Opinion: The dithering on MAID reveals the ingrained cowardice in Canadian politics - The Globe and Mail | Canada News Media
Connect with us

Politics

Opinion: The dithering on MAID reveals the ingrained cowardice in Canadian politics – The Globe and Mail

Published

 on


Open this photo in gallery:

Senators Pamela Wallin, left, Stan Kutcher, and Marie-Francoise Megie attend a press conference to call on the government to fulfill its obligation regarding access to Medical Assistance in Dying (MAID) where mental health is the sole underlying condition, in Ottawa on Feb. 1.PATRICK DOYLE/The Canadian Press

If you’ve ever wondered why substantial change never seems to come to health care, look no further than the federal and provincial government handling of medical assistance in dying and mental illness.

Any time there is a moderately difficult decision to make, we seem to punt it forward. We do nothing because we’re “not ready,” without defining what readiness means. The institutional and political cowardice is dispiriting.

In 2015, the Supreme Court ruled on the case of Kathleen Carter, saying Canadians do have a right to MAID, but gave legislators time to fashion a law. A year later, Parliament passed Bill C-14, which legalized MAID, but only if people suffered from a “grievous and irremediable condition” and their death was “reasonably foreseeable.” The latter condition was struck down in a 2019 Quebec court decision.

The federal government was given a year to adjust MAID regulations, but took two to do so. In March, 2021, Bill C-7 removed the “reasonably foreseeable” clause and created two tracks for MAID requests. But legislators delayed access for it if the sole underlying condition was a mental disorder (MAID-SUMC for short) until March, 2023. That was delayed another year, to give time for committees to study the matter. With that deadline imminent, a joint committee of MPs and Senators decided last week they again need more time. The federal government jumped on that recommendation and proposed extending the delay for legalizing MAID-SUMC to 2027.

There is no question that allowing people with mental illness to access MAID is a complex and fraught issue. We need to balance individual rights with protecting the vulnerable. But these decisions need to be made on a case-by-case basis, between an individual and medical practitioners.

The role of government here is mostly to get out of the way. Politicians should no more be deciding who accesses MAID than they should be deciding who gets a heart transplant.

We keep hearing that Canada is “not ready” for MAID-SUMC. But readiness has two aspects. Legally, governments need to respect the court rulings and ensure that there is no discrimination in accessing MAID in the legislation. Medically, with the expansion of MAID, readiness means practitioners have to be prepared to tackle three key issues: Establish that a condition is irremediable; ensure the requester is competent; and distinguish between patients who are suicidal and those making a rational and sustained request for MAID.

None of these issues are unique to people with mental disorders, though some are slightly more complicated. There are some psychiatrists who argue that no mental illness is untreatable, but there are patients who have suffered for decades who take issue with that position. Ultimately, we have to find the balance between individual autonomy and protecting the vulnerable.

Canada has about 96,000 physicians; at last count (in 2021), only 1,577 of them had provided MAID. By all accounts, they have done so in a responsible and ethical manner, relieving the suffering of almost 45,000 Canadians as of 2022.

There are practice standards for medical assistance in dying, and they need to be tweaked. Practitioners will get additional training on how to handle some of the issues that are especially challenging in reviewing requests from patients with a mental disorder.

The same will apply in dealing with MAID requests from mature minors and advance requests from people living with dementia. (By the way, both of these were endorsed by the joint committee of MPs and Senators, but have generated little media coverage.)

MAID is an emotional issue, with many political, moral, and social entanglements. We hear repeatedly of fears that people with disabilities – mental, physical and developmental – will seek assisted death because of difficulties accessing care or social supports.

There is no question we need to bolster access to mental health care, especially for the sickest. If we are worried about rates of suicide – and with 3,593 suicide deaths in 2022, according to Statistics Canada’s most recent data, we should be – then why doesn’t Canada have a national suicide strategy?

Unquestionably, too many people with disabilities are living in poverty. But that doesn’t mean we should deny MAID to those who are eligible and request assisted death. No one should be coerced. But neither should we hold individuals hostage until we fix systemic problems.

If legislators have doubts about their ability to draft legislation, they should refer the issue directly to the Supreme Court of Canada – an eminently sensible recommendation from Senator Pierre Dalphond.

