On today's show, we bring on Tamara Janssen, MP for Cloverdale, Langley City in the beautiful province of British Columbia, to talk about Medical Assistance in Dying (MAID) and the changes the Liberal government is proposing to MAID.
00:00:51.980Thank you so much for having me. I'm really excited to be able to talk about this subject.
00:00:55.080it's so important. It is, and another first timer on the show. So my bad for not having you on
00:01:00.920sooner. No, I appreciate it. So I think most Canadians are in some capacity knowledgeable
00:01:08.040about medical assistance and dying, right? They may not know the details, but they know the program
00:01:13.260exists in some capacity and that they may know someone in their circle that has accessed it or
00:01:18.760whatever, or had that discussion, right? I think it's pretty well known. But the government,
00:01:23.080And maybe you could just, before I get to what you're proposing in your private member's bill and what the government is potentially doing in a couple of years, why don't you tell us how we got here? This started in 2016.
00:01:34.520Sure, sure. The first bill came out, C-14, and it was about irremediability.
00:01:39.260So people who were at the end of their life, and I think many Canadians thought that this was a reasonable thing to be able to have patients access.
00:01:48.580So that was specifically for those who were at the end of their life, that we call it now track one and, you know, shorter time frame for them to be able to access MAID.
00:01:59.740So then in 2021, we actually added something, which we call Track 2, which is for those who are not reasonably close to death, but they are struggling with extreme challenges.
00:02:15.720And this was called Track 2, and it was Bill C-7.
00:02:20.440And it included people that were solely suffering from a mental health challenge, which is, it has been so concerning to all Canadians and especially the psychiatric profession that now it's actually been postponed three times.
00:02:35.740It did actually pass. And now, unfortunately, we're coming to 2027 when this law will actually come into effect.
00:02:46.920And we're very concerned that this is going to lead to people being afforded MAID when really there is a lot of hope for them.
00:02:56.420So track one is, as you said, foreseeable death.
00:02:59.340So someone with cancer in the late stages, chances are they're going to die.
00:03:04.140But track two also included the mental health component, but it also had, I believe, for people with multiple sclerosis or ALS, that type of thing, who will gradually see a decline in their health.
00:03:18.280And they have this 90-day safeguard period that they kind of give them an opportunity to think it through as opposed to when you're close to death.
00:03:27.060But the thing that we're very concerned about is many vulnerable people are falling into this track two.
00:03:32.860And so that's why this Bill C-218 that I put forward is so important.
00:03:37.680The idea is to actually stop those who are suffering solely from a mental illness, solely a mental illness, from being allowed to access MAID.
00:03:47.260And as we all know, death is permanent.
00:03:50.520And in a lot of cases, mental health is temporary.
00:03:53.920So I think what you're trying to advocate for is not giving a permanent solution to a most likely temporary situation.
00:04:04.080Correct. So basically the psychiatric profession has to be able to confidently say that someone would never get better in order for them to qualify for this.
00:04:13.280If you are clearly, if it's not subjective, you can clearly say this person will never recover, then they could be eligible.
00:04:24.820The challenge is that to say that someone is irremediable in this situation, in solely mental health situations, is impossible.
00:07:00.860So we've also heard a lot of testimony at a committee about the concept of doctor shopping,
00:07:05.980looking for someone who will look at your case and say, okay, yes, yes, I can approve you.
00:07:11.360All right, we have another graphic here, and we're going to get some audio very shortly.
00:07:15.320Just basically, this doctor reinforces what you've been saying this whole time.
00:07:19.960Like, if you open it up to mental illness, who knows where this is going to lead?
00:07:24.920Well, this particular doctor came to committee and he said that he's actually tried to report some of the cases that he has seen made done,
00:07:32.260which in ways that he felt were inappropriate because he he says, I often have success.
00:07:37.080He works with the most sick, the absolute, the most low in for cases of depression.
00:07:43.940And he often will find different ways of giving them some help, some hope, you know, some improvement.
00:07:51.940And so when he sees some of these cases that were his own patients going through it
00:07:56.140and getting made by going around the backs of different people, he's tried to report it.
00:08:02.920So he's reported it to the professional boards, he's reported it to the health authority,
00:10:12.980You can't take a test like you can, say, for instance, with cancer to say, okay, you have cancer, your death is reasonably foreseeable.
