mistakenly believe they can make such predictions.” Research, which he cites, “tells us their chance of being right amounts to chance or less, with precision modelling showing only 47 per cent of [irremediable medical condition] predictions end up being correct”.
This means that 47% of the time when a doctor says a person's mental health will not improve, they are wrong. This evidence was readily available to the government at any time, yet we find ourselves having to push through legislation to delay it at the last minute.
He goes on to say this: “[W]hen expanded to those seeking death for mental illness, evidence shows MAID becomes indistinguishable from suicide.” We should remember that this is a psychiatrist talking. He says, “We cannot differentiate those seeking psychiatric euthanasia from suicidal individuals who resume fulfilling lives after being provided suicide prevention, rather than facilitated death.”
Let that sink in for a minute. This is a psychiatrist who teaches at the University of Toronto and is the chair of his hospital's MAID team. These are the things he is saying. He has been saying them for a very long time, and the Liberals still could not get this right.
He then talks about the federally appointed panel:
The government-appointed federal panel...was responsible for providing safeguards, standards and guidelines for how to implement MAID for mental illness. Instead, the panel recommended that no further legislative safeguards be required before providing death for mental illness, and did not provide any specific standards for the length, type or number of treatments that should be tried before providing MAID. Its report even suggested society had made an “ethical choice” that MAID should be provided even if suicide and MAID were the same.
This psychiatrist is summarizing what the government panel found. To me, it is absolutely and truly shocking.
He goes on to say, “I am not a conscientious objector.” There are many who are. There are members in this place who conscientiously object to medically assisted death. I am not one of them. I think it can be appropriate in certain circumstances, and Dr. Gaind is in that group as well. He says, “However it is clear to me that Canada’s planned expansion of MAID to mental illness is based on ignorance—if not outright disregard—of fundamental suicide prevention principles.”
Let that sink in. Again, I go back to who is saying this. This is not me saying this, not a parliamentarian saying it who does not have experience in mental health. This is a psychiatrist at the University of Toronto and the chair of the hospital's MAID team. He finishes, “It appears to ignore what drives the most marginalized people to consider death as an alternative to life suffering.”
This again is the incredible challenge. We have heard all the reports about people thinking they should now get MAID as a result of mental health issues. I cannot believe that we let it get this far, that we do not have rules in place and that we have to go forward and put this off.
The government had so much time to get this right and it could not. It did not even come close. This to me is just a symptom of how the government does things without thinking them through, without thinking of the consequences. What is going to happen if we do not get this bill passed by March 17? Then it is open and available. How is this legislation just being introduced now to push it back? The government knew ages ago that it was not going to meet this deadline. It knew ages ago that it did not have safeguards in place, and yet here we are now. I find that breathtaking.
The doctor's final comments in the article, I think, we should all listen to. They read:
Postponing the March 2023 expansion of euthanasia for mental illness is the only responsible course. Canadians and mental health organizations recognized this and called for it, with the Canadian Association for Suicide Prevention and over 200 individual psychiatrists so far signing a petition to this effect, and the academic chairs of the departments of psychiatry across Canada joining this call for delay.
That article was written in December and here we are now dealing with this legislation. It is a catastrophic failure by the government and the minister responsible for this. Let us hope it is not a catastrophic failure for Canadians.
Someone who is dealing with a mental health issue needs help. Let us be clear. I went through a period in my life where I did not want to continue to live. It was a deeply dark, terrible period of time.
The government is moving forward with this legislation with absolutely no safeguards in place to protect people who are in that terrible place. Eminent psychiatrists have been banging the clarion bell on this for ages and the government did nothing until the last minute. Now it is saying we have to put it off.
I can tell colleagues that I have absolutely no faith that the government is going to get it right. As the quotation I cited in the article stated, the panel got it wrong. I do not know if there has been any ministerial direction to make sure it gets it right. What I can say is this. On this side of the House, we are going to stand up for people with mental health issues. We are going to protect them and not let the government just throw them under the bus.
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Mr. Speaker, just to provide a little bit of clarity on the issue of mental health, I challenge the member or others who want to make this more partisan to tell me of another government that has invested as much money in health care or mental health, and has focused so much attention on mental health, as this national government has. Stephen Harper definitely did not do that.
My question to the member is related to the special joint committee. There is a special joint committee whose membership comes from all sides that is doing a lot of work on the issue. Does the member believe there are no exceptions himself where any form of mental illness could be eligible for MAID?
