Again, I would say that in my experience in the process of our own journey at CAMH, in our recommendations and statements, previously and currently, we've tried to engage the most diverse patients, including people who have stated, with lived experience, that they're in support of MAID for mental illness.
We are still left with the challenge of.... We're not arguing “grievousness” from that standpoint, but there is the definition of “irremediability” and the differentiation of whether that request is occurring and whether people are seeking MAID in the context of their mental illness. Is that differentiated or can that be differentiated from suicidal intent as part of the illness itself?
I think, from that standpoint, your question is should we include people...? We should always, and we have tried to at CAMH as well. I would agree.
We're still stuck with some of the.... I'm an assessor for MAID. I'm still stuck with the struggle, based on the lack of evidence, guidance or objectiveness, to feel comfortable that I'd be making a decision and be able to prognosticate for an individual what their long-term course would be. That's the tension here.
The answer is, yes, we should have diverse views.