Juno News - February 04, 2024


Trudeau’s MAiD expansion should alarm everyone (ft. Michael Cooper)


Episode Stats


Length

13 minutes

Words per minute

162.84598

Word count

2,124

Sentence count

3


Summary

Summaries generated with gmurro/bart-large-finetuned-filtered-spotify-podcast-summ .

In this episode, Dr. Michael Cooper, a conservative member of Parliament, joins me to discuss the government's expansion of medical assistance in dying (MAO) to cover mental illness in cases where mental illness is the sole underlying disorder or condition.

Transcript

Transcript generated with Whisper (turbo).
00:00:00.000 i want to bring this out of the personal realm and into the political realm here for a moment
00:00:13.240 michael cooper is a conservative member of parliament and joins me now michael good to
00:00:17.980 talk to you thanks for coming on today with you andrew now you're obviously on this committee
00:00:24.200 this special joint committee on medical assistance and dying and i i stress this with my audience
00:00:28.580 a moment ago but i i think it bears repeating here the government has not shown any desire to walk
00:00:35.400 this back they're talking about this as a matter of when and not if correct that was the message of
00:00:42.900 both the health minister and the justice minister mark holland and arit varani when they had a press
00:00:48.100 conference the other day and that anything short of an indefinite pause in our view would be
00:00:56.600 unacceptable because there are fundamental problems with expanding made in cases where
00:01:02.980 mental illness is the sole underlying disorder or condition yeah and i i've shared my own struggles
00:01:09.420 and story with my listeners in the past as a survivor of suicide i have grave concerns about
00:01:14.000 the implications of this for people that are going through now and in the future what i went through
00:01:19.200 in in the past but one of the things i i find so shocking about this is that even before this change
00:01:24.180 has come into effect we have heard so many stories of people that are not eligible under the current
00:01:30.660 laws that are still finding their way through the system so i think already there's a problem here
00:01:35.460 that the government has not shown an eagerness or even interest in dealing with absolutely and uh we've
00:01:42.340 seen many instances of abuse and persons who are vulnerable who have been pressured uh or coerced into
00:01:49.700 uh getting made and uh with respect to made and mental illness uh this fundamentally changes the concept of
00:01:58.580 made uh when the original made legislation uh was passed in 2016 bill uh c14 it was sold as something
00:02:09.540 that uh was tied to someone dying medical assistance in dying uh for persons who had the capacity and who were
00:02:18.180 suffering to make the choice to end their life just a little bit sooner uh this radically changes that
00:02:25.780 into something that would be tantamount to state-sanctioned state-facilitated suicide impacting some
00:02:33.140 of the most vulnerable persons in canadian society now you're obviously in addition to being an mp a
00:02:38.900 lawyer by training so i think you can probably weigh in on this better than some of your colleagues can but
00:02:44.100 the government has effectively said its hands are tied on this that the supreme court made a ruling
00:02:48.180 that said the previous uh regime which is i guess the current regime was too restrictive and they've
00:02:53.060 kind of been forced into that so what's your perspective on that aspect of this it's simply
00:02:58.020 nonsense the carter decision did not pronounce on mate and mental illness this is beyond the parameters
00:03:07.620 of the carter decision uh there has been a law since 2016 and there has not been a single court decision
00:03:16.980 that has struck down the law from the standpoint of restricting maid and mental illness this was a
00:03:24.260 purely political decision made by the liberals in frankly a shambolic and reckless fashion it is what
00:03:33.940 happens when a government and this is a government that has put blind ideology ahead of evidence-based
00:03:42.580 decision making this expansion of maid occurred as a result of a senate amendment that david lametti
00:03:51.460 as justice minister accepted at the last minute the liberals proceeded to shut down debate ram this
00:03:59.220 expansion through with an arbitrary timeline of two years and then said let's study the issue after the
00:04:06.820 fact and uh what experts have said loud and clear to the liberals is that this is not safe this is not
00:04:15.060 appropriate and it will result in persons who could get better to have their lives prematurely ended
00:04:21.860 well you know you're right to point out there michael the problem with the process here because
00:04:25.540 originally people may recall this was meant to have come in automatically after a two-year phase-in
00:04:31.700 period and the government just said oh yeah we'll figure out the details in that two years and and
00:04:36.500 they didn't i mean there was no agreement reached there was no resolution to this now thankfully they
00:04:41.620 they at least delayed it to prevent that initial implementation and here we are again with yet another
00:04:46.900 delay or pause as they put it but they were in a lot of ways going to just let this sneak in
00:04:53.540 that's right and what happened is just before the phase-in uh which was scheduled for march of 2023
00:05:04.260 march of last year 17 chairs of psychiatry representing the chairs of psychiatry at all medical schools in
00:05:11.860 canada penned a letter calling on the liberals to put a pause on this expansion and they identified
00:05:19.380 fundamental problems with uh this and it was only then that the liberals introduced legislation at the
00:05:28.260 last minute last year to put a one-year pause on uh this expansion of made one year later we find
00:05:37.860 ourselves in exactly the same position at literally the same time this year is last with a deadline of march
00:05:47.540 the liberals are bringing in rushed legislation to put a further pause because the very issues that
00:05:54.980 were identified as problematic with this expansion remain the same today and it's why this government
00:06:03.140 i would submit just again if if they do for responsible things you just recognize they got it
00:06:08.340 wrong they made a mistake to go down this road in the first place and put a permanent pause on this
00:06:14.900 trying to kick the can one or two or three years down the road isn't going to change the fundamental
00:06:19.940 problems that exist with this i i mean no disrespect when i i say this michael to your chosen uh profession
00:06:25.620 in politics here but but a lot of what is done in the house of commons and through legislation it has