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Mr. Speaker, I share my colleague's concerns. That is why I voted against the Senate amendment to Bill C-7 in the previous Parliament. I have been a member of the special joint committee on medical assistance in dying. It is very clear that Bill C-39 is necessary. We do need to have that delay in place.
The concepts we were struggling with at committee were individual autonomy versus protection of the vulnerable. I would like to get my colleague's thoughts on those concepts. What is his understanding of the capacity of a person who may have a mental disorder to make an informed consent decision and their own internal understanding of what they are going through?
This is a genuine question. I am genuinely curious as to what the member thinks about it because this is a really important debate that our country is having.
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Mr. Speaker, I think that this issue is so complicated that it is incredibly difficult for members of Parliament to try to set those parameters without extensive study.
I want to go back to the figure that was cited by the professor where he said that 47% of the predictions of people's mental health issue being irremediable are wrong. We look at that stat that 50% of the time they are wrong, and if someone with an irremediable mental health issue goes for MAID, 50% of those predictions are wrong, so the possibility is that 50% of the people getting medically assisted death could have had treatment and got better. That is a statistic that every member in this chamber should be haunted by until we get this right.
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Mr. Speaker, that is difficult. I think the challenge with trying to come up with something at committee is the limitations of committee. Witnesses come, give a five-minute intervention, and we have a five or six-minute opportunity to question. Quite frankly, on an issue like this, I just do not think that is going to do it.
We need professors of psychiatry from well-renowned universities putting in the guardrails to protect Canadians by telling us what those are, and the government has to listen.
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Mr. Speaker, I am thankful for the opportunity this evening to speak to Bill C-39.
At the outset, I believe it is important, first of all, that my constituents know that this bill is not a complicated one. It does not propose anything new to Canada’s euthanasia laws, nor does it propose to appeal laws that are currently in place. This is a simple bill that delays the expansion of medical assistance in dying to those living with mental illness by 12 months, one year. On those grounds, Conservatives support its swift passage, but only as a temporary solution.
However, this bill is what happens when a government moves too fast, too aggressively, and fails to take into account the pleas of experts and everyday Canadians living with mental illness and family members living with them. These Canadians include our family members, our friends, our neighbours and our co-workers. They live with mental illness that, to them, should not be a death sentence. They see the provision of MAID for their illness as yet another step along the road to devaluing life in this country. They know it is not going to accomplish anything to end stigma around mental illness, and they know that it puts vulnerable Canadians from all walks of life with illness seen and unseen at risk.
That is why this bill is little comfort to me and to Canadians at large. The extension of assisted death to mental illness must not just be delayed; it must be scrapped completely.
Assisted death has been a highly emotional issue since this place first considered its legalization in 2016. It was the first bill that I debated in this House. Debate has been passionate due to our personal experiences, personal beliefs and convictions on what constitutes dignity in end-of-life decisions. However, today’s debate takes on an even greater heaviness in that respect.
Statistics indicate that one in two Canadians by age 40 has or has had a mental illness. The chances are even greater for young people, and among those who have answered surveys on the topic, respondents report that they would be three times less likely to disclose a mental illness than a physical one, like cancer. The numbers are grim but paint a realistic picture of mental health as it relates to all Canadians. It is universal. No one is immune to life’s difficulties, whether in the short or the long term. That is precisely why stakeholders are asking the government to show true compassion by reconsidering an expansion of MAID to those with wounds that are largely unseen.
The Canadian Mental Health Association points to socio-demographic factors beyond age, education and income levels as driving forces behind a request for MAID. Racism, poverty, homelessness and gender-based violence have harmful effects on mental health and symptoms of mental illness. Over these past couple of years, we can tell too that isolation, persecution for one's beliefs and hopelessness impact our mental health.
The Ontario Hospital Association is clear that these complex issues must be addressed through appropriate legal safeguards, coupled with societal supports, before assisted death expansion is considered. On the other hand, I believe that we must consider the realities of mental health in Canada among certain groups close to my heart and why expansion must never be entertained.
This summer, Canadians were shocked to learn that a Canadian Armed Forces veteran struggling with PTSD and a brain injury was repeatedly advised of MAID as a solution to his suffering by a Veterans Affairs Canada employee. The veteran had never inquired about MAID, but even after asking the VAC employee to stop pressuring him over and over again, the employee persisted. We know that veterans face a greater risk of suicide compared to the average population. It is truly frightening to know that instead of facilitating the most appropriate care available, this public servant chose to repeatedly suggest MAID as a solution to suffering. This frightens me to know, and I wonder how often this kind of advice has led to tragic consequences.
