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House Hansard - 283

44th Parl. 1st Sess.
February 15, 2024 10:00AM
Context: House Hansard - 283 - Feb/15/24
Hon. John McKay (Scarborough—Guildwood, Lib.)
  • Feb/15/24 3:46:14 p.m.
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Mr. Speaker, I will be splitting my time with my colleague from Thunder Bay—Rainy River. Here we are down to the last minute. Liberals will be supporting this bill, not because we think it is a great bill, but because it postpones this decision for three years. It puts it down the road to another Parliament. I am not quite as confident as the previous speaker, my honourable friend, that there will be a government of his persuasion at that time, but, nevertheless, it is a decision that will have to be dealt with by another Parliament, which is quite regrettable under the circumstances. The ostensible reason we are supporting the bill is because the medical system is not ready. The hospitals are not ready, and the health care systems are not ready. My view is that they will never be ready, that no one can be ready for this kind of thing. I take the view that doctors have misplaced faith in the ability of politicians and legislators to achieve a state of readiness and legislative harmony. I also take the view that legislators and politicians have an elevated view of doctors' ability to manage the requests in this kind of system. The reason for that is, basically, 25 years of walking a path with one of my sons. I am blessed to have five children and five grandchildren, which are the reward for the five children in the first place. They are delightful to both Carolyn and me. One of the boys has schizophrenia. We started on that journey when he was about 14 or 15. He was, shall we say, acting out. It took us three years to get a diagnosis, which was pretty tough on the family. It was not optimal to go home from this place and there would be a police car parked in the driveway. We had quite a number of incidents. It took us about three or four years to get a proper diagnosis. I want to emphasize that we live in the greater Toronto area, one of the most, if not the most, prosperous areas in the country. We have access to the best doctors and are a well-resourced family, but we were flummoxed as to what to do. Nathan had a psychotic break. He is a bright lad and was in university, but, consistent with the literature, he had a psychotic break in his first year. Then we went into this deep, dark hole of the mental health system in the best-resourced area in all of the country. Nathan spent time at CAMH and quickly figured out how to scam the system and how get out onto Spadina Avenue to get what he thought he needed. He also figured out how to play the emergency system. All anyone has to say is that they are thinking about suicide. “Suicidal ideation” is the phrase. That gets people into the system. When they think they need access to medications and cannot get them, particularly street medications or drugs, that is a good way to get in. They can get meals and people caring for them, a clean bed, all that sort of stuff, and the family starts to walk this journey. It is not a pretty journey because the nurses are harassed, overworked and exhausted, and the doctors are not too far behind. There are medications that kind of calm people down, but, frankly, do not actually deal with the problem. It takes people a while for their bodies to adjust to the medications. Nathan had some resistance to finally being in that agreed upon regime. Then there was a period of time when he was fine, or as fine as he could be, given he had voices in his head all the time. We went from CAMH to Whitby Psych. Again, great people and a great facility, with overworked people who are trying their best but, frankly, have limited tools. We went from there to Scarborough Health Network, the third-largest medical facility in Ontario. Again really good people, but the system and the state of medication has limited ability to deal with a person like Nathan, who kind of goes in and goes out. Nathan has been irremediable four or five times in the past 25 years, and at any one time, he frankly would have figured out how to shop the doctor. That is what we fear based on our experience. I perfectly understand when medical systems say they are not ready, they have to write their protocols. Protocols are subject to interpretation, and the interpretations by physicians can be pretty extensive in their variations. Nathan, being a bright lad, he would figure that out pretty quickly. Then some doctors are more enthusiastic about this procedure than are others, and he would have that figured out pretty quickly. If he was determined, and he is irremediable and this is a condition that causes a lot of suffering, he would have figured it out. That would have left us pretty bereft as a family, with a lot of guilt. At this point, I have to say there are two saints in our family: Nathan's mother, my wife; and his stepmother. But for them, I do not think he would be here today. I want to go back to the point that we are a well-resourced family. We live in one of the most affluent areas of Canada. We have access to the best and we have two saints in the family, one of whom is a physician, and that is probably why he is still with us. My concern is that, whether it is this bill, whether it is three years from now or whenever it is, the protocols may be be written and the protocols may or may not be subject to interpretation that would allow some people who have irremediable conditions to leave. I am sorry we are here. This is one of the more critical decisions of legislators. It is one of the more critical decisions of the health care system writ large. The problem is that the consequences are irreversible. Within our family experience, there are several points along the way where that kind of irreversible decision could have been made, it is entirely plausible, and we would be in an entirely different situation than we are today as a family. I am thankful for the House's time and attention. I regret to be in the situation where we are dealing with this legislation, which I think is just a postponement, but I will support the legislation because that is what is on the table.
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