00:06:31.860 meaning and it has significance but it's not life or death this is literally i mean by design by definition
00:06:38.660 life or death legislation and you know i can just use my own example because it's one i know intimately
00:06:43.860 but other people have come to me when i've talked about this in the past with their own stories
00:06:47.220 who've literally said i was at a time in my life you know five years ago 10 years ago 15 years ago
00:06:53.140 where if this were available to me i would have taken it and i would be dead and then you fast forward
00:06:59.140 and life has turned around so the government has not that i have seen and correct me if i'm wrong because
00:07:04.020 you were on the committee proposed a legitimate and useful guardrail or protective measure to ensure
00:07:12.100 that people who are in situations like i was in and like other people have been in will not access
00:07:17.700 this i mean even yesterday minister holland i felt was gaslighting when he talked about oh people who
00:07:22.180 have suffered for decades and tried everything even if that were the test i've not seen that spelled
00:07:28.100 out anywhere in writing that you have to have been going through something for decades and you have
00:07:32.820 to have exhausted all avenues so that's not even a guardrail they've proposed is it not a guardrail the
00:07:39.060 advocates have claimed that that's what would happen but then they oppose legislating it in fact
00:07:46.020 the government provided no safeguards no new safeguards and quite frankly there aren't any safeguards
00:07:53.780 that would make this expansion safe because there are two fundamental clinical and legal issues
00:08:02.660 the first is a clinical and legal one and that is that it is difficult if not impossible to predict
00:08:09.300 irremediability in other words it's difficult if not impossible to predict whether someone
00:08:15.220 could get better resulting in persons prematurely having their lives and which is completely unacceptable we
00:08:23.780 heard evidence from psychiatrists that a mistake or error rate could be as high as 50 percent of the time on
00:08:31.060 the question of your immediate ability and it's a legal 50 percent 50 percent we're talking about a
00:08:36.740 coin toss here basically a coin toss uh another psychiatrist uh they could be uh right not five
00:08:43.940 percent of the time or uh 95 of the time there's just so much uncertainty surrounding it which just
00:08:50.420 underscores the recklessness of this because if the liberals had studied this had they consulted
00:08:55.780 before deciding to do this they would have heard that feedback from uh leading psychiatrists and i would
00:09:02.340 hope that no responsible government would on that basis move ahead with this but this doesn't appear
00:09:07.620 to be a responsible government and but you know the second issue that is uh a clinical one fundamental
00:09:14.340 is that it is difficult to accurately assess when when persons are suffering from mental illness whether
00:09:21.540 their request for made is one that is rational uh in other words but for competent to make that request or
00:09:29.860 whether it is one motivated by suicidal ideation that's underscored by the fact that in about 90 percent of
00:09:38.020 cases of suicide deaths uh those persons have a diagnosable mental illness yeah and and there i
00:09:45.860 mean just to put a fine point on that the request itself could be a symptom which you know under current
00:09:52.020 health care protocols a doctor would have to respond with a measurement mechanism to make sure you're safe
00:09:57.300 instead of you know facilitating this instead of giving you a pamphlet or a referral to someone that can
00:10:02.020 make that happen which is why this is just so so incredibly incredibly disgusting and you know there
00:10:07.780 were questions that minister holman was facing from reporters who i thought were quite good on
00:10:11.940 this generally saying you know you're going to make this a political issue by delaying it closer
00:10:16.420 to an election i don't think and maybe i'm i'm just overly positive or optimistic here i don't think
00:10:23.300 this being an election issue helps the liberals i i have to think that canadians are as repulsed by this
00:10:29.140 as you and i are and i'm wondering if you've got any insight on that in terms of letters you've received
00:10:34.100 or people that have testified before the committee well the overwhelming evidence before the committee
00:10:40.660 from experts in fact just about every leading expert said don't go ahead with this there were
00:10:46.820 nearly 900 briefs uh submitted in the span of about a week which is very high for a committee in fact it
00:10:53.940 might be the most briefs i've had on a committee or a study that i've been involved in uh which shows
00:11:02.100 public interest and concern and most of those briefs submitted by canadians including a number of
00:11:08.180 experts was don't go ahead with this and uh although they like to talk about this in an abstract sense
00:11:17.940 let's talk about what this would really mean who would qualify what does it mean to expand uh made in
00:11:25.220 cases of mental illness when mona gupta who was the chair of the liberal appointed expert panel on this
00:11:33.140 matter was asked what would constitute a mental illness or a mental disorder she said anything listed in the
00:11:41.700 dsm-5 what that would mean is that it could include persons who are suffering from depression who have
00:11:49.620 schizophrenia who are autistic who have uh issues arising from uh drug addictions this is what
00:11:58.660 we're talking about when we're talking about made and mental illness instead of offering persons hope and
00:12:06.180 health who are struggling what this liberal government is doing with this expansion is offering them
00:12:11.540 death and i think that's so fundamentally wrong and i think most canadians would be repulsed by it
00:12:16.420 yeah more canadians learn about it they are yeah and also as a psychiatrist have testified and said
00:12:22.900 diagnostic criteria are not always simple on these things there's a lot of overlap it's not like you
00:12:27.540 can do a a blood test for depression it's not like you can just in a 100 certain way even diagnose
00:12:33.940 someone with this how do you know this is just uh mental illness and not just a phase in life that's
00:12:38.820 brought on by by circumstances so uh absolutely absolutely ghastly i'm glad there is some pushback
00:12:44.980 on this michael cooper conservative democratic reform critic thank you so much michael really appreciate
00:12:49.860 it thanks andrew thanks for listening to the andrew lawton show support the program by donating to true
00:12:56.100 north at www.tnc.news