Juno News - February 04, 2024
Trudeau’s MAiD expansion should alarm everyone (ft. Michael Cooper)
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Summary
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
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i want to bring this out of the personal realm and into the political realm here for a moment
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michael cooper is a conservative member of parliament and joins me now michael good to
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talk to you thanks for coming on today with you andrew now you're obviously on this committee
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this special joint committee on medical assistance and dying and i i stress this with my audience
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a moment ago but i i think it bears repeating here the government has not shown any desire to walk
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this back they're talking about this as a matter of when and not if correct that was the message of
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both the health minister and the justice minister mark holland and arit varani when they had a press
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conference the other day and that anything short of an indefinite pause in our view would be
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unacceptable because there are fundamental problems with expanding made in cases where
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mental illness is the sole underlying disorder or condition yeah and i i've shared my own struggles
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and story with my listeners in the past as a survivor of suicide i have grave concerns about
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the implications of this for people that are going through now and in the future what i went through
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in in the past but one of the things i i find so shocking about this is that even before this change
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has come into effect we have heard so many stories of people that are not eligible under the current
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laws that are still finding their way through the system so i think already there's a problem here
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that the government has not shown an eagerness or even interest in dealing with absolutely and uh we've
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seen many instances of abuse and persons who are vulnerable who have been pressured uh or coerced into
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uh getting made and uh with respect to made and mental illness uh this fundamentally changes the concept of
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made uh when the original made legislation uh was passed in 2016 bill uh c14 it was sold as something
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that uh was tied to someone dying medical assistance in dying uh for persons who had the capacity and who were
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suffering to make the choice to end their life just a little bit sooner uh this radically changes that
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into something that would be tantamount to state-sanctioned state-facilitated suicide impacting some
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of the most vulnerable persons in canadian society now you're obviously in addition to being an mp a
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lawyer by training so i think you can probably weigh in on this better than some of your colleagues can but
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the government has effectively said its hands are tied on this that the supreme court made a ruling
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that said the previous uh regime which is i guess the current regime was too restrictive and they've
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kind of been forced into that so what's your perspective on that aspect of this it's simply
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nonsense the carter decision did not pronounce on mate and mental illness this is beyond the parameters
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of the carter decision uh there has been a law since 2016 and there has not been a single court decision
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that has struck down the law from the standpoint of restricting maid and mental illness this was a
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purely political decision made by the liberals in frankly a shambolic and reckless fashion it is what
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happens when a government and this is a government that has put blind ideology ahead of evidence-based
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decision making this expansion of maid occurred as a result of a senate amendment that david lametti
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as justice minister accepted at the last minute the liberals proceeded to shut down debate ram this
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expansion through with an arbitrary timeline of two years and then said let's study the issue after the
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fact and uh what experts have said loud and clear to the liberals is that this is not safe this is not
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appropriate and it will result in persons who could get better to have their lives prematurely ended
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well you know you're right to point out there michael the problem with the process here because
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originally people may recall this was meant to have come in automatically after a two-year phase-in
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period and the government just said oh yeah we'll figure out the details in that two years and and
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they didn't i mean there was no agreement reached there was no resolution to this now thankfully they
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they at least delayed it to prevent that initial implementation and here we are again with yet another
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delay or pause as they put it but they were in a lot of ways going to just let this sneak in
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that's right and what happened is just before the phase-in uh which was scheduled for march of 2023
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march of last year 17 chairs of psychiatry representing the chairs of psychiatry at all medical schools in
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canada penned a letter calling on the liberals to put a pause on this expansion and they identified
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fundamental problems with uh this and it was only then that the liberals introduced legislation at the
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last minute last year to put a one-year pause on uh this expansion of made one year later we find
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ourselves in exactly the same position at literally the same time this year is last with a deadline of march
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the liberals are bringing in rushed legislation to put a further pause because the very issues that
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were identified as problematic with this expansion remain the same today and it's why this government
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i would submit just again if if they do for responsible things you just recognize they got it
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wrong they made a mistake to go down this road in the first place and put a permanent pause on this
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trying to kick the can one or two or three years down the road isn't going to change the fundamental
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problems that exist with this i i mean no disrespect when i i say this michael to your chosen uh profession
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in politics here but but a lot of what is done in the house of commons and through legislation it has
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meaning and it has significance but it's not life or death this is literally i mean by design by definition