Debbie Lowther of VETS Canada said that it is like planting a seed within someone who is already struggling with their mental health or may even be contemplating suicide. No matter how isolated the Veterans Affairs issue may be purported to be, and I do not believe it is, it is clearly a result of the government’s attempts to muddy the waters on suicide. It did a lot to draw Canadians’ attention to the normalization of assisted death in this country and just how rapidly it is becoming a “fix-all” solution, not just for end-of-life issues but for treatable illnesses among vulnerable people. When accessing an assisted death takes less time than accessing disability benefits for our veterans, we are completely failing them. Sadly, veterans are not alone in this respect.
Some Ontarians, for example, face multi-year wait times for special mental health care. That is years of living with mental health issues when they could be receiving treatment. Why are they not? We need to ask ourselves that question. Disability advocates have been crystal clear with this government for years that Canadians do not have access to all the supports that they need and deserve and are even available.
In a piece in the Hill Times this past week, Spencer van Vloten of BC Disability is correct when he states that, “too much time is spent considering who should die, rather than how to help people live.” He goes on to note all-time highs in wait times, nearly 30 weeks, for those seeking mental health treatment.
To paraphrase one disability rights advocate, “those living with treatable illnesses likely would not put MAID anywhere near the top of their list if they had unimpeded access to support and treatment.”
Indigenous Canadians also face an increased risk of preventable harm as MAID becomes more accessible. Tyler White, CEO of Siksika Health Services noted that, “Indigenous elders work hard to tell young people that suicide should not be an option, and the medical assistance in dying (MAID) bill [Bill C-7 in this case] says the opposite.”
Many indigenous Canadians can speak to negative experiences with the health care system, including procedures that were done against their will. It is my belief that an assisted death regime, with ever-expanding boundaries and ever-diminishing safeguards, will not help to heal mistrust. It will only worsen it for our indigenous people, our veterans and those with disabilities.
It comes down to this simple fact: The same majority of Canadians who desire empowerment in their end-of-life decisions want Parliament to carefully weigh the risks of MAID for those living with mental health issues, such as depression. Sixty-nine percent fear that depressed individuals could see MAID as a means to escape dealing with the underlying causes of their condition. The experts say they can, over time, deal with those conditions.
The slippery slope does exist, and it exists nowhere near to the effect that it is happening in Canada and spinning out of control. We have to apply the brakes here. We are not only listening to those who will personally be affected by these laws, but we also need to take lessons. I know this government says, “We take no lesson”. Well, do not take them from us then, take them from jurisdictions with a long-standing MAID regime for mental illness.
In Belgium and the Netherlands, MAID laws once limited to mentally competent, terminally ill adults now include adults and children with mental deficiencies, severely disabled individuals, and those with treatable psychiatric conditions such as anorexia and depression. Between 2012 and 2017, the Netherlands alone saw a 600% increase in euthanasia which was sought to address psychiatric conditions; conditions that the experts say cannot be determined to be irremediable.
So, this government has made a choice. This minister has claimed that this is only a pause. It cannot claim as a government that it stands as a champion for mental health treatment while simultaneously cheapening the value of that treatment and, indeed, human life itself.
The minister claims that MAID expansion can be done safely, but experts have been clear that expanding eligibility of medical assistance in dying to Canadians living with mental illness cannot be done safely. It is impossible to determine irremediability in individual cases of mental illness. This expansion will only blur the lines further between suicide assistance and suicide prevention.
Canadians cannot trust this Liberal and NDP government to protect the lives of our most vulnerable, including those who are simply asking for a hand in the seasons of need. Every action they have used for MAID since 2015 has achieved the opposite.
So, let us not further stigmatize those with mental illness by placing euthanasia ahead of other solutions. We need to reject a culture of death on demand and instead let us make Canada a champion for suicide prevention at all stages of life.
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Madam Speaker, the truth of the matter is that this issue exposed something that is happening in our society, and it is happening without oversight.
When the previous minister of justice indicated in the House that the first bill on assisted suicide, or MAID, had to be studied extensively before we moved forward with any other considerations, the government just flew right by that and immediately brought in another piece of legislation that, again, has opened it up.
