Official Hansard
Madam Speaker, I rise in strong support of Bill C-218, the right to recover act, introduced by my friend, the member for Cloverdale—Langley City. The title of the bill fully reflects the substance of the bill. It is the right to recover: to give persons struggling with mental health challenges hope and help, instead of state-sanctioned, state-administered death, by putting an indefinite pause on the Liberal government’s ill-thought-out expansion of MAID where mental illness is the sole underlying condition. I commend the member for Cloverdale—Langley City for bringing forward the bill, because it is absolutely needed. We need legislation to be passed by Parliament. Otherwise, this ill-thought-out expansion will take effect in March 2027. I have to say that it should never have been this way. It should never have come to this. The planned expansion is a master class in how not to do policy and how not to legislate. Back in 2021, the then Liberal justice minister David Lametti, at the eleventh hour, accepted a radical Senate amendment, which he initially opposed, that set the train in motion for the expansion of MAID for mental illness, effective March 2023. There was no meaningful study, no meaningful consultation and no meaningful debate. The Liberals simply rammed it through. This was on a question of life and death concerning among the most vulnerable persons in Canadian society. It could not be more reckless than that. Here we are, more than five years later, and the planned expansion has been nothing short of a mess. It has been completely shambolic, including the fact that the government has been all but forced to introduce two emergency bills to delay implementation because it did not do its homework at the outset. Had the Liberals done their homework, they would have heard loud and clear what experts, including leading psychiatrists, have been saying, and that is that MAID for mental illness is a really bad idea, that it cannot be implemented safely for a multitude of reasons, not least of which include two unresolved clinical issues. The first of those issues is that it is difficult, if not impossible, to predict irremediability. In other words, it is difficult, if not impossible, to predict whether someone suffering from a mental illness will get better. Indeed, many mental illnesses are remediable, and they are very difficult to predict in terms of a prognosis. As Dr. Karin Neufeld, who is one of Canada’s most renowned psychiatrists and is none other than the chair of the Association of Chairs of Psychiatry in Canada, put it in her brief to the Special Joint Committee on MAID, which is studying this very issue, “Psychiatric disorders lack reliable biomarkers, follow non-linear trajectories, and frequently improve after years of severe impairment.” Accordingly, Dr. Neufeld concluded that psychiatrists are poor predictors of long-term outcomes. Simply put, modern psychiatry lacks the tools to predict irremediability in individual cases of mental illness. It is so uncertain in terms of predicting irremediability, that studies show that psychiatrists get it right less than 50% of the time. As Dr. Sonu Gaind, who is the past chair of the Canadian Psychiatric Association, told the special joint committee, one would be better off flipping a coin to predict irremediability. This is on a matter, again, involving life and death. What that means is that if this expansion were to go forward in March 2027, or at all, tens of thousands of Canadians who could get better, recover and lead productive lives will have their lives prematurely ended. This prospect is untenable, and it is unconscionable. The uncertainty around predicting irremediability not only renders MAID for mental illness a completely reckless and dangerous policy, but also makes it impossible to administer in compliance with the law. This is because a prerequisite to qualifying for MAID is that an individual must have a grievous and irremediable condition. Given that it is difficult, if not impossible, to accurately predict irremediability in cases of mental illness, the legal basis for MAID cannot be satisfied, full stop. Therefore, we have not only a clinical issue, but also a major legal impediment to this expansion going forward. The second major clinical issue identified is that it is difficult to distinguish, in cases of mental illness, a rational request for aid versus one motivated by suicidal ideation. This is because, in many cases, suicidal ideation, suicidal thoughts, are a symptom of the illness, and that is underscored by the fact that, in more than 90% of suicide deaths in Canada, mental illness is a factor. What that means is, if this were to go forward, long-standing suicide prevention efforts would be undermined. The mental health law would be upended, because given that suicidal ideation is often a symptom of mental illness, it begs the very practical question of which requests for MAID would merit intervention and suicide prevention versus the granting of MAID. Given these unresolved clinical issues and other issues, and the clear opposition from the vast majority of psychiatrists, including the 17 chairs of psychiatry representing all 17 medical schools in Canada, who penned a letter to the Minister of Justice saying to put an indefinite pause on this, the Liberals twice, as I alluded to, introduced emergency legislation to kick the can down the road. They kicked the can down the road yet again with a new date of implementation, that being March 2027. Guess what. Nothing has changed. The same clinical issues remain unresolved, and there is no evidence that they will be or can be resolved in the foreseeable future, if ever. This is why the special joint committee on MAID, which wrapped up its work in June, of which I was a member, of which the member for Cloverdale—Langley City was a member, recommended that the government stop kicking the can down the road and simply put an indefinite pause on this ill-thought-out expansion. I would note that the recommendation was a unanimous recommendation from Conservative and Liberal MPs on the committee. The government likes to claim it makes decisions based upon evidence, that it make decisions based upon the facts. Well, if that is so, then to follow the evidence, there is only one, objectively speaking, reasonable course of action for the government to take, which is to admit it got it wrong in 2021 and to reverse course by putting an indefinite pause on this expansion. Bill C-218, the right to recover act, provides a clear path forward to do just that. Let us pass Bill C-218.
