House of Commons Hansard #159 of the 44th Parliament, 1st Session. (The original version is on Parliament's site.) The word of the day was illness.

Topics

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7:30 p.m.

NDP

Lori Idlout NDP Nunavut, NU

Uqaqtittiji, there are real concerns from indigenous communities about MAID. I have heard from constituents of mine who have family in places like British Columbia who are vulnerable, have severe mental health disorders, and have love from their family, but are separated from their family. A mother is very concerned about her daughter. She heard from a friend that her daughter had applied for MAID and was being considered.

When I talk about MAID, I do not see it as an issue about suicide. Suicide is very different for indigenous communities. MAID is about dying with dignity. It is a privilege that most indigenous people do not have. It is more about how we can make sure that we are protecting indigenous people.

I wonder if the member has any ideas about what this government needs to do in the coming year to protect those most vulnerable communities, especially indigenous peoples who we need to make sure are not being taken advantage of.

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7:35 p.m.

NDP

Charlie Angus NDP Timmins—James Bay, ON

Mr. Speaker, I want to say that the whole plan we had developed as New Democrats, the national suicide prevention plan, came out of the groundbreaking work in Nunavut because of the understanding that statistics were important. Documentation and identifying the factors were key to being able to go in and bring down those numbers. We can dramatically decrease those kinds of deaths when we have actual facts.

That is what we have found, and I share my colleague's concern. We know that people from our region who end up in the city do not have the family supports. There is fundamental racism, and it has to be said, in the medical system. There are people who are coming in who are in distress, people who may be homeless, and they are not with their families and their loved ones. It concerns me that these decisions would be made without trying to find out where the family is. Where is the support?

If we do not have that, people will be using this, because they do not know what else to do when they are in distress. These are factors that have to be looked at, because vulnerable populations will be susceptible to this, and we have to find ways to support them. If they have the love and the support and they can get housing, in the vast majority of cases, they are going to be able to live much better lives.

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7:35 p.m.

Green

Elizabeth May Green Saanich—Gulf Islands, BC

Mr. Speaker, I want to thank the hon member for Timmins—James Bay for such a heartfelt and sincere exploration of how it has made all of us feel in this place. I remember feeling entirely conflicted on the vote on Bill C-7, because I could not see how we could deny advance directives for people who had a terminal diagnosis and were told they had to wait for the day of their MAID procedure, and be of sound mind and confirm.

We knew that people were actually choosing MAID procedures earlier than they needed to because of the failure to have advance directives in Bill, C-14. I know, as I did vote for Bill C-7, that I was approving something to come into place automatically by default that I thought was wrong, so I thank the hon. member.

Has the member ever explored the ideas of things like psilocybin? There are mental health illnesses where the psychiatry profession says there is no hope for a person, they are chronically depressed and nothing will ever lift them out of it. Does the hon member for Timmins—James Bay have any thoughts about what other medical procedures could assist in lifting people out of the deepest of despairs?

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7:35 p.m.

NDP

Charlie Angus NDP Timmins—James Bay, ON

Mr. Speaker, far be it from me to provide medical advice to anybody. I warn people back home to not ever take medical advice from a politician; that is not what we do, but I think what we look at in our job is to make sure people have access to housing. Our job is to make sure that, if people are on the streets, they can get mental health supports.

My brother is a subway driver, and he has seen the impacts of the pandemic and mental health crisis in real time in Toronto with the rising violence. We can talk all we want about getting tough on violence, but it is our job as politicians to put in place the supports. For people who are chronically depressed and people with mental illness, our job is to make sure there are places they can receive treatment. Then I think the vast majority of cases of what we are talking about and debating tonight would not be necessary, and it would be reserved for those who are suffering from illnesses, and they have a right to die in dignity.

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7:35 p.m.

Green

Mike Morrice Green Kitchener Centre, ON

Mr. Speaker, it is an honour to rise this evening to speak on Bill C-39. Before I do, I want to let you know I will be splitting my time with the member for Saanich—Gulf Islands.

