SoVote

Context: House Hansard - 280 - Feb/12/24

Mr. Stephen Ellis (Cumberland—Colchester, CPC)

Feb/12/24 12:51:26 p.m.
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Madam Speaker, I would like to seek the House's unanimous consent to split my time with the member for Peterborough—Kawartha.

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Context: House Hansard - 280 - Feb/12/24

Mr. Stephen Ellis

Feb/12/24 12:51:50 p.m.
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Madam Speaker, today, it is interesting to follow the member across the aisle when we are speaking about a matter of grave importance. I find it absolutely fascinating, in a very strange sense, that the member opposite would suggest that somehow MAID has saved lives, when, indeed, 13,200 Canadians have died because of MAID. On top of that, we know that is a 30% increase year over year. We also know that in California, which has a similar population, if I have my statistics correct, about 450 people died because of MAID. MAID for mental illness presents a serious difficulty for all Canadians, and thankfully, Conservatives on this side of the House are ready to stand up for those who have mental illness and who have suffered with it for a very long time. We know clearly, from the DSM-5, that there are many conditions that, if Canadians were aware were classified as a mental illness, they would find this legislation even more appalling than they do now. We know that over half of Canadians reject this terrible idea of MAID for mental illness. When Canadians think of mental illness, they think of things such as depression, schizophrenia and bipolar illness, all of which are chronic medical conditions with available treatment. However, we also know the reckless government and this reckless expansion of MAID is causing some of the major difficulties. In the DSM-5, what would also be classified as a mental illness would be things such as substance use disorder and autism, both of which are chronic illnesses. I believe Canadians specifically would find it appalling for the reckless government and its reckless agenda to suggest that Canadians who are suffering from a substance use disorder or Canadians with autism are never going to get better, and that they should be subjected to the MAID regime. When we begin to look at and understand the difficulties associated with the reckless, costly coalition's expansion of MAID, we also know that the 17 chairs of the departments of psychiatry from Canada's universities have spoken out specifically against this expansion of MAID. There are two things that are very important. Let us start with, perhaps, suicidality, which the member across did mention. I guess the question then remains how an experienced, or even inexperienced, primary care physician or nurse practitioner would be able to determine the difference between suicidality and a demand for MAID. The member across is right. I did practise as a family physician for more than 25 years. Practising in an emergency-room setting on a Saturday night when somebody comes in and is suicidal is probably one of the most stressful things someone can possibly deal with. I think every one of my physician colleagues across this country would admit to that. We are incredibly well trained, and we have incredible protocols for dealing with trauma, strokes and heart attacks, but when somebody comes in with suicidal ideation, it is incredibly personal. It is situational. It is related to medication. It is related to family. It is related to every single difficult relationship they have in their lives. If there is a physician out there who suggests that, when they go home after a shift Saturday night that ends Sunday morning where they told someone who was suicidal that they are okay to go home, and they know that person is fine, but they do not worry about that decision, I would challenge them on that. That, for me personally as a physician, was something that created significant distress and angst, and it should. What we are talking about is somebody's life and their decision to end it or not. We have a regime put forward by the reckless and costly coalition to have people with mental illness receive medical assistance in dying, to be put to death by the state. That is the suicide part of it, which, again, can be with respect to an acute or a more chronic condition. However, it is the irremediable aspect of the mental illness that creates significant difficulties for the reckless and radical expansion of the MAID regime. What does the word “irremediable” mean? It means, in basic terms, that the condition cannot be fixed, that the treatment that has been rendered is all the treatment available and that the condition is going to either continue the way it is or get worse in the future. Who is going to decide that? There is a Canadian Association of MAiD Assessors and Providers. The group is staffed by family physicians and nurse practitioners, despite the opposite thought of many Canadians who would think it would be psychiatrists who would be determining whether a condition is not fixable and chronic and that all of the possible treatment out there has been rendered. That is not the truth; at the current time, the decision would be rendered by two different care providers who are either primary care providers or nurse practitioners. That is incredibly important because we know that even the diagnosis of a mental illness is based on probabilities: Has someone had a particular set of symptoms for a certain amount of time over a certain amount period of time? It is not like high blood pressure, which a doctor can check and then have a concrete, objective answer. It is not like diabetes, where a person's blood work is done and they have a concrete answer that, yes, the numbers are elevated and the person does have diabetes and can be told what will be done to help them with it. Mental illness is very, very different, and Canadians need to know that; if they do already know it, they need to remember it. The other important thing is the terrible job that the costly NDP-Liberal coalition has done with respect to access to health care in general but more specifically to mental health care. We know that across this country, half of Canadians are extremely unhappy with their ability to access mental health care, and we also know that the waiting time for adults to access a psychiatrist in most parts of this country is about a year. This means very clearly that primary care physicians and nurse practitioners are providing the majority of mental health care for Canadians, deciding which treatments are working and which are not, when to increase medications, when to add on, etc. Very sadly, it is clear that for Canadians under 18, the wait time for mental health care access to a psychiatrist in Canada is more than two and a half years. The system is atrocious. The Prime Minister stood up and promised 7,500 doctors, nurses and nurse practitioners to Canadians. How many have we seen? I dare say it has been almost zero. The terrible situation with respect to access to care is most acute when people are seeking mental health care. Of course, from this side of the House, we do not want the legislation to proceed, but we see a government in panic mode that has no plan and no clear idea of what it is going to do, wants to do, or should do on behalf of Canadians. Here we are. Multiple times at the 11th hour, senior elected government officials across the aisle have said, “We have to rush this through; we have to get it done on behalf of Canadians.” What they fail to remind Canadians of is that it is the government's fault that we have arrived at this situation in the first place. The government members did not appeal the right decisions, allowed decisions to be added on in the Senate, and did not make a decision when they should have, on behalf of Canadians. Therefore, I would implore the House to understand clearly that MAID for mental illness is not the correct path to go down.

