MAID bill worries Indigenous leaders
OTTAWA • Assisted-dying legislation sends the wrong message to Indigenous communities, advocates said Tuesday as voices opposed to the bill continued to ring out on Parliament Hill.
Indigenous elders work hard to tell young people that suicide should not be an option, and the medical assistance in dying (MAID) bill says the opposite, said Tyler White, chief executive of Siksika Health Services, which provides health services to Indigenous communities in Alberta.
“Extraordinary efforts have been made in suicide prevention in our communities,” he said. “The expansion of MAID sends a contradictory message to our peoples that some individuals should receive suicide prevention, while others suicide assistance.”
The new bill follows a Quebec court ruling striking down the existing legislation on medically assisted death on the grounds that it was too restrictive. The court gave the government until Dec. 18 to implement a new regime.
The Liberals' offering, Bill C-7, expands the categories of those eligible for the procedure, opening it up to people whose deaths aren't reasonably foreseeable.
The new bill imposes strict guidelines for people seeking assisted death as part of that category, including a 90-day waiting period.
Dr. Thomas Fung, a physician who works with Indigenous patients, said that is too short.
He cited the case of a patient of his with lung disease, who is short of breath doing even simple tasks. He needs oxygen at home but he isn't eligible for government assistance to pay for it because his condition isn't bad enough yet.
He could wait for that to happen, Fung said. But he could already be eligible for a medically assisted death under the new legislation.
It would “go against one's conscience” to provide one, given there are other therapies that have not yet been tried and that could improve the patient's life, Fung said.
But arranging the care the patient needs, such as counselling and medication, will take more time than the law allows, in part because of the rural setting.
“The 90-day waiting period is not enough time to give this patient the help he needs and I would argue not enough time for a lot of chronic conditions,” he said.
During community consultations on the bill earlier this year, the government heard from people in many Indigenous communities who had concerns with the legislation.
“Many spoke about the harmful experiences that Indigenous individuals have had with the health-care system,” said the government report on the consultations.
White also said doctor-assisted death runs contrary to Indigenous beliefs about life, and like some opponents of the bill, stressed the need for physicians to be able to object to providing it if it violates their consciences.