This legislation might be the simplest one I have had the chance to speak on in the House since being elected, but it is also one of the more serious and emotional ones. Simply put, it would allow for an extension for mental illness to be a condition for eligibility for medical assistance in dying.

I strongly support this delay for several reasons. The first is about concerns I heard about from so many neighbours of mine in Kitchener. In particular, I remember one conversation a group had in their backyard on a colder afternoon just last month. It was between Hannah, Peter and some friends of theirs, and they wanted to share with me specifically some of their serious concerns with medical assistance in dying being expanded further than it already had been.

I really appreciated them sharing their stories, concerns and recommendations. In my view, that was the best of how our democracy is supposed to function, which is for folks like myself who are sitting in legislatures like this one, who have a say in laws like this, to be hearing from neighbours about their concerns. In that conversation and in emails since, it has been almost been universal that folks in my community want to see at least a delay, if not more.

Second, I am supportive because we heard the concerns of experts across the country, such as doctors and health care professionals. On December 1, I really appreciated hearing from the Association of Chairs of Psychiatry in Canada, which includes the heads of the psychiatry departments of all 17 medical schools across the country, as they appealed for the governing party to delay what was then an expected expansion of MAID for those with mental illness.

The third reason I am supportive is because I believe we should spend more time closing the social safety net before we expand medical assistance in dying. I would put it to all colleagues here and ask why it is we are seeing a movement to expand medical assistance in dying much more quickly than we are seeing an expansion to the social safety net. I will give a few examples.

In my community, as colleagues well know as I have shared it many times, the unsheltered population has tripled in the last three years from just over 300 to over 1,000 people living rough. It is clear what is being done when it comes to the affordability of housing is not nearly enough, that we are going in the wrong direction and that more needs to be done.

As well, there are income supports, whether that is a guaranteed livable income for all or as many in this place, myself included, have pushed very hard for, a guaranteed income for those with disabilities across the country. Although we have made progress, and I am glad to see that Bill C-22 was passed in this House and is now in the Senate, the fact is it is yet to be funded. I would strongly encourage the governing party to fund the Canada disability benefit to get on with closing the social safety net with the urgency it deserves.

Next is mental health specifically. Just last week we saw a big announcement about health care, and yet absent from that announcement was dedicated mental health funding. It is all the more egregious when in the 2021 campaign the governing party ran that campaign on a commitment for a $4.5-billion Canada mental health transfer.

I hope there is no sleight of hand here, that with this new health care announcement we are not going to continue to see dedicated mental health funding. It is imperative that all parliamentarians in this place continue to apply pressure to ensure the Canada mental health transfer is in budget 2023. When I last asked the parliamentary secretary about it on Wednesday night, I did not get a clear answer, and it should concern all of us to not see dedicated mental health funding.

In fact, it was because of this absence of sufficient supports for affordable housing, income supports and mental health care that I joined the CEO of the Canadian Mental Health Association of Waterloo Wellington to encourage the Minister of Justice to follow through on the delay that had been promised in December of last year. I am glad to see him follow through on that.

With my remaining time before I close, I just want to quickly mention the importance of quality journalism in this country and how it relates to this legislation.

I am glad to hear that all parties are supportive of Bill C-39, but I am not surprised to hear that, because of the work of Althia Raj and the Toronto Star. Specifically, back in November, as other members have shared, Ms. Raj spoke with the Minister of Justice. At the time, he said nothing could be done and that it would be a “challenge in the current Parliament” to delay the expansion of medical assistance in dying.

Ms. Raj then did something very reasonable. She reached out to all of the opposition parties, including the Green Party, and asked them if they would support what is now Bill C-39. Opposition parties responded, and days later, on December 11, Ms. Raj published an article sharing that all opposition parties were supportive. Then the question was put back to the Minister of Justice, and days later, on December 15, it was announced that this legislation would come before this House.