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Context: House Hansard - 280 - Feb/12/24

Mr. Stephen Ellis

Feb/12/24 1:02:31 p.m.
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Madam Speaker, the question from the member for Thunder Bay—Rainy River is a thoughtful one. I think, as I clearly pointed out, that the assessors and providers of MAID are not suddenly going to be psychiatrists. We do not have enough access to psychiatric care in this country, due to the terrible management of funds by the government. Am I hopeful that, suddenly, this is going to change in the next two years? With a new government, I suspect that things will be better from a fiscal perspective, but creating more access to health care is going to take some time because of the mess the current government has left it in. Am I hopeful that it is going to be better in two years? Absolutely not.

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Context: House Hansard - 280 - Feb/12/24

Mr. Stephen Ellis

Feb/12/24 1:04:42 p.m.
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Madam Speaker, I think it is very important that Canadians understand that the vagueness of the language does not demand that it be a psychiatrist who would be making the determination of irremediability. As I clearly pointed out in my speech, the majority of psychiatric care in this country is and has been, over the last 50 years, delivered by primary care physicians. We must understand that this is where a person will primarily receive their diagnosis, that they will receive multiple different treatments if they have an illness that is very difficult to treat, and, again, that many Canadians, especially adults, will have more than a year's wait to see a psychiatrist. Therefore, depending on psychiatrists to provide intervention, along with diagnosis and treatment, is failing in this country. To go on and expect that they would suddenly be MAID assessors is folly.

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Context: House Hansard - 280 - Feb/12/24

Mr. Stephen Ellis

Feb/12/24 1:06:40 p.m.
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Madam Speaker, clearly we know that the NDP, part of the costly coalition, will continue to not support the needs of Canadians and that it will continue to vote on all things with the reckless Liberal government, which has led Canadians to be, every month, $200 away from insolvency and to have the greatest numbers of auto theft crime in the most recent history. The chance to believe that it might do something right for Canadians is almost zero.

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Context: House Hansard - 280 - Feb/12/24

Mr. Stephen Ellis (Cumberland—Colchester, CPC)

Feb/12/24 1:44:21 p.m.
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Madam Speaker, it is interesting. The member talked a bit about intellectual rigour in some of his comments. He really conflated the demande anticipée with this bill on mental illness. He also went on to say something about suicide, that it is sudden, that these people have never had any health care. Clearly, studies say that 30% of individuals who have died by suicide sought health care in seven days, 16% within 30 days and greater than 90% within 365 days. When the member has no intellectual rigour with respect to his comments related to medicine and how it is practised, and the difficulties with irremediability in suicidality, why should we take his idea and say that anybody with mental illness should be eligible for MAID?

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