I am sorry, but I do not know how much closer to death on demand it can get when a veteran is told that by someone. Yes, it was illegal, doing what they did to even suggest it because it was out of their purview. To open it up to that point is to say to someone, “You know what, with all of your issues, this would be a better alternative to your life.”
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Madam Speaker, my colleague said something, a quote that I think is haunting, profound and accurate. She quoted someone who said that we spend too much time helping people to die and not enough time helping people to live. For a government member to try to diminish what happened with veterans affairs, I find that disgusting.
I was wondering if my colleague would like to take a little more time talking about some of the really good things that she mentioned that the Canadian government should be doing to help people to live, as opposed to this measure that is front of us, which should never have been contemplated.
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Madam Speaker, there is so much that is being left on the table in the back room, I do not know where, that is not being done, and it raises doubts in veterans' minds as to the true intent of the government in truly meeting their needs. I am serious.
We have a backlog that continues to grow, while the minister is talking about the billions of dollars we are throwing at this, and it is the same with mental health, yet things are not improving. They are getting worse.
We have a responsibility in the House to do everything we can to make life valuable. We should have top-notch palliative care across the entire nation. We should be taking care of our veterans from the moment they enlist until the moment they are successful in a civilian life after they are done serving. There are so many things that could be done by the government.
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Madam Speaker, notwithstanding the many leading psychiatrists who have made it very clear that this expansion cannot be implemented safely, and notwithstanding the Association of Chairs of Psychiatry calling on the government to stop this expansion, the Minister of Justice, even though he has moved this bill forward, has actually said that the government could have gone ahead with this anyhow, notwithstanding that irremediability, suicidality and other legal and clinical issues remain unresolved. Does this not speak to the degree with which this minister is blinded by ideology—
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Madam Speaker, as we have heard this evening and throughout the day, there is no question that this is a personal issue for many of the representatives in this chamber. I can speak to that as well. When the legislation for MAID first came up two parliaments ago, I held a number of open houses and town halls in my riding, and I have never had a larger turnout than I did for doctor-assisted dying.
In fact, my colleague, whom I have a great deal of respect for, the member for St. Albert—Edmonton, attended one of those open houses to help explain and walk my constituents through what this legislation meant. The biggest concern and biggest worry for my constituents at that time was the lack of strong and strict safeguards for the expansion of access to MAID. Certainly, what we are seeing now is a frightening broadening of access to MAID.
If there are any red flags for the Liberal government, it would be the fact that when MAID was first legislated in 2016, about 1,000 Canadians accessed it, and that number is now more than 36,000 in one year. If there was ever a reason for the Liberal government to stand up and take notice that this legislation has far exceeded its original intentions, that would be it. It was based on a foreseeable death, a terminal illness or someone being in unbearable pain. This is who should have been accessing MAID.
Now we are seeing those lines so blurred that they almost do not exist. The fact that the Minister of Justice has only delayed implementing access to MAID for those with mental illness is again a very stark red flag. That is why we are seeing so many Canadians stand up, and in many cases emotionally, to say that this has gone much too far. We are hearing so many anecdotes and examples, not only from our constituents but from people across the country, of people who are already accessing MAID who never should have been eligible.
A constituent of mine, Mark Meincke, who is a very well know veterans advocate, called me one afternoon and told me about a friend, a veteran, who had been on the phone with his Veterans Affairs caseworker. When he talked about his mental health issues and wanting to access mental health resources, the caseworker told him they could offer him MAID if that was something he would rather do than contemplate suicide. Actually, the caseworker's language was much starker than that.
Initially, I thought it could not be true and that Veterans Affairs could not possibly be offering MAID to the men and women in uniform who served our country and made such an incredible sacrifice that most of us could never possibly fathom it. When the heroes of our country were reaching out in their vulnerable moment, they were being offered the easy way out.
It is no wonder that many of our veterans now feel they are not getting the services they need from the federal government, because it is just too costly. The government is trying to clear a backlog of files off its desk, and that is why it is offering access to doctor-assisted dying. That is not what we should be offering our veterans, those who sacrificed everything for us. We should be ensuring they have access to the mental health care and PTSD treatments they deserve, not access to doctor-assisted dying.
Of course, this is coming from a government with a Prime Minister who said to veterans that they were just asking for more than the government could give. We can see why there is frustration and why a seed of doubt has been planted among veterans and first responders across this country.