There is no reason we have to wait until 2027 to fix the law when solutions are at hand. The job of legislators is to legislate, not procrastinate.

Adblock test (Why?)



Source link

Politics

‘Disgraceful:’ N.S. Tory leader slams school’s request that military remove uniform

Published

 on

 

HALIFAX – Nova Scotia Premier Tim Houston says it’s “disgraceful and demeaning” that a Halifax-area school would request that service members not wear military uniforms to its Remembrance Day ceremony.

Houston’s comments were part of a chorus of criticism levelled at the school — Sackville Heights Elementary — whose administration decided to back away from the plan after the outcry.

A November newsletter from the school in Middle Sackville, N.S., invited Armed Forces members to attend its ceremony but asked that all attendees arrive in civilian attire to “maintain a welcoming environment for all.”

Houston, who is currently running for re-election, accused the school’s leaders of “disgracing themselves while demeaning the people who protect our country” in a post on the social media platform X Thursday night.

“If the people behind this decision had a shred of the courage that our veterans have, this cowardly and insulting idea would have been rejected immediately,” Houston’s post read. There were also several calls for resignations within the school’s administration attached to Houston’s post.

In an email to families Thursday night, the school’s principal, Rachael Webster, apologized and welcomed military family members to attend “in the attire that makes them most comfortable.”

“I recognize this request has caused harm and I am deeply sorry,” Webster’s email read, adding later that the school has the “utmost respect for what the uniform represents.”

Webster said the initial request was out of concern for some students who come from countries experiencing conflict and who she said expressed discomfort with images of war, including military uniforms.

Her email said any students who have concerns about seeing Armed Forces members in uniform can be accommodated in a way that makes them feel safe, but she provided no further details in the message.

Webster did not immediately respond to a request for comment.

At a news conference Friday, Houston said he’s glad the initial request was reversed but said he is still concerned.

“I can’t actually fathom how a decision like that was made,” Houston told reporters Friday, adding that he grew up moving between military bases around the country while his father was in the Armed Forces.

“My story of growing up in a military family is not unique in our province. The tradition of service is something so many of us share,” he said.

“Saying ‘lest we forget’ is a solemn promise to the fallen. It’s our commitment to those that continue to serve and our commitment that we will pass on our respects to the next generation.”

Liberal Leader Zach Churchill also said he’s happy with the school’s decision to allow uniformed Armed Forces members to attend the ceremony, but he said he didn’t think it was fair to question the intentions of those behind the original decision.

“We need to have them (uniforms) on display at Remembrance Day,” he said. “Not only are we celebrating (veterans) … we’re also commemorating our dead who gave the greatest sacrifice for our country and for the freedoms we have.”

NDP Leader Claudia Chender said that while Remembrance Day is an important occasion to honour veterans and current service members’ sacrifices, she said she hopes Houston wasn’t taking advantage of the decision to “play politics with this solemn occasion for his own political gain.”

“I hope Tim Houston reached out to the principal of the school before making a public statement,” she said in a statement.

This report by The Canadian Press was first published Nov. 8, 2024.

The Canadian Press. All rights reserved.

Source link

Continue Reading

Politics

Saskatchewan NDP’s Beck holds first caucus meeting after election, outlines plans

Published

 on

 

REGINA – Saskatchewan Opposition NDP Leader Carla Beck says she wants to prove to residents her party is the government in waiting as she heads into the incoming legislative session.

Beck held her first caucus meeting with 27 members, nearly double than what she had before the Oct. 28 election but short of the 31 required to form a majority in the 61-seat legislature.

She says her priorities will be health care and cost-of-living issues.

Beck says people need affordability help right now and will press Premier Scott Moe’s Saskatchewan Party government to cut the gas tax and the provincial sales tax on children’s clothing and some grocery items.

Beck’s NDP is Saskatchewan’s largest Opposition in nearly two decades after sweeping Regina and winning all but one seat in Saskatoon.

The Saskatchewan Party won 34 seats, retaining its hold on all of the rural ridings and smaller cities.

This report by The Canadian Press was first published Nov. 8, 2024.

The Canadian Press. All rights reserved.

