Health
Top Canadian psychiatrists urge gov’t to halt expansion of euthanasia to the mentally ill
From LifeSiteNews
Dr. Sonu Gaind, chief of psychiatry at Sunnybrook Health Sciences Centre in Toronto, said history shows that when enacting new laws relating to sensitive life matters, ‘The evidence shows that we are right less than half the time.’
Top Canadian psychiatrists warned that the country is “not ready” for the coming expansion of euthanasia to those who are mentally ill, saying expanding the procedure is not something “society should be doing” as it could lead to deaths under a “false pretense.”
As noted in a recent National Post opinion piece, seven of 17 chairs of psychiatry have written to Canadian Health Minister Mark Holland and Justice Minister Arif Virani to demand that the federal government of Prime Minister Justin Trudeau pause the expansion of medical assistance in dying (MAiD) as it is known.
On March 9, 2024, euthanasia in Canada, or MAiD as it is known, will expand to include those suffering solely from mental illness. This is a result of the 2021 passage of Bill C-7, which also allowed the chronically ill – not just the terminally ill – to qualify for so-called doctor-assisted death.
The mental illness expansion was originally set to take effect in March. However, after massive pushback from pro-life groups, conservative politicians and others, the Liberals under Trudeau delayed the introduction of the full effect of Bill C-7 until 2024 via Bill C-39, which becomes law next year.
Dr. Sonu Gaind, who works as the chief of psychiatry at Sunnybrook Health Sciences Centre in Toronto, said that history shows when it comes to enacting new laws relating to sensitive life matters, “The evidence shows that we are right less than half the time.”
Proponents of MAiD have argued that there comes a point in time when a mentally ill individual is simply not curable. However, Gaind said that the notion of “incurability” might not even be possible.
Gaind said that as the evidence shows being wrong half the time, “That means that at least half the people who assessors say, ‘You’re not going to get better from your mental illness, and you can get MAID,’ at least half of those people would have gotten better.”
“Meaning, we would have provided death under a false pretence,” he added.
Gaind said there seems to be “no consensus on this issue,” and said he “firmly” thinks “we’re not ready for further expansion.”
As it stands now, a special joint parliamentary committee on MAID has reconvened to investigate the looming expansion of MAiD to the mentally ill.
Recently, LifeSiteNews reported on how pro-euthanasia lobbyists want Canada’s assisted suicide via lethal injection laws to be extended to drug addicts, which critics warn could lead the nation down a dangerous path nearing “eugenics.”
The delay in expanding MAiD until 2024 also came after numerous public scandals, including the surfacing of reports that Canadian veterans were being offered the fatal procedure by workers at Veterans Affairs Canada (VAC).
Offering MAiD to the mentally ill is not something ‘society should be doing,’ psychiatrist says
Dr. Jitender Sareen, head of the Department of Psychiatry at the University of Manitoba, said that when it comes to MAiD, there is too much left in the hands of those who do the procedure.
“Offering people death instead of appropriate treatments” is something that “really goes against what we as a society should be doing,” Sareen said as per the National Post.
Sareen also said there is no guidance as to whether a doctor can determine whether a person is suicidal or simply wants to kill themselves via MAiD.
Recent attempts by the Conservative Party of Canada (CPC) to stop the expansion of MAiD have failed.
MPs in the House of Commons voted down a private members’ bill introduced by CPC MP Ed Fast that would have repealed the expansion of euthanasia laws to those suffering from mental illness.
Pro-life advocates, such as Angelina Ireland, president of the Delta Hospice Society (DHS), have warned the Trudeau government expansion of MAiD to those who are mentally ill will lead to allowing “MAiD allows agents of the state to kill us and it’s actually called ‘non-culpable homicide.’”
Ireland recently told LifeSiteNews that it was important she made clear to participants who attended to “speak to some inconvenient truths” about just how bad MAiD is for Canada.
“There is no avenue for us to ‘sue’ them (the government) or charge them with murder. We have abdicated our power and given the government the supreme authority — the right and the privilege to murder us,” Ireland said to LifeSiteNews, which she also told the event participants.
Euthanasia deaths have gone through the roof in Canada since it became legal in 2016.
According to Health Canada, in 2022, 13,241 Canadians died by MAiD lethal injection, which is 4.1% of all deaths in the country for that year, and a 31.2% increase from 2021.
The number of Canadians killed by lethal injection since 2016 now stands at 44,958.