I am glad to hear that the government took action on that one caseworker. Unfortunately, even though we were told this was a one-off, we have now heard several stories of other veterans being offered similar services from other caseworkers. As someone who has been around government for a while on both sides of the House, I know these caseworkers are usually given a script that they go by. What is worrisome is that this was not just a one-off and was something Veterans Affairs was offering our men and women in uniform.
I would urge my colleagues across the floor in the Liberal caucus to see that giving this a one-year delay is not enough. If there was ever a piece of legislation in the House of Commons that we had to get right and that we could not make mistakes on, try to rush through or base the decisions on ideology or activism, it is this one. I do not know if I have ever said this standing in the House, but lives literally hang in the balance and are at risk if we get this wrong.
I would urge my Liberal colleagues across the floor to listen to the stakeholders in their communities, to listen to the community-based service groups and charities and mental health programs in their communities that are standing up and saying, “Stop; this is going way too far.” I cannot be the only one who is getting dozens of calls and emails from those groups in my riding who are asking me to meet with them and try to relay that message and those concerns to the Liberal government. They have lost hope and, instead of providing hope for life and offering the essential resources that Canadians need, the Liberal government is offering them death.
As parliamentarians and as Canadians, is that really what we want our country to be? Is that really the bar that we are setting for ourselves? Rather than invest in palliative care and mental health services and services for our veterans and those with disabilities and mental illness, are we going to take the easy way and just make doctor-assisted dying more accessible? I do not believe that is the result we want.
A constituent of mine, Pilar, called me the other day and said, “I have worked in palliative care for several years, and in several other domains of medical care, and I can tell you, it will be the most vulnerable who will suffer the most from this, and experience undue pressure and coercion to allow the state to end their lives.” That is very profound from someone in the health care system.
I have heard similar comments from groups like Inclusion Foothills, which is a group in my riding that works with folks with disabilities, including mental and emotional. I met with the group before Christmas. Its members have a profound fear with respect to this MAID expansion of access for mental illness and concerns for their clients who have disabilities. Time and time again, they said, they were hearing from families who are concerned they may lose their loved ones because they were offered MAID in a stressful time or moment of weakness and vulnerability.
All of us have had those moments of vulnerability and anxiety and we would hope that in those times of need the services that we require would be made available to us. At Inclusion Foothills, they were saying that Canadians with cognitive disabilities or depression and anxiety are easily more susceptible to offers of coercion, well-meaning or otherwise, perceived or real, of an option to end their suffering. I know, again, that I am not the only one who has families and persons with disabilities and mental health concerns and concerned residents reaching out to my office and begging for safeguards to be put in place to protect their vulnerable loved ones, their friends and certainly our neighbours.
The Government of Canada's own website acknowledges that, “Mental illness is experienced by 1 in 3 Canadians during their lifetime” and that suicide “...is a significant cause of premature death in Canada.” The website goes on to state:
Most mental illnesses can be effectively treated by health professionals and community-based services....
Unfortunately, because of the stigma of mental illness, many people avoid or delay treatment.
The most important part of that statement is “mental illnesses can be effectively treated”. That should be the focus, and not the option of doctor-assisted dying.
Finally, I want to address another community in my riding, and that is the agriculture community and rural Canadians. A survey that was done last year said that 76% of farmers who were surveyed are suffering from medium to extreme mental health concerns and stress. Worldwide, male farmers are at higher risk of dying by suicide and they are less likely to ask for help. “Cowboy up” is what we hear all the time. In fact, we had a unanimous consent motion in this House asking for the government to provide a mandate in Farm Credit Canada's mandate to support mental health programs. The Liberals voted against that.
My constituents are unequivocal: MAID was never meant as an emotional decision; it was never meant to be outside the bounds of those as an exceptional reason. I would encourage the Liberal government not to just delay this for a year and not to put a timeline on it. Let us do this right. Let us make sure that we stand up for all Canadians with disabilities and mental illness. Let us do it right.
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Madam Speaker, as someone who has actually served in the Canadian Forces, walked with World War II veterans and World War I veterans and sat in the legions and listened to the horror stories they had to endure, I find it exceptionally offensive to try to imply that the government would, in any way, in any form, or any member of the House—
An hon. member: Oh, oh!
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Madam Speaker, I do not believe it is appropriate for any member of the House to try to imply, in any way or any form, that there is any member of the House of Commons who would actually suggest that it is okay for a veterans service agent to recommend MAID to a veteran.