Source link

Continue Reading

Politics

Nova Scotia election: Liberals say province’s immigration levels are too high

Published

 on

 

HALIFAX – Nova Scotia‘s growing population was the subject of debate on Day 12 of the provincial election campaign, with Liberal Leader Zach Churchill arguing immigration levels must be reduced until the province can provide enough housing and health-care services.

Churchill said Thursday a plan by the incumbent Progressive Conservatives to double the province’s population to two million people by the year 2060 is unrealistic and unsustainable.

“That’s a big leap and it’s making life harder for people who live here, (including ) young people looking for a place to live and seniors looking to downsize,” he told a news conference at his campaign headquarters in Halifax.

Anticipating that his call for less immigration might provoke protests from the immigrant community, Churchill was careful to note that he is among the third generation of a family that moved to Nova Scotia from Lebanon.

“I know the value of immigration, the importance of it to our province. We have been built on the backs of an immigrant population. But we just need to do it in a responsible way.”

The Liberal leader said Tim Houston’s Tories, who are seeking a second term in office, have made a mistake by exceeding immigration targets set by the province’s Department of Labour and Immigration. Churchill said a Liberal government would abide by the department’s targets.

In the most recent fiscal year, the government welcomed almost 12,000 immigrants through its nominee program, exceeding the department’s limit by more than 4,000, he said. The numbers aren’t huge, but the increase won’t help ease the province’s shortages in housing and doctors, and the increased strain on its infrastructure, including roads, schools and cellphone networks, Churchill said.

“(The Immigration Department) has done the hard work on this,” he said. “They know where the labour gaps are, and they know what growth is sustainable.”

In response, Houston said his commitment to double the population was a “stretch goal.” And he said the province had long struggled with a declining population before that trend was recently reversed.

“The only immigration that can come into this province at this time is if they are a skilled trade worker or a health-care worker,” Houston said. “The population has grown by two per cent a year, actually quite similar growth to what we experienced under the Liberal government before us.”

Still, Houston said he’s heard Nova Scotians’ concerns about population growth, and he then pivoted to criticize Prime Minister Justin Trudeau for trying to send 6,000 asylum seekers to Nova Scotia, an assertion the federal government has denied.

Churchill said Houston’s claim about asylum seekers was shameful.

“It’s smoke and mirrors,” the Liberal leader said. “He is overshooting his own department’s numbers for sustainable population growth and yet he is trying to blame this on asylum seekers … who aren’t even here.”

In September, federal Immigration Minister Marc Miller said there is no plan to send any asylum seekers to the province without compensation or the consent of the premier. He said the 6,000 number was an “aspirational” figure based on models that reflect each province’s population.

In Halifax, NDP Leader Claudia Chender said it’s clear Nova Scotia needs more doctors, nurses and skilled trades people.

“Immigration has been and always will be a part of the Nova Scotia story, but we need to build as we grow,” Chender said. “This is why we have been pushing the Houston government to build more affordable housing.”

Chender was in a Halifax cafe on Thursday when she promised her party would remove the province’s portion of the harmonized sales tax from all grocery, cellphone and internet bills if elected to govern on Nov. 26. The tax would also be removed from the sale and installation of heat pumps.

“Our focus is on helping people to afford their lives,” Chender told reporters. “We know there are certain things that you can’t live without: food, internet and a phone …. So we know this will have the single biggest impact.”

The party estimates the measure would save the average Nova Scotia family about $1,300 a year.

“That’s a lot more than a one or two per cent HST cut,” Chender said, referring to the Progressive Conservative pledge to reduce the tax by one percentage point and the Liberal promise to trim it by two percentage points.

Elsewhere on the campaign trail, Houston announced that a Progressive Conservative government would make parking free at all Nova Scotia hospitals and health-care centres. The promise was also made by the Liberals in their election platform released Monday.

“Free parking may not seem like a big deal to some, but … the parking, especially for people working at the facilities, can add up to hundreds of dollars,” the premier told a news conference at his campaign headquarters in Halifax.

This report by The Canadian Press was first published Nov. 7, 2024.

— With files from Keith Doucette in Halifax

Source link

Continue Reading

Trending

Exit mobile version