Alberta
Early Success: 33 Nurse Practitioners already working independently across Alberta
Nurse practitioners expand primary care access |
The Alberta government’s Nurse Practitioner Primary Care program is showing early signs of success, with 33 nurse practitioners already practising independently in communities across the province.
Alberta’s government is committed to strengthening Alberta’s primary health care system, recognizing that innovative approaches are essential to improving access. To further this commitment, the Nurse Practitioner Primary Care Program was launched in April, allowing nurse practitioners to practise comprehensive patient care autonomously, either by operating their own practices or working independently within existing primary care settings.
Since being announced, the program has garnered a promising response. A total of 67 applications have been submitted, with 56 approved. Of those, 33 nurse practitioners are now practising autonomously in communities throughout Alberta, including in rural locations such as Beaverlodge, Coaldale, Cold Lake, Consort, Morley, Picture Butte, Three Hills, Two Hills, Vegreville and Vermilion.
“I am thrilled about the interest in this program, as nurse practitioners are a key part of the solution to provide Albertans with greater access to the primary health care services they need.”
To participate in the program, nurse practitioners are required to commit to providing a set number of hours of medically necessary primary care services, maintain a panel size of at least 900 patients, offer after-hours access on weekends, evenings or holidays, and accept walk-in appointments until a panel size reaches 900 patients.
With 33 nurse practitioners practising independently, about 30,000 more Albertans will have access to the primary health care they need. Once the remaining 23 approved applicants begin practising, primary health care access will expand to almost 21,000 more Albertans.
“Enabling nurse practitioners to practise independently is great news for rural Alberta. This is one more way our government is ensuring communities will have access to the care they need, closer to home.”
“Nurse practitioners are highly skilled health care professionals and an invaluable part of our health care system. The Nurse Practitioner Primary Care Program is the right step to ensuring all Albertans can receive care where and when they need it.”
“The NPAA wishes to thank the Alberta government for recognizing the vital role NPs play in the health care system. Nurse practitioners have long advocated to operate their own practices and are ready to meet the growing health care needs of Albertans. This initiative will ensure that more people receive the timely and comprehensive care they deserve.”
The Nurse Practitioner Primary Care program not only expands access to primary care services across the province but also enables nurse practitioners to practise to their full scope, providing another vital access point for Albertans to receive timely, high-quality care when and where they need it most.
Quick facts
- Through the Nurse Practitioner Primary Care Program, nurse practitioners receive about 80 per cent of the compensation that fee-for-service family physicians earn for providing comprehensive primary care.
- Compensation for nurse practitioners is determined based on panel size (the number of patients under their care) and the number of patient care hours provided.
- Nurse practitioners have completed graduate studies and are regulated by the College of Registered Nurses of Alberta.
- For the second consecutive year, a record number of registrants renewed their permits with the College of Registered Nurses of Alberta (CRNA) to continue practising nursing in Alberta.
- There were more than 44,798 registrants and a 15 per cent increase in nurse practitioners.
- Data from the Nurse Practitioner Primary Care Program show:
- Nine applicants plan to work on First Nations reserves or Metis Settlements.
- Parts of the province where nurse practitioners are practising: Calgary (12), Edmonton (five), central (six), north (three) and south (seven).
- Participating nurse practitioners who practise in eligible communities for the Rural, Remote and Northern Program will be provided funding as an incentive to practise in rural or remote areas.
- Participating nurse practitioners are also eligible for the Panel Management Support Program, which helps offset costs for physicians and nurse practitioners to provide comprehensive care as their patient panels grow.
Related information
Addictions
BC Addictions Expert Questions Ties Between Safer Supply Advocates and For-Profit Companies
By Liam Hunt
Canada’s safer supply programs are “selling people down the river,” says a leading medical expert in British Columbia. Dr. Julian Somers, director of the Centre for Applied Research in Mental Health and Addiction at Simon Fraser University, says that despite the thin evidence in support of these experimental programs, the BC government has aggressively expanded them—and retaliated against dissenting researchers.
Somers also, controversially, raises questions about doctors and former health officials who appear to have gravitated toward businesses involved in these programs. He notes that these connections warrant closer scrutiny to ensure public policies remain free from undue industry influence.
Safer supply programs claim to reduce overdoses and deaths by distributing free addictive drugs—typically 8-milligram tablets of hydromorphone, an opioid as potent as heroin—to dissuade addicts from accessing riskier street substances. Yet, a growing number of doctors say these programs are deeply misguided—and widely defrauded.