While there are many advocates and many campaigns that lead toward legislation such as this one, I think it is important that we call out and appreciate non-partisan journalists across the country doing important work to help bring to light the agreement that is sometimes there to move forward with important changes like the ones we are discussing, and to call out what might be certain rebuttals that may or may not be justified. In this case, they were not, and I appreciate Ms. Raj, as well as the medical professionals I mentioned earlier, like those from the Association of Chairs of Psychiatry in Canada, for their advocacy, which brought us to this point.

In closing, I applaud the governing party for introducing Bill C-39 and following through on the promise that was made back in December, and for listening to the need to slow down. I have no doubt that other parliamentarians across the country heard concerns similar to the ones I heard from Hannah, Peter and so many others. I also encourage the government to move more quickly on the social supports that are needed in my community and across the country.

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7:45 p.m.

Scarborough—Rouge Park Ontario

Liberal

Gary Anandasangaree LiberalParliamentary Secretary to the Minister of Justice and Attorney General of Canada

Mr. Speaker, I agree with my friend from Kitchener Centre that there is obviously a need to invest more heavily in mental health supports.

Looking at how medical assistance in dying has evolved in the last seven years, as well at the way that Bill C-7 brought forward the issue of mental health as a sole underlying condition and where we are at today, can my colleague reflect on whether we are moving at the right pace or moving too fast? I think what I heard from him is a suggestion that we are moving really fast, but we are moving based on the science that is available. In fact, the expert panel report suggested that we are in fact ready to move forward. Could he comment on the available science on this issue?

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7:45 p.m.

Green

Mike Morrice Green Kitchener Centre, ON

Mr. Speaker, the Parliamentary Secretary to the Minister of Justice is a person and member in this place whom I really enjoy working with. He is focused on working together to get things done for people as opposed to parties, and I really appreciate that.

I think this question is an important one, but to answer it honestly, I have not yet seen the result of the special committee in place, which is meant to report back to Parliament on the research it has been doing. I think it is important to rely on committees of this House to share the research and work they have been doing. I am looking forward to reading what it comes out with. I hope that we will have time over the coming year to look at what it recommends and that the governing party will take the recommendations seriously, move forward on them and ensure that sufficient changes are put in place.

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7:45 p.m.

NDP

Lisa Marie Barron NDP Nanaimo—Ladysmith, BC

Mr. Speaker, the bill, at this point, is necessary for us to ensure that we are protecting the most vulnerable. To me, and to many of us, as we are hearing, it speaks to a bigger issue: The government is leaving many behind.

I appreciate that my colleague spoke to the importance of closing the social safety net and spoke about the importance of disability supports, appropriate mental health supports, affordable housing and a guaranteed livable basic income. There are many components necessary for us to move forward to address the bigger issue.

I wonder if the member can share with us what he is hearing from constituents in his riding regarding what is most vital for us to move forward with so that those who are struggling the most have what they need to get through each day.

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7:50 p.m.

Green

Mike Morrice Green Kitchener Centre, ON

Mr. Speaker, I thank the member for Nanaimo—Ladysmith because I know what a champion she has been in this place in pushing for people with disabilities to get the follow-through they have been promised and have advocated so strongly for over so many years. We could cut poverty by 40% in this country by providing a guaranteed income for every person with a disability, who are right now disproportionately living in legislated poverty. It is a national embarrassment, in my view, that we have not done more already.

Whether it is related to providing a guaranteed income for folks with disabilities and funding the Canada disability benefit or following through on the Canada mental health transfer, it is important for our democracy that political parties and leaders follow through on promises they have made. I am going to continue to push, alongside the member opposite and others in this place, in the lead-up to budget 2023 to see those important commitments followed through on.

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7:50 p.m.

Green

Elizabeth May Green Saanich—Gulf Islands, BC

Mr. Speaker, I want to begin by thanking my colleague, the hon. member for Kitchener Centre, for such a thoughtful speech, one that anticipates much of what I want to say.

We have not done enough in the year since Bill C-7 passed to know with any degree of certainty that we have lived up to our obligations when passing that act to fully study what it would mean to extend medical assistance in dying to those who are dealing with deep suffering that comes from a mental health issue, not from a medical diagnosis of traditional medicines, such as ALS, cancer or the other cases that moved us forward on this trajectory.

