Mr. Speaker, I am pleased to rise today to speak to this bill.
Having listened to the presentation by the member for Dartmouth—Cole Harbour, I find that my situation is remarkably similar to his.
Up to two or three years ago, I, too, like other members here, would have advocated for this type of bill thinking that it was a positive solution, but after my experience, which almost mirrors that of the previous member, of having had two parents who both had cancer at the same time, I came to the conclusion that this was not the way to proceed.
I do commend the member for bringing the bill forward because it is important to advance the debate. It is important that pain management issues and palliative care be advanced as quickly as possible.
We were lucky enough in the city of Winnipeg to have a fairly good system of palliative care, so we were able to take advantage of that in both of my parent's cases. While palliative care is well served in the Winnipeg region, I am mindful that half of the population lives outside of Winnipeg and I would expect that palliative care facilities are not available in a lot of those areas. We have a long way to go toward improving our palliative care centre. I am told that the situation in the rest of the country is not as good as that in Winnipeg. I am not sure whether it was the member for Windsor—Tecumseh but I know other members talked about how only 20% of the population in Canada is covered for palliative care in hospices and another 15% of the country is only partially covered.
In terms of jurisdictions, the member for Windsor—Tecumseh made an excellent presentation. He seemed to have the same sort of view as me, that while this was a good place to start the discussion, procedures are not yet in place to proceed with a bill such as this. He talked about other jurisdictions in the world where this is the practice. I have been aware of the situation in Holland for a number of years but I was not aware of the situation in Washington state or in Oregon. My colleague certainly talked about those in great detail. He explained that in the 12 years that the state of Oregon has had such legislation, 93 people were candidates but only 50 actually took their own lives. He indicated that the law was much newer in Washington state so there were smaller numbers to look at.
My colleague said that in Holland, for example, it was basically the frail and the elderly who were using this method and that the minister in charge of the legislation in Holland had actually changed her mind on the issue. This is a minister in the Government of Holland where such a practice is legal, who has inside information about how the system works in Holland, and she has changed her mind on the subject.
This is essentially a work in progress.
I am concerned about the point made by some members that if we were to adopt this measure, it would cut back the impetus to improve palliative care. As long as assisted suicide is illegal, the pressure will still be on governments and jurisdictions to develop palliative care as quickly as possible. If we passed legislation like this bill, then the pressure would be off.
The other major concern we have is people not feeling that they are free to make their own decisions. There will always be cases where mistakes are made. We do not want to develop a situation as I believe exists or may have existed in Holland, where it becomes a place for people from other countries to go to take advantage of the situation. That would develop the whole issue into an industry, almost a business venture. I do not think we want that kind of situation to develop.
Certainly disabled groups in the country have been very clear for many years that they think this is the thin edge of the wedge. They are, and I think rightly so, very concerned about this.
I served in the provincial legislature for 23 years. I do not think anybody, in 23 years, ever phoned my office or asked me to support legislation of this type. This is something we have to take a much more in-depth look at.
Another area that we have looked at is the whole issue of pain management. As the member for Windsor—Tecumseh mentioned, the doctors need more training. There needs to be more training done in the area of pain management. With proper pain management, people can manage a disease much more effectively than they can without proper pain management.
We do not need to have situations where there are people with a terminal disease and we do not have proper hospices and palliative care or proper pain management and people feel there is no way out and it would be so much easier for them to succumb to pressures, perceived or otherwise. The last thing we want is for people to feel they do not want to be a burden on their family any more and do not want to deal with pressure that they think is there. Maybe the pressure is not there, but they imagine it is. We should be encouraging people to fight as hard as possible to stay alive, with the proper pain management systems and proper encouragement. To me, it is a negative to be entertaining the idea that assisted suicide is an option.
I know other colleagues of mine probably would like to speak. The member for Edmonton—Strathcona and I have spoken about this issue before.
It is a very difficult issue for people, but it is something we all will have to face at some time. I think the time has come for us to rely on medical decisions and pain management issues and proper hospice care. That is the way we should look at it. That is the way we should move forward to develop a comprehensive palliative care system in this country so that we give people more options so that they, in their own minds, do not view assisted suicide as the only option available and choose that option when they perhaps should not be choosing that option.