Ultimately, Somers argues, safer supply is exacerbating the country’s addiction crisis.
Somers opposed safer supply at its inception and openly criticized its nationwide expansion in 2020. He believes these programs perpetuate drug use and societal disconnection and fail to encourage users to make the mental and social changes needed to beat addiction. Worse yet, the safer supply movement seems rife with double standards that devalue the lives of poorer drug users. While working professionals are provided generous supports that prioritize recovery, disadvantaged Canadians are given “ineffective yet profitable” interventions, such as safer supply, that “convey no expectation that stopping substance use or overcoming addiction is a desirable or important goal.”
To better understand addiction, Somers created the Inter-Ministry Evaluation Database (IMED) in 2004, which, for the first time in BC’s history, connected disparate information—i.e. hospitalizations, incarceration rates—about vulnerable populations.
Throughout its existence, health experts used IMED’s data to create dozens of research projects and papers. It allowed Somers to conduct a multi-million-dollar randomized control trial (the “Vancouver at Home” study) that showed that scattering vulnerable people into regular apartments throughout the city, rather than warehousing them in a few buildings, leads to better outcomes at no additional cost.
In early 2021, Somers presented recommendations drawn from his analysis of the IMED to several leading officials in the B.C. government. He says that these officials gave a frosty reception to his ideas, which prioritized employment, rehabilitation, and social integration over easy access to drugs. Shortly afterwards, the government ordered him to immediately and permanently delete the IMED’s ministerial data.
Somers describes the order as a “devastating act of retaliation” and says that losing access to the IMED effectively ended his career as a researcher. “My lab can no longer do the research we were doing,” he noted, adding that public funding now goes exclusively toward projects sympathetic to safer supply. The B.C. government has since denied that its order was politically motivated.
In early 2022, the government of Alberta commissioned a team of researchers, led by Somers, to investigate the evidence base behind safer supply. They found that there was no empirical proof that the experiment works, and that harm reduction researchers often advocated for safer supply within their studies even if their data did not support such recommendations.
Somers says that, after these findings were published, his team was subjected to a smear campaign that was partially organized by the British Columbia Centre on Substance Use (BCCSU), a powerful pro-safer supply research organization with close ties to the B.C. government. The BCCSU has been instrumental in the expansion of safer supply and has produced studies and protocols in support of it, sometimes at the behest of the provincial government.
Somers is also concerned about the connections between some of safer supply’s key proponents and for-profit drug companies.
He notes that the BCCSU’s founding executive director, Dr. Evan Wood, became Chief Medical Officer at Numinus Wellness, a publicly traded psychedelic company, in 2020. Similarly, Dr. Perry Kendall, who also served as a BCCSU executive director, went on to found Fair Price Pharma, a now-defunct for-profit company that specializes in providing pharmaceutical heroin to high-risk drug users, the following year.
While these connections are not necessarily unethical, they do raise important questions about whether there is enough industry regulation to minimize potential conflicts of interest, whether they be real or perceived.
The BCCSU was also recently criticized in an editorial by Canadian Affairs, which noted that the organization had received funding from companies such as Shoppers Drug Mart and Tilray (a cannabis company). The editorial argued that influential addiction research organizations should not receive drug industry funding and reported that Alberta founded its own counterpart to the BCCSU in August, known as the Canadian Centre of Recovery Excellence, which is legally prohibited from accepting such sponsorships.
Already, private interests are betting on the likely expansion of safer supply programs. For instance, Safe Supply Streaming Co., a publicly traded venture capital firm, has advertised to potential investors that B.C.’s safer supply system could create a multi-billion-dollar annual market.
Somers believes that Canada needs more transparency regarding how for-profit companies may be directly or indirectly influencing policy makers: “We need to know exactly, to the dollar, how much of [harm reduction researchers’] operating budget is flowing from industry sources.”
Editor’s note: This story is published in syndication with Break The Needle and Western Standard.
The Bureau is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.
Dr. Julian M. Somers is director of the Centre for Applied Research in Mental Health and Addiction at Simon Fraser University. He was Director of the UBC Psychology Clinic, and past president of the BC Psychological Association. Liam Hunt is a contributing author to the Centre For Responsible Drug Policy in partnership with the Macdonald-Laurier Institute.
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