Would the hon. member not agree with that assertion?
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Madam Speaker, I would agree that it is inappropriate for a case worker from Veterans Affairs to offer a veteran access to medical assistance in dying rather than the mental health resources that they need. However, Veterans Affairs, under the current government, did exactly that. For that member to just try to say that this never happened is a complete fallacy. It did not happen just once; it happened numerous times.
It is absolutely inappropriate but, unfortunately, the government did exactly that.
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Madam Speaker, I think my hon. colleague touched on the crux of the issue. That review should have occurred. We would have had better insight into what we are dealing with right now.
The issue he is talking about, that balance, is when someone is suffering with mental illness or a disability and how difficult it is to understand if they are making that decision in the right state of mind, let us say. The Liberal government opened this door so wide, when there is no question that Canadians, at their most vulnerable moment, will be making an irreconcilable decision that they may not be making in the best position of their mental health and, certainly, the position they are in economically and financially. Most importantly, are they in the right state of mind to make such an important decision?
That is what we have to take the time to decide.
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Madam Speaker, certainly as the debate has continued through this evening, I think there is a remarkable amount of non-partisan agreement, with areas of difference. I think one of the areas of difference, and I am hoping the hon. member for Foothills will agree, is that it is better not to try to suggest that people have a motivation in this place.
We all agree, I think, that the pace at which MAID extended from irremediable medical conditions to mental health conditions took a lot of us by surprise. I voted for Bill C-7 because I wanted to see the advance directives being made available to people who were suffering with a terminal medical illness. The mental health conditions were suddenly before us.
We welcome the chance to have an additional year's delay, but what could we do in that time? I ask the hon. member for Foothills what he would recommend in this next year to make a difference and have the precautions and protocols in place.
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Madam Speaker, we are here tonight, at nearly 10 o'clock in Ottawa, discussing a difficult topic, but one that every Canadian should be concerned about. I would like to outline what we are talking about tonight so I can give my argument in that context.
In 2020, a bill was tabled to discuss and put forward proposals to expand medically assisted dying, and then in the other place, the Senate, there was an amendment made after committee study, and after due diligence, which the government rammed through. Without scrutiny, the government rammed through an amendment that was put forward by an unelected and unaccountable body to expand medically assisted dying to persons with mental health issues.
That bill ended up passing, and now we are here today debating an initiative that the government now wants to undertake to extend the date that service would become available to Canadians from this year and month, to a year from now.
I want to be very clear. I am going to vote in favour of extending this timeline, but under no circumstances in this country right now should medically assisted dying be extended to persons with mental health issues. For colleagues who are in the Liberal caucus who have the ability to speak to their leaders behind closed doors, our country is suffering. There are so many people who are hurting who may have had some mental health issues before the pandemic due to job loss, lack of access to services, issues that happened in relationships or so many things.
We are a country that is in the middle of a mental health crisis, yet today the most amount of time we have spent debating how we, as Parliament, and the government are going to support Canadians with mental health issues is to offer medically assisted dying. I just find it reprehensible and an abdication of responsibility of every person in here of every political stripe to allow medically assisted dying to be extended to Canadians, given the abject and miserable state of mental health supports for Canadians across this country.
Nobody can access mental health services in this country. Even privileged people have difficult times accessing mental health supports. Everybody in this country will need somebody to talk to or will go through crises, and every once in a while we get something from a corporation, such as Bell Let's Talk day, but when the rubber hits the road and somebody needs someone to talk to, those services are not adequately there, or they are too expensive. For the government to even contemplate allowing this for such people, where one of the symptoms of mental health issues is to express, in certain circumstances, wishes to die, is so irresponsible. My opinion is that we should not only delay this from coming into force for a year, but also not do it at all.
The government promised $4.5 billion for mental health services, and that is nowhere to be found. The NDP is in a supply coalition with the government. This should be number one on its list of demands. There should be no support of medically assisted dying without some sort of plan to address the lack of staff in mental health support services, the burnout in mental health services and the lack of funding. In my province of Alberta, the amount of funding the government just offered the Province of Alberta, $500 million, in this last round of talks was about the same it spent on airport COVID testing after it had lifted restrictions for airport COVID tests.