I want to briefly canvass what brought us here and the way in which the Parliament of Canada and the Supreme Court of Canada have dealt with medical assistance in dying, and I want to suggest, in closing, that when one looks to the Supreme Court of Canada for guidance, I do not believe we can say that the Supreme Court of Canada's guidance takes us to the availability of MAID in cases of deep mental health distress.

Going way back, as the member of Parliament for Saanich—Gulf Islands, I want to reflect on one of the champions, heroes or, as one might even say, martyrs on the issue of access to medical assistance in dying. I speak of Sue Rodriguez. She lived in North Saanich, in the electoral district that I am honoured to represent. She had ALS. She famously said, “[W]hose body is this? Who owns my life?” She went all the way to the Supreme Court of Canada back in 1993 in an effort to get access to the alleviation of suffering from a disease that would kill her. This was not in doubt. However, the Supreme Court of Canada, in 1993, denied her request.

As others have mentioned in this place over the last couple of days of discussion, a colleague and friend of many of ours and a dear friend of mine, Svend Robinson, stayed with Sue Rodriguez when a doctor assisted her illegally, and she took her own life, with the doctor's assistance, in probably the first public case of medical assistance in dying in Canada.

The courts took a long time to change, and that decision in 1993 was not changed until 2015 in the Carter case. In the Carter case, the Supreme Court of Canada found, taking a different view, that the charter rights in section 7 to life, liberty and security of the person were violated by not allowing a person to make such a decision and to have access to medical assistance in dying. The Carter case changed things by putting squarely to the Parliament of Canada that it had to deal with this.

I will quote from the Carter case. The Supreme Court of Canada said, “competent adults who seek such assistance as a result of a grievous and irremediable medical condition that causes enduring and intolerable suffering”. That was the basis for creating legal access to medical assistance in dying.

When Bill C-14 went through, I tried so hard to put forward amendments saying we have to allow advance directives. It was not right not to allow them for someone who knows they are terminally ill and are facing incredible suffering. It is their choice and they should be able to access medical assistance in dying with an advance directive. However, back when Bill C-14 went through, this was rejected. My amendments were rejected in the House as well. Similar amendments were then passed in the Senate, and we all recall it came back here without those amendments having been accepted.

Bill C-7 repaired that but opened the door to something entirely different. I do think it is entirely different to say that when people are suffering incredibly and intolerably due to a deep, chronic and unsolvable mental health condition, they should also have access to medical assistance in dying.

I will go back and say what the political promises were when we started down this road. I first want to address the medical conditions.

When Bill C-14 was first debated, a lot of members in this place were asking about palliative care: Would people choose medical assistance in dying if they had the option for palliative care? We heard many promises from the government benches that we would see increased funding for palliative care. That has not happened. That is one thing that concerns me greatly.

We have also heard, since we passed Bill C-7, that there would be more supports for mental health. That has not happened either.

What would we do if we were serious about making sure that every Canadian could exercise, fully, their rights, under section 7 of the charter, to life, liberty and security of the person?

At least, one would know that the health care system should be working well. I am pleased to see that the premiers accepted the federal offer today. I hope that the federal government will defend our public health care system with every ounce of its energy and make sure that the deals with the provinces are specific and tied to outcomes and results.

However, our health care system is in trouble. I was just talking to an incredible indigenous woman. I will not say her name; it was a private conversation. She is Cree. She lost a dear friend recently because that Cree dear friend could not get access to medical care in time to diagnose and treat her cancer. She leaves two small children behind.

The health care system in the country is not equal, any more than the litany of deeply racist and distressing conditions in which the system works against justice for indigenous peoples. We all know it. In the context of the health care system, how can we not know it?

In terms of mental health care supports, we know even more deeply that the suicide rates among youth in this country are a huge source of concern. We know that mental health issues have been worsened among our youth, through the pandemic, through isolation, through all kinds of things, through being preyed on by social media.

