Health Minister Shares Personal Struggle, Calls for Thoughtful Discussion on Expanding MAID for Mental Illness

Thirteen years ago, during a period of profound political and personal turmoil, Mark Holland, the current federal health minister, grappled with the darkest chapter of his life. In an act of transparency, he has openly discussed his own suicide attempt and the intense mental health battle that nearly led him to the brink.

Today, as a key government official, he is advocating for Parliament to exercise caution in expanding access to medical assistance in dying (MAID) for individuals whose sole underlying condition is mental illness. Holland contends that his personal ordeal differs from the suffering experienced by those who might qualify under the proposed program expansion. He believes that additional time is essential to help medical systems and the public distinguish between these distinct situations.

“I want to make sure, with every inch of me, that everybody is afforded the same path out of darkness that I was able to find,” Holland said in a recent interview about his own mental health journey. “Where we’re having really difficult conversations is: What do we do when there are circumstances that we can’t figure out? Where people are in nightmarish pain?”

Under current legislation, individuals in severe mental anguish will become eligible for medical assistance in dying starting in mid-March. However, last week, Holland introduced legislation to postpone expanding eligibility for three years, citing provinces’ readiness and public readiness as key concerns.

This delay aims to provide more time for Canadians to engage in a deeper conversation about this complex and emotionally charged issue. Holland acknowledges that the topic can be uncomfortable and that simple solutions are elusive.

Holland’s personal experience sets him apart from those who may be eligible for assisted death due to mental illness. He sought help and found it to be effective, a critical distinction he highlights.

While many who suffer from mental health issues struggle to access help, MAID is intended for individuals who have exhausted all options and are trapped in unending mental agony. Holland emphasizes this critical distinctionPublic opinion on the proposed expansion is divided. Some surveys indicate support for expanding eligibility, while others reveal opposition. Holland believes that some fears expressed are driven by political motives rather than genuine concern.

If Parliament approves the extension, the responsibility will largely fall on provinces to ensure that appropriate measures are in place to distinguish individuals in crisis from those who should qualify for MAID. The pause would push the expansion beyond the next election, with the Conservative opposition expressing their intent to scrap it if elected.

Holland acknowledges the enormity of mental health challenges in Canada and the government’s ongoing efforts to enhance access to mental health care. He stresses that his personal experience, shared by many, should not be conflated with the debate on the limited circumstances where assisted death for intractable mental illness may be considered.If you or someone you know is contemplating suicide, help is available 24/7 through the national suicide prevention helpline at 988, which offers support via calls or texts.