00:10:19.520With many of the things that are being treated in psychiatry right now, there's no way that we can say for sure that you will never get better.
00:11:05.120And the other thing, you know, that they're working, they know it's very complex to be able to tell, well, you know, who's suicidal and when is this like a reasonable request for MAID?
00:11:15.940And it seems very ironic that you would suggest that, you know, there are those two different ways of asking for MAID in a situation where mental health is the sole underlying condition.
00:11:27.380Well, we've even seen cases with Veterans Affairs, where veterans wanted to get better and needed help from Veterans Affairs.
00:11:33.560In one case, it was a lift, a wheelchair lift.
00:11:36.660And the agent at the other end of the line at Veterans Affairs just asked the veteran, have you considered MAID?
00:11:44.000Right? Like, instead of helping, those that still want to continue on with life and make their life a little easier, we're told, time to consider MAID.
00:11:51.180But with all of that, to the eating disorder, you actually have a video, Let's Cut 2, where you have pointed out that women could be disproportionately impacted if the government moves forward with this.
00:12:05.760If a drug company made a pill that mistakenly ended the lives of more women than men, I cannot imagine we'd say it is then okay that more women are dying.0.99
00:12:14.620We would be facilitating their death.0.61
00:12:16.640We heard currently more women are accessing Track 2 MAID, and the explanation we're given,1.00
00:12:21.420well, that makes sense, women have more chronic conditions.0.96
00:12:23.940If we see more women in that situation choosing MAID, should we be treating that as something Canadians should just expect?
00:12:29.460I would be terrified if we actually fall to that normalization of thinking more women than men should get MAID for psychiatric conditions.0.87
00:12:37.060There's evidence that has not been brought forward here about twice as many women as men in the Netherlands getting MAID for psychiatric conditions.
00:12:45.320We know that twice as many women as men attempt suicide when depressed.
00:12:49.480The obvious concern is are we converting a transient suicidality to a permanent death by mate?
00:12:55.160So we should be having more treatment rather than right to mate for those suffering from mental illness.0.84
00:13:00.700I think this year, Bill, speaks to that.
00:13:02.780It creates more of a value on the individual itself rather than ending that life.
00:13:10.640Right. So many women are struggling with, you know, hopelessness, feeling like they're a burden or they can't get out of a situation.1.00
00:13:19.220When a woman attempts suicide, most often she fails because they're not, it's a different, it's a cry for help.
00:13:24.920And so we need to make sure that those people are getting help.
00:13:27.920I think the challenge that we have right now is, with the way the law is written, there isn't even a need to have done any sort of, accessed any sort of resources whatsoever.
00:13:41.640You don't need to have had any treatment.
00:13:43.780You can request it and be given, made, even without having had these resources that we know, we know help, and they do make a difference.
00:13:51.460So that's very shocking to me that the law wouldn't even consider that that was at least at minimum.
00:13:56.980Do you get any indication from the Liberals or the Bloc
00:14:01.620whether or not they'll support your private members, Bill?
00:16:25.260We want to be very careful that we don't create that.
00:16:27.380And when we see things like the advertisement that Simon's put out, which was, you know, a woman, you know, at the seashore and life is wonderful and this is how I'm going to die most peacefully, we're creating a contagion.
00:16:38.440And the media is part of that, social media.0.99
00:16:41.600So we as Canadians, I think we need to really look at ourselves and say,
00:16:45.620is that who we are or do we want to offer hope?
00:16:48.040And that's what I believe this bill does.
00:16:49.700It offers hope to those who are struggling.
00:16:51.300And you also, with this legislation, complement the work of another British Columbian, Todd Doherty,
00:16:56.980from Northern British Columbia, who put forward a motion and then had it implemented,
00:17:01.820the National Suicide Prevention Hotline, and created that right across the country
00:17:07.280So those who are struggling, as you said, get that ear in a timely fashion.
00:17:34.800And we need you to reach out to your local member of Parliament to let them know that you are against the idea of someone struggling solely with a mental illness, being allowed to access MAID, and that you want them to support Bill C-218.
00:17:49.900All right, Tamara Jensen, member of Parliament for Cloverdale, Langley City.
00:17:54.420Thank you so much for coming on the show.
00:17:59.580Don't forget to like, comment, subscribe and share this program because I believe this is a topic you are not hearing in the mainstream media.
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