We know that our schools, universities and post-graduate programs are failing young people because they cannot get the mental health supports that they need when they need them. They need help to avoid addictions and to kick addictions. Our young people need so much help and we are failing them.

Opening up MAID is not a solution to solvable mental health care issues where we are just falling down on the job because we are not providing the mental health supports that we have promised over the years.

What would we do if we wanted to be serious about section 7 rights? We would bring in a guaranteed livable income, to ensure that no Canadian is living in poverty, poverty being the number one social determinant of ill health, in terms of physical health and mental health. We would address poverty and end it through guaranteed livable income.

We would do more, as I mentioned, for the end-of-life issues and access to palliative care. There is such a thing as having a good death. We do not like talking about death in our society. We are all supposed to be young and preferably sexy forever. Let us face it: people get old and it is a lovely experience. It is a good thing to be healthy in old age and enjoy it right up to the moment when whatever one thinks is going to happen to oneself happens: meet one's makers or feed the worms, whatever. A good death is a good thing.

Medical assistance in dying does give people that option of a good death, surrounded by family, feeling loved. I am very supportive of the work that we have done in Bill C-14 and half of what we did in Bill C-7, but where are the mental health supports?

Again, to the point that the hon. member for Timmins—James Bay made, I totally agree. I say yes to housing, to supports and to ending poverty.

However, I do think that we have to explore and open up. In the next year, let us get serious at looking at non-traditional therapies for people dealing with what appears to be irremediable depression. Do psychedelics make a difference? I am not going to prescribe. As the hon. member for Timmins—James Bay said, do not take health advice from politicians.

However, the evidence is coming in on using such products as psilocybin to actually trigger something that results not just in a bit less suffering and mental health conditions. There are certainly papers out there that are peer-reviewed and very interesting, that one can cure depression. I certainly would not want to turn my back on a potential cure and then embrace medical assistance in dying for people who could be cured.

Neither do I want to turn my back on people who are suffering and who are saying that we are making them wait another year and asking why we are doing that. These are not easy issues but these issues, life and death issues, are at the heart of the sacred and they are at the heart of our work in Parliament.

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8 p.m.

Winnipeg North Manitoba

Liberal

Kevin Lamoureux LiberalParliamentary Secretary to the Leader of the Government in the House of Commons

Mr. Speaker, we have had a number of speakers make reference to the issue of mental health and this member, the leader of the Green Party, also referred to palliative care. The greatest contribution that Ottawa can do in regard to the areas of mental health, health in general, palliative care and hospice care is provide the financial resources and then use the Canada Health Act and raise the profile of the issue itself. We can put a checkmark on all three of those with respect to the last five or six years of this government. At the end of the day, we do need to see more working together with provinces and indigenous communities, in terms of continuously raising the profile of the issue to make sure the resources are being properly allocated.

When she reflects on the legislation and the special joint committee that is out there, is there something specific that the leader of the Green Party would filter out or like to see?

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8 p.m.

Green

Elizabeth May Green Saanich—Gulf Islands, BC

Mr. Speaker, to my hon. colleague and parliamentary secretary's first set of comments, absolutely I am looking to the federal government to defend public single-payer universal health care as under the Canada Health Act. I am looking at threats to that system. For as much as people say we have to do it because things are bad right now, that is the work that has never stopped to undermine our public health care system in Canada by the forces for privatization, and they must be resisted.

I would throw one door open here. Before deciding that this is up to a group of experts, please let us get a reference to the Supreme Court of Canada to ask whether extending MAID to mental health conditions falls within the Supreme Court of Canada's understanding of the ruling in Carter.

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8 p.m.

NDP

Gord Johns NDP Courtenay—Alberni, BC

Mr. Speaker, I want to thank my colleague for talking about some opportunities and she also cited broken promises when it came to palliative care. As members know, I was here last Monday and the Monday before and would have been here tonight on Adjournment Proceedings, to drag the government here to talk about mental health, but it was disrupted so I am back.

