Madam Speaker, I have been a little disappointed at the tenor of the debate recently regarding MAID. I am hopeful we can carry this back to the passionate, but compassionate, debate we had earlier.
This is a matter of conscience and I am certainly very proud to be part of a party that has given me, as the member for Northumberland—Peterborough South, the freedom to decide how I would like to vote on this bill.
When we look at the legislation, after extensive consultation with folks inside and outside of my riding, a number of issues have occurred. The challenging part for me is that despite many advocates for persons with disabilities raising the alarm bells, much media attention on this and how they might feel, we really have not seen any amendments or changes to this legislation.
I would say this earnestly and with openness for my friends across the aisle. Are we so arrogant that we believe this language is absolutely perfect and completely beyond improvement? The member for Papineau used to say a number of times that there was always room to be better and there was always the opportunity to be better. In response to that, with all kindness and respect, this bill can be better and there are opportunities to do that.
Some legislation the government has put in during this last year alone has failed. The rent subsidy program did not go off as well as the government had hoped. All reasonable observers, and even members on the other side, would acknowledge that. That is why they had to relaunch the program. The LEEFF program is also not working up to capacity and no doubt will have to be redone. We have seen those challenges.
The difficulty with this legislation is that there is no ability to redo it. This is a life or death matter. If we lose members of our most vulnerable communities due to the legislation, we cannot come back. There is no redo of this. I am perfectly aware, as a lawyer, of the obligation the court has put in front of us from the Truchon decision to get this legislation revised. However, there are multiple devices, as our leader spoke about, to get that time extended.
In all respect and fairness, any reasonable, objective observer would say that it was the government that prorogued Parliament for an additional six weeks. We would have had the time to pass this on time.
I will get into my remarks, but let us keep the tenor of this debate how it is meant to be and how our constituents want it to be. They want a deep discussion of the important issues of passion, the very reason our Parliament exists and the very reason this reasonable debate is what makes Canada, in my opinion, such a great country.
To get into the substance of my speech, those who support Bill C-7 do not want anyone to suffer. Those who do not support it do not want anyone to suffer either. It is important to begin this controversial debate by recognizing that both sides, regardless of how different their beliefs are, are passionate for the right reasons. As with any legislation that will have a dramatic impact on people's lives, the discussion is very important.
Medical assistance in dying is a relatively new topic. Canada is one of the few countries that has legalized it so far, and as such, we much proceed in this new territory with the utmost caution. As our members have spoken about, we need the safeguards. This is not just the members of the Conservative Party mentioning this. Some of our most noted jurists in Canadian history have brought this up, jurists from all sides of the political spectrum who have called for and demanded that there be safeguards. As we say, and it is only common sense, this is a matter of life and death. While we should be guaranteeing a death with dignity, I strongly believe we should first guarantee a dignified end of life.
In order to do this, in order to make sure that people are choosing medical assistance in dying for the right reason, I believe that we need to have a conversation around the state of palliative care in our country. Unfortunately, the state of palliative care in our country is less than favourable. While medical assistance in dying is currently considered an essential service, palliative care is not. This is an issue that should be gravely concerning to everyone in this House and across our country.
Palliative care is a type of health care for patients and families facing life-limiting illnesses. It helps patients to achieve the best possible quality of life right up to the end of one's life. I know, and I am sure that many members share this, I have had some of the most important conversations of my life with loved ones and friends at or near the end of their life. These moments provide so much quality to those who carry forward and provide so much advice that I carry forward with me to this very day.
Where it is possible to retain a reasonable quality of life, we as a society have a sacrosanct obligation to make sure that people are taken care of, so that, if they do decide on medical assistance in dying, they have done so of their own free will and not because of a poor quality of life that could have been avoided.
Quality palliative care focuses on the concerns of patients and families, and works to support patients through both physical and mental symptoms of serious illness. This may include everything from helping to manage a patient's pain and symptoms to keeping them comfortable in their home for as long as possible.
Unfortunately, while 75% of Canadians would prefer to have their last moments at home, only about 15% have access to palliative home care and 60% die, instead of being surrounded in the homes that some of them have grown up in, in cold, stark hospitals.
Many physicians have raised the concern, because the majority of Canadians do not have access to high-quality palliative care. It is possible that many people, or at least some people, may be choosing MAID because they do not feel there are other options. Amongst the concerns are those laid out by Dr. Stephanie Kafie, a family physician in Niagara Falls with a focus on caring for the elderly.
She has said that something that has not been considered in the rush of passing this bill is the state of palliative care. It is not considered an essential service, however, MAID is. In her experience, many requests for MAID reflected a need for palliative care. Rushing misguided laws regarding the medical profession has led to an erosion of their profession and started significant damage to doctor-patient relations. Their hands are tied. They are not consulted on the drastic changes that are being made.
As Dr. Kafie notes, the importance of consulting with doctors in the creation of legislation is so crucial. As is so often is the case with parliamentarians, not enough people working on the legislation have any any experience in the field itself.
Dr. Drijber, a palliative care physician, has spoken out on this issue, stating that this legislation seems to ignore the importance of the dignity that comes with palliative care, the importance of those final moments for both the living and those who will pass on. He has gone so far as to say that it seems the government has not fully consulted with experts or people who work in the field to help guide them through their decision-making process.
When we come to a conclusion here, in all earnesty and openness, I am reaching out to the other side. They know that there are people in their constituencies who will have differing opinions from them, as do I. We need to make sure that all voices are heard. Are we so arrogant as parliamentarians to think we should not change the legislation, that we cannot, as the member for Papineau has said, always do better?