- Member of Parliament
- Member of Parliament
- Conservative
- Cumberland—Colchester
- Nova Scotia
- Voting Attendance: 67%
- Expenses Last Quarter: $134,737.37
- Government Page
- May/9/24 4:40:55 p.m.
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Madam Speaker, I am taken aback; the member for London—Fanshawe spoke in a very angry fashion, and I do not know why. I do not feel angry about this topic. Substance use disorder and opioid use disorder are very serious topics. They require significant resources and, in her terminology, wraparound services. I do not have an argument with any of that.
What I do have a problem with is how they want to go about it. They have an experiment, decriminalization, that has failed. It is over, it needs to be over, and it cannot be expanded.
I also have a significant problem with the member for London—Fanshawe supporting the Liberal government, which also committed to a $4.5-billion Canada mental health transfer. This would have been an excellent way to provide many of those services she discussed. However, to this day, not one penny has been allocated. It is a shame.
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- Feb/13/24 4:31:18 p.m.
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Mr. Speaker, I am not sure what the constitutional right to MAID is that the member across referred to.
He wants more time to discover this legislation. The difficulty of course is the concept of irremediability. The Liberal government can take the next thousand years to consider this legislation, but it is clear from experts across this country that the issue of irremediability with respect to mental illness is not going to be resolved. How is he going to resolve that with the voters who are going to send him packing in the next election?
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- 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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- 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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- Feb/16/23 11:41:19 a.m.
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Madam Speaker, there are two things I need to point out. I have spoken at length about the $4.5-billion Canada mental health transfer, which has not happened. The other thing we need to talk about is the Liberal Prime Minister, who talks about privatizing Canadian health care and claims it is innovation. Everybody has heard that in the media. I think it is a travesty.
There are two points, as I said. We have a Liberal Prime Minister who is talking about private care as innovative, and we have a Liberal Prime Minister who refuses to transfer $4.5 billion to those who need it the most with mental health issues.
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- Feb/16/23 11:10:07 a.m.
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Madam Speaker, I note that in my colleague's words there is a lot of talk, but where is the action?
My colleague mentioned that mental health is health. We have heard that a lot from the Liberal government in the House of Commons. We also know there is $4.5 billion of commitment in the Canada mental health transfer, which has not been sent, and we know there is a mental health crisis.
When is the government going to get down to business and do something about the mental health crisis that exists in this country?
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Madam Speaker, I do not recall my hon. colleague making anything personal in the MAID committee, so I am thankful for that.
There is one thing that is very important. We can talk about scenarios, what-ifs, therefores and plausibility, but let us be clear. What we know is that the Liberal government committed $4.5 billion to fund the Canada mental health transfer, and it sent none of it, zero, zilch, nada.
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Madam Speaker, I thank you for that astute advice. I really appreciate it.
This article said, “because mental health should be a priority.” That is the article I am quoting, which has the Prime Minister's name. It is important that Canadians understand that.
“But despite the sense of urgency in [the Prime Minister's] remarks last year,” and I have changed that word to satisfy the chamber, because we all know who the Liberal Prime Minister is, “no money has yet materialized for this new Canada mental health transfer”.
I am going to say that again, just to make sure that everybody has heard it. No money has yet materialized, “including an initial $875 million that was supposed to have been spent or budgeted by now, according to the Liberal party’s 2021 election platform.”
“The Liberal platform document included a line-by-line costing of all its election promises, and it outlined a promise to spend $250 million in 2021-22 on the new mental health transfer, and then $625 million in the current 2022-23 fiscal year, with additional amounts over the next three years adding up to $4.5 billion total.”
“None of the promised spending over the last two fiscal years has yet been allocated or spent.”
To me, that is important. Again, I will quote from the Liberal Prime Minister, “because mental health should be a priority.”
Where is the priority of mental health, and why is it not materializing?
We know that my hon. colleague, who spoke just before me, talked incessantly about a three-digit suicide prevention hotline, which was harder than giving birth to a baby elephant to make it happen. It is absolutely shocking to think about how the government wants to talk about being helpful to Canadians and how it has their proverbial backs, etc. I just do not see that. That is absolutely atrocious.
This article goes on to talk about the national director of public policy for the Canadian Mental Health Association, and they pointed out that the “April budget contained no money earmarked for this new transfer.”
“Let’s be clear, for it not to be in Budget 2022, at least with a timeline of ramp up to the $4.5 (billion), you know, it was really concerning to us.” That was stated by the Canadian Mental Health Association.
After eight years, why does the government continue to fail Canadians? That would be a great question to know the answer to.
We also heard in the health committee last week that counsellors and psychotherapists are required to charge GST on their services. We know that, sadly, many Canadians do not have private coverage for those services, but to add insult to injury, to pour salt in a wound, what we are now requiring is for Canadians to pay GST on those services. How does that make any sense?
It goes on to say that, “psychiatrists across the country [are] 'incredibly concerned' about patients needing better access to care, including addiction services”. These are addiction services that the government would tout are a whole other kettle of fish and are quite shocking.
There is still controversy around providing medical assistance in dying for people with mental disorders among providers. Obviously, one of the other things that I think is very important is the fact that the government has not transferred any, zero, nada, zilch, of the $4.5 billion. Think of my riding of Cumberland—Colchester and the difficulties that rural Canadians are suffering.
Because of their geography, rural Canadians are struggling not only to get access to mental health, but also to put gas in their cars to get them to the actual appointments. The punishing carbon tax that the government wants to put on everything in this country is really affecting their ability to have the money to pay the extra GST required for counselling and psychotherapy.
We all know that if people are struggling to put food on the table, and if Canadians have to choose between eating and looking after their mental health, they are likely going to choose eating. This is a sad commentary on life in Canada where it appears that everything is broken. The sad commentary will continue in this country because of the punishing taxes the government wants to continue levying on Canadians, which is making life unaffordable.
We know the crisis in mental health is going to continue. It would appear that approximately one in three Canadians is struggling with their mental health. We know that the government has put out its own projections to say, if we read the report on departmental results, it would expect that 22% of Canadians would not be able to access mental health care, and the actual result is 25% of Canadians cannot access mental health care. This is unacceptable. Zero percent of Canadians should have this issue, and we have a government that thinks 25% is acceptable.
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Madam Speaker, I really believe we need an answer on this side of the House to understand the atrocious management that we have seen, the heavy hearts we have that the Canada mental health transfer has not been realized. Now we see another government program.
How does the government propose to manage things when we know clearly from its track record that it cannot really, as my dad would say, manage a marble game?
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- May/12/22 2:45:05 p.m.
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Mr. Speaker, it is Mental Health Awareness Month. Everyone in the House can agree that the mental health of Canadians is a very important issue. Well, maybe not everyone can.
During the election, the government promised to invest $4.5 billion in funding mental health services through the Canada mental health transfer, including $250 million in 2021-22 and $625 million in 2022-23. However, there is no mention of the funding timeline in the federal government's budget 2022.
Why did the government break its commitment to fund mental health?
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