In the past 2 days, the senate has approved amendments to allow advanced directives, as well as to allow medical practitioners to bring up MAiD with their patients. The latter is particularly alarming. It could so easily be abused to take advantage of vulnerable people. Particularly when they are trying to process a new diagnosis, may be grieving their loss of ability, or may have other social and economic problems weighing on them. It is also alarming even in foreseeable death cases - where they may feel pressure to not take up a palliative care bed or burden the system or their families, or they may be pressured into looking at the short end of a variable prognosis (subtle encouragement at a time of weakness, not to fight their cancer diagnosis?) It’s seriously dangerous, and i believe at the root of it is callous cost analysis. Attrition, from an availability of services perspective, becomes a real concern with this. Possibly (likely) now impacted further by the cost of fighting covid...of course the economists are thinking about the growing cost of covid and how to recover it by cutting back wherever they can. Of course they are. And since MAiD is seen as a choice (but is less a choice the fewer options are available) they are hoping they dont get pushback. The public is already conditioned to MAiD now, so they are more receptive to each slip down the slope.
Doctors must not be allowed to do this (bring up MAiD to patients). It undermines standard of care. (I feel like I never want to see a doctor for anything again because if they mentioned it to me in the context of having a disability but not being close to death - when I have to trust my care to them - it would crush me. I doubt I’m alone.) And if they expand this to include mental health, and doctors are required to mention it as a “treatment option”...that just undermines the whole concept of mental health care, and suicide prevention.
There’s going to have to be a Supreme Court challenge to this. From scratch. This cannot stand. It’s ill considered. And I note that Pamela Wallin raised the advanced directives amendment based on her personal anecdotes, fears, and feelings. No scientific considerations. Whether you hoped for advanced directives to be made legal or not, Pamela Wallins fears and feelings are not expert opinions to justify rushing a decision.
The amendment to Bill C-7 was approved by a vote of 47-28, with eight abstentions.
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