It is not because the penal system has poor conditions; it is because of a right that's called the equivalence of care. As a result, all health care services that are provided in the community must be available in prison. That is not the case, unfortunately. We know there is substandard health care provided in prisons, so my argument was that the solution.... Of course, there is no real systemic palliative care available. Again, all that lack is breaching the requirement for equivalence of care between prison and the community. Prohibiting MAID in prisons is just one more failure on that part. From that perspective, I think that from an international and national standard, we have to provide prisoners with all the health care services that are available in the community.
I think the conversation is more complicated when it comes to people in custody, simply because there are concerns regarding their ability to provide consent on a free basis. I think that as long as we do not have compassionate mechanisms working for individuals who are experiencing limiting life circumstances or intolerable suffering—which lots of times are also associated with a very significant decrease in risk—as long as we don't have these mechanisms that allow them the option to be transferred to the community to make end-of-life decisions there, this conversation is going to be very complicated. I think it does raise issues—