The government has its priorities all wrong. This is not just about spending or waste. This is people's lives. It is suggesting that we should be extending medically assisted dying at a time when we have not even begun talking about destigmatizing mental health issues. There are a lot of people who would never talk about it. They feel like it is a shame to struggle. They do not have someone to talk to or have a support network. As parliamentarians, we are contemplating normalizing offering medically assisted dying. How did we get to this point? How did the government even think this was appropriate? It even snuck it in on a Senate amendment. No. We should be pushing this deadline off.
My colleague from British Columbia tabled a bill to remove this provision and I support his legislation 100%. It is smart, it is compassionate and it should receive cross-party support. There is nobody in here who can argue, with a straight face, that the mental health support services for Canadians are anywhere close to adequate at all. It is our duty, as parliamentarians, to give people hope to live. That is our first goal.
That is what we should be doing, not sitting in some academic chamber listening to people argue legal technicalities around maybe something means medically assisted dying. We have to have a moral compass sometimes in this place. There is no way this should proceed in Canada. Even my colleague from Saanich—Gulf Islands talked about the explosive use of MAID and the slippery slope that actually happened. It was not a logical fallacy in debate. We have evidence of it. There are no safeguards and there are no supports to help Canadians make the choice to live.
I am begging everybody in this place, first and foremost, help Canadians live. We need to help Canadians live by pushing this off and by supporting my colleague from B.C.'s bill. We should not even need this private member's bill. We should not be wasting time in the House of Commons pushing this decision off for a year. We should not even be talking about it at all. We should be debating late in the night about how we give Canadians the support they need.
In a CBC article from February 2, the justice minister was quoted talking about why he wanted to extend it for a year. It was not for any of the reasons that I gave or colleagues of other political stripes have talked about. He said, “We want, in particular, those health practitioners, those faculties of medicine, colleges who had some concerns to have the time to internalize what is happening.”
His concern and motive for delaying this was not to protect Canadians. It was to foist this ideology upon our top medical practitioners at a time when they are burnt out, suffering and underfunded after two years of a pandemic and a woefully broken health care system. There is no way we should be extending medically assisted dying to mental health in Canada given how broken our health care system is and the lack of hope Canadians have right now. It is our job to be offering them hope and to be doing everything possible for Canadians who have mental health issues to have that hope.
For anybody who is listening to this tonight, there are so many lines out there. If someone is struggling with mental health issues, they can reach out and know that there are people in this place who understand that everyone has a right to live. They have a right to live with dignity, with hope and with compassion, and that is what we are fighting for. That is why there are people of differing ideologies in this place who will fight tooth and nail to get the government to focus on what is good, just and beautiful.
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Madam Speaker, I would concur that there are many ways in which people can access the types of supports that are out there, and it would be good to see more support going into mental illness, health and well-being. We hope that is what we will seeing with our provincial and territorial governments, and work with our different communities, rural or urban. The issue I have is when we take a look at the legislation, the legislation is proposing a pause. There will be some time for members to continue to reflect on and hear what health care professionals and experts have to say.
To what degree should health care experts and other stakeholders play a role in this debate?
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Madam Speaker, my colleague from Winnipeg just said that he would hope that we would have more resources for mental health. He is part of the government. He has a government appointment. He sits around the table.
We do not have those supports because the government has not provided them to Canadians. Honestly, he is listening, and he should think about this. This is not a talking point. His government has not got the job done, and that is why we are here. This should not be a pause. We should not be talking about this. This should not happen.
When it comes to his question about medical professionals, we have medical professionals. We have got all sorts of groups from disability experts to indigenous leaders saying there is no way this should be offered in Canada. What we should be focusing on is helping people to live with hope and dignity, something that the government has not yet done. That is why the government should not be proposing this at all. Based on science, based on morality and based on any outcome right now, we should not be offering medically assisted dying to Canadians with mental health issues.
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Madam Speaker, earlier the member from Winnipeg talked about how we all agree that it was wrong that a staffer at Veterans Affairs Canada was talking about euthanasia with a veteran who called looking for help. He asked if we do not all agree on that.
I think what confuses me about the government's position is that apparently it objects to the fact that over and over again, when a veteran called in for help at Veterans Affairs Canada, they were told to consider euthanasia or medical assistance in dying, yet if that same veteran had gone to see a psychiatrist or visited a nurse practitioner, the government would be totally fine with that person being given that advice. The government is fine with people being told by the medical system that they should consider or pursue this option, just apparently not when it comes from Veterans Affairs.
Does the member think there is an inconsistency in the government's position that we should be supporting people in all cases, regardless?
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