I asked the minister about mental health just last week. She cited:

Through the proposed bilateral agreements on the shared health priorities, we are working with the provinces and territories to integrate mental health and substance use as a full and equal part of our universal health care system.

However, when it comes to the reality on the ground, the Liberals have still not delivered on their promised mental health transfer of $4.5 billion. Even the agreements that they signed with the provinces today do not assure that.

Does my colleague agree that we need, enshrined in the legislation, parity between mental and physical health to have a proper conversation in this House about expanding medical assistance in dying for those whose sole identified underlying medical condition is a mental illness?

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8:05 p.m.

Green

Elizabeth May Green Saanich—Gulf Islands, BC

Mr. Speaker, this is one of my favourite recommendations from medical doctors around mental health. Because the hon. member for Courtenay—Alberni is from such a beautiful place in the world, I do not know if he knows that Dr. Melissa Lem prescribes visiting national parks to get out into nature.

To answer the member's question simply, yes, I agree with parity.

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8:05 p.m.

Scarborough—Rouge Park Ontario

Liberal

Gary Anandasangaree LiberalParliamentary Secretary to the Minister of Justice and Attorney General of Canada

Mr. Speaker, I would like to thank my friend from Saanich—Gulf Islands regarding her relationship with Sue Rodriguez and the first battle toward medical assistance in dying that took place decades ago, which has brought us here.

The expert panel that was convened reported in the summer and outlined a number of different areas in which the systems are ready. As a government, we have heard from a number of different parties about the need for an extension. I wonder if my friend could advise what specific issue she has with the expert panel report with respect to medical assistance in dying, in respect of mental health as the sole underlying condition.

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8:05 p.m.

Green

Elizabeth May Green Saanich—Gulf Islands, BC

Mr. Speaker, yes, there is an expert panel looking at the medical and mental health conditions, but I think we have skipped a step in making sure what we are doing remains constitutional.

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8:05 p.m.

Conservative

Gerald Soroka Conservative Yellowhead, AB

Mr. Speaker, I am pleased to rise in the House today to speak on Bill C-39 regarding medical assistance in dying, which proposes to delay for another year the implementation of provisions that would expand the availability of medical assistance in dying to those whose sole underlying condition is mental illness. I think we really need to start looking at how we got to this stage.

It went to the Senate and we had no issues with it, to some degree. Most of Parliament was fine with it. However, when it came back, the Senate had added in a provision with respect to one's mental state.

I started thinking about the many people I have spoken with over the years when I was either a mayor or now as a member of Parliament. When people would phone me, they would usually start the conversation easily by talking about whatever issues they were dealing with. Then they would start talking about themselves. I do not know if it is me, my voice or my appearance, but they would open up to me and start telling me about how they were going through these troubles and the difficulties they were facing. It was not necessarily financial. Sometimes that was the trigger, but most times it was their mental state itself. As they would start talking, I would start getting very worried about people like this who have a mental condition and whether there was somebody there to help them. As they kept talking, sometimes they would break down crying or get angry, and that would change throughout the whole conversation.

However, as I was dealing with them, I would hope that they had some kind of assistance from some medical professional. If they did not, then who would be there to help them? I am worried this is the help they are potentially looking for, but I hope that will never be the case. When I was speaking with these individuals, I would usually try to steer the conversation gently and ask if they had a psychologist or psychiatrist working with them. They would say something like they did, but that person does not know anything, and they would start getting angry again. Then I would start to get worried because I did not want to see them in that state of agitation. I wanted to try to help them as best I could. I am not a psychologist or psychiatrist, so I do not have the expertise, but I would try to at least direct them to where there was help.

Probably one of my biggest concerns with respect to this legislation is the fact that we are relying on our medical professionals more than ever. We all know that there is an extreme shortage of doctors and nurses right across this country, so when we start talking about people having the ability to apply for MAID due to their mental state, how is that going to help them if there are no doctors to assist them?

My next concern is whether we are really there to assist them, to cure them or help them out of that state. That to me is where it seems like we as a society have failed on so many fronts.