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life or death legislation and you know i can just use my own example because it's one i know intimately
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but other people have come to me when i've talked about this in the past with their own stories
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who've literally said i was at a time in my life you know five years ago 10 years ago 15 years ago
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where if this were available to me i would have taken it and i would be dead and then you fast forward
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and life has turned around so the government has not that i have seen and correct me if i'm wrong because
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you were on the committee proposed a legitimate and useful guardrail or protective measure to ensure
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that people who are in situations like i was in and like other people have been in will not access
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this i mean even yesterday minister holland i felt was gaslighting when he talked about oh people who
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have suffered for decades and tried everything even if that were the test i've not seen that spelled
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out anywhere in writing that you have to have been going through something for decades and you have
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to have exhausted all avenues so that's not even a guardrail they've proposed is it not a guardrail the
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advocates have claimed that that's what would happen but then they oppose legislating it in fact
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the government provided no safeguards no new safeguards and quite frankly there aren't any safeguards
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that would make this expansion safe because there are two fundamental clinical and legal issues
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the first is a clinical and legal one and that is that it is difficult if not impossible to predict
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irremediability in other words it's difficult if not impossible to predict whether someone
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could get better resulting in persons prematurely having their lives and which is completely unacceptable we
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heard evidence from psychiatrists that a mistake or error rate could be as high as 50 percent of the time on
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the question of your immediate ability and it's a legal 50 percent 50 percent we're talking about a
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coin toss here basically a coin toss uh another psychiatrist uh they could be uh right not five
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percent of the time or uh 95 of the time there's just so much uncertainty surrounding it which just
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underscores the recklessness of this because if the liberals had studied this had they consulted
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before deciding to do this they would have heard that feedback from uh leading psychiatrists and i would
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hope that no responsible government would on that basis move ahead with this but this doesn't appear
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to be a responsible government and but you know the second issue that is uh a clinical one fundamental
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is that it is difficult to accurately assess when when persons are suffering from mental illness whether
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their request for made is one that is rational uh in other words but for competent to make that request or
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whether it is one motivated by suicidal ideation that's underscored by the fact that in about 90 percent of
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cases of suicide deaths uh those persons have a diagnosable mental illness yeah and and there i
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mean just to put a fine point on that the request itself could be a symptom which you know under current
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health care protocols a doctor would have to respond with a measurement mechanism to make sure you're safe
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instead of you know facilitating this instead of giving you a pamphlet or a referral to someone that can
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make that happen which is why this is just so so incredibly incredibly disgusting and you know there
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were questions that minister holman was facing from reporters who i thought were quite good on
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this generally saying you know you're going to make this a political issue by delaying it closer
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to an election i don't think and maybe i'm i'm just overly positive or optimistic here i don't think
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this being an election issue helps the liberals i i have to think that canadians are as repulsed by this
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as you and i are and i'm wondering if you've got any insight on that in terms of letters you've received
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or people that have testified before the committee well the overwhelming evidence before the committee
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from experts in fact just about every leading expert said don't go ahead with this there were
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nearly 900 briefs uh submitted in the span of about a week which is very high for a committee in fact it
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might be the most briefs i've had on a committee or a study that i've been involved in uh which shows
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public interest and concern and most of those briefs submitted by canadians including a number of
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experts was don't go ahead with this and uh although they like to talk about this in an abstract sense
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let's talk about what this would really mean who would qualify what does it mean to expand uh made in
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cases of mental illness when mona gupta who was the chair of the liberal appointed expert panel on this
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matter was asked what would constitute a mental illness or a mental disorder she said anything listed in the
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dsm-5 what that would mean is that it could include persons who are suffering from depression who have
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schizophrenia who are autistic who have uh issues arising from uh drug addictions this is what
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we're talking about when we're talking about made and mental illness instead of offering persons hope and
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health who are struggling what this liberal government is doing with this expansion is offering them
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death and i think that's so fundamentally wrong and i think most canadians would be repulsed by it
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yeah more canadians learn about it they are yeah and also as a psychiatrist have testified and said
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diagnostic criteria are not always simple on these things there's a lot of overlap it's not like you
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can do a a blood test for depression it's not like you can just in a 100 certain way even diagnose
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someone with this how do you know this is just uh mental illness and not just a phase in life that's
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brought on by by circumstances so uh absolutely absolutely ghastly i'm glad there is some pushback
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on this michael cooper conservative democratic reform critic thank you so much michael really appreciate
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it thanks andrew thanks for listening to the andrew lawton show support the program by donating to true