When I was talking to a grade 10 class during COVID in 2021, the students asked what I thought the number one issue in Canada was going to be when we came out of COVID. I said that was very easy because the number one issue was going to be the mental state of Canadians. It was surprising that the class all responded with, “Really?” I asked them what they thought it was going to be and they said that it was the economy. I said that was not something we really had to worry about and that once people started getting out again and businesses started opening up that, yes, it may be slow at the start, but eventually we would get back to some sense of normal again, but that the mental state of Canadians was something that was going to be with us for years. That was just during COVID.

Unfortunately, before COVID, the mental state of Canadians was suffering. That is something the current government has yet to help with. It promised in the last election that it was going to put more money toward the mental state of Canadians and assist with more doctors, medications and facilities to help those people. However, as we debate here today, it seems that it is easier for the government to offer medical assistance in dying instead of assisting them in achieving the mental state they so deserve.

I have spoken to many people, and they have asked what this MAID legislation is about. Why are so many people concerned about it? I said it is not so much about MAID. It is more about the addition of someone with a mental illness, without a foreseeable death, to actually apply for MAID. People have given me looks, asking what I mean by that. I have said that someone who has a mental illness, depending on what mental illness they have, may or may not qualify for MAID. I would still get people asking why there would not be a doctor, psychologist or somebody there to help them, as opposed to offering them MAID. I replied that that was a very good point and that it is one of the reasons I am speaking out against this legislation.

With moving Bill C-39 forward to extend it for another year, Canadians also need to understand some of the legislation that we are putting forward in the House and how it is not necessarily helping all Canadians. I am not going to bring up someone who has ALS or another disease. That is their right, and that is absolutely fine. To me, they are in charge of their faculties. However, when someone has a mental illness, my biggest concern is whether they are mentally capable of making these decisions.

I know someone will talk to me later and say there will be two psychiatrists evaluating them. Everyone knows that people, when they have a mental condition, have different states of mind where they may seem better at one time, and then they may seem worse or go into a depression, whatever the case may be. Is someone truly getting a fair assessment of the condition someone is dealing with at the time? To me, it is very cold and heartless that people can say, yes, we think someone is acceptable for medically assisted dying, as opposed to really diving into the areas as to how we can help them.

Over the years, there are people who have reached out to me and it is heartbreaking. I do not know if many other MPs have had to deal with something like this, but it is a very sad state. When we start getting into all the funding, or lack of funding, to deal with a mental state. Before COVID, it was estimated that about one-third of all Canadians had had some form of mental condition at one time or another. I cannot imagine what it has grown to after COVID. Are we at 40% or 45%? I do not know the numbers, but we can see how we are escalating the mental stability of Canadians.

Is the government reaching out to them, trying to make their lives any better? I do not believe so. That is one of the reasons I am so happy that we are able to take another year to look at what we can do to either refine or change this legislation, or actually start dealing with the problem itself. We need to deal with the mental state of Canadians and get the people the help they so rightly deserve.

For people to keep living on with a mental condition, they do not get better until they get help. Without the doctors, nurses or facilities out there, there is no way Canadians are going to see a better society. When we start looking at the mental state of Canadians, there are other areas that we can possibly improve upon, such as our criminal system, because a lot of people are addicted to drugs or whatever else, but we need to start dealing with that as best as possible.

I wanted to focus more on what we can do to assist people with their mental state, as opposed to offering them MAID. We need to start getting into the real cause of the problems and the real situation on why they got to this state. If we can accomplish that, we can build a far superior society than the one we have today. As parliamentarians, our number one goal is to make Canada a much better place to live, as opposed to the alternative being proposed tonight.

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8:15 p.m.

Winnipeg North Manitoba

Liberal

Kevin Lamoureux LiberalParliamentary Secretary to the Leader of the Government in the House of Commons

Mr. Speaker, I would like to think no one inside this chamber would advocate using MAID legislation as an alternative because of a lack of services to mental health, from a federal government's perspective.

I do have a question I would put to the member. He talks about the importance of mental health, yet when we take a look at it, the government has put a great deal of emphasis and financial resources behind the issue of mental health. The Conservative Party is more inclined to say it will give provinces the money and not have any conditions at all on how they are giving the money. The member cannot say that they want to have more mental health and not say that the Conservatives are going to enforce their will with provinces by encouraging the provinces and the territories to spend more on mental health, because from the Conservative Party's perspective, they just want to hand over the money.

We believe in the Canada Health Act. We believe mental health is a part of health, so this is something I think is quite different between the Conservatives and the Liberals. Would the member, on the record today, say that he would be encouraging, through the Canada Health Act, provinces to invest more into mental health?

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8:15 p.m.

Conservative

Gerald Soroka Conservative Yellowhead, AB

Mr. Speaker, I always do enjoy my hon. colleague's little fairy tales. He likes to talk about how great the government is doing, but if it were the case that the Liberals truly believed this, why are they not having a better effect on Canadians right now?

We have many people suffering. The Liberals promised in the last election that they were going to put more money into mental health. Did they? No, unfortunately, they did not, and that is typical for the governing party. It likes to talk a lot, but it actually does not deliver as much as it likes to talk. I can assure the House that the member sure likes to talk.

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8:15 p.m.

NDP

Lori Idlout NDP Nunavut, NU

Uqaqtittiji, given that Canada is founded on indigenous peoples' lands, Canada's colonial history and the impacts of its genocidal policies on indigenous peoples, does the member agree there needs to be regulations and special provisions to make sure indigenous peoples are getting the culturally appropriate, trauma-informed assessments they deserve?

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8:20 p.m.

Conservative

Gerald Soroka Conservative Yellowhead, AB

Mr. Speaker, very much so, that is what needs to be done. We have a different culture, completely, in Canada, that needs to be dealt with differently, and I will give her an example of that.

When I was mayor, I was also the chair of our seniors foundation, and one of our board members from the MD of Greenview had said he wanted to build an indigenous lodge right in Grand Cache. That is actually in the works right now. It is going to be 12 rooms. It is only going to be breaking ground this spring, so we are getting ahead of ourselves, but I know when he brought that forward, he said it was going to be a round building with a lot of cultural amenities, so I am very much in favour of making sure we take care of the needs of our indigenous peoples.

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8:20 p.m.

Conservative

Jeremy Patzer Conservative Cypress Hills—Grasslands, SK

Mr. Speaker, there is one aspect, when we talk about health care or access to mental health care, that quite often gets forgotten about or just more or less put onto the back burner. It is people living in rural Canada and the access people have to the different types of care and services they need.

I am wondering if the member wants to talk about the importance of having services for rural Canadians. That needs to also be part of the conversation when we talk about supports for mental health.

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8:20 p.m.

Conservative

Gerald Soroka Conservative Yellowhead, AB

Mr. Speaker, that is a very good point. Like I said, when I was mayor, that was one of the things we also talked about. Our county started about half an hour west of Spruce Grove. That was our closest location to get assistance for mental health, and unfortunately in rural Alberta, and I should say rural Canada for that matter, we do not have nearly the level of assistance compared to our urban partners. We need to really balance out and make sure we have equal access right across the country to deal with the mental issues in Canada.

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8:20 p.m.

NDP

Lisa Marie Barron NDP Nanaimo—Ladysmith, BC

Mr. Speaker, on a point of order, I would like to provide an opportunity, if I could, for the member. I realize that it was probably made in error, but just for the record, I do want to correct the statement he made of “our indigenous people.” Perhaps that was a mistake.

We know that indigenous people are not our property, and I just want to offer an opportunity for the member to correct the language he used to ensure that it is on the record what he intended to say.

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8:20 p.m.

Conservative

The Deputy Speaker Conservative Chris d'Entremont

While not a point of order, it is a great suggestion, which we have heard a number of times in this chamber. I did not hear it said, but if someone wanted to retract something, I would be more than happy to allow that to happen.

The hon. member for Yellowhead.