Health
Feds reject push to amend Criminal Code to outlaw forced sterilization

OTTAWA — The Liberal government does not plan to change the Criminal Code to explicitly outlaw coerced sterilization — rejecting a resolution passed by First Nations chiefs on Thursday.
Heather Bear, the vice-chief of the Federation of Sovereign Indigenous Nations that includes 74 First Nations in Saskatchewan, said Thursday that Justice Minister Jody Wilson-Raybould — a former Assembly of First Nations regional chief herself, in British Columbia — must “do the right thing.”
“The prime minister of Canada has made all these statements on the national stage about truth and reconciliation,” Bear said in an interview. “We know the justice system doesn’t work for us but this is one way we can put an end to this. I’m really surprised.”
Dozens of Indigenous women say they’ve been pressured into sterilization procedures they didn’t want, or had them carried out without being asked when they were seeing doctors for other reasons.
Coerced sterilization must be criminalized to ensure legal accountability, Bear said, adding the issue is connected to the issue of violence against Indigenous women — the subject of a national inquiry underway in Canada.
“Now it is about killing the ones unborn,” Bear said. “It is really a devastating issue that I hope there is more and more awareness (about) each and every day.”
Bear’s comments come after Wilson-Raybould’s office said in a statement to The Canadian Press that it’s is taking a public-health approach to the issue.
“Our government believes that everyone must receive culturally safe health services no matter where they live,” said the minister’s spokesman David Taylor. “The coerced sterilization of some Indigenous women is a serious violation of human rights and is completely unacceptable.”
But he pointed to existing provisions within the Criminal Code meant to forbid “a range of criminal behaviour” including forced sterilizations.
Alisa Lombard, a lawyer leading a proposed class action of Indigenous women who allege they endured coerced sterilizations in Saskatchewan, said Thursday that changing the Criminal Code is the most concrete thing the government can do about them.
Lombard’s firm, Maurice Law, has listed the Saskatoon Health Authority, the provincial government, the federal government and a handful of medical professionals as defendants in its statement of claim.
About 100 women have now come forward to report they have been forcibly sterilized, Lombard said — a jump of 40 women since The Canadian Press published a story on the issue in November detailing a push from Ontario Sen. Yvonne Boyer to study the issue nationally.
An existing Criminal Code provision speaks to the involuntary termination of pregnancies. Another provision on aggravated assault applies to anyone “who wounds, maims, disfigures or endangers the life of the complainant.”
A legal void remains, Lombard said.
“We can point to the fact this has been an ongoing occurrence since the 1930s and so the absence of a preventive measure has clearly paved the way for it to continue to happen up until as recently as 2017,” she said.
Saskatchewan appears to be the “epicentre” of the practice, Lombard said, adding her firm has also heard from women from Ontario, Manitoba, Alberta and British Columbia.
“My hope is that the voices of these women will have made a difference and that the voices of these women will ensure future generations of Indigenous girls do not have to bear the same burden of having the same discussion,” Lombard said.
In late November, a rapporteur with the United Nations Committee Against Torture in Geneva said forced sterilization must be seen as equivalent to torture and asked for Canada to consider specific criminal provisions covering it, regardless of whether it’s done by a public agent or private individual.
Human-rights groups — the Native Women’s Association of Canada, Amnesty International Canada, and Action Canada for Sexual Health and Rights — are expected to respond to recommendations to be released by the committee on Friday.
—Follow @kkirkup on Twitter
Kristy Kirkup, The Canadian Press
Dr John Campbell
Excess deaths in Canada and most western nations remain very high long after pandemic deaths subside

The numbers for 2023 are rolling in and they show a disturbing trend in most of the wealthy nations in the world. In Canada, the United States, and virtually every country in Western Europe, the excess rate of death is astounding and so far unexplained by officials in any nation.
British health researcher Dr. John Campbell shares official data from the OECD (Organization for Economic Co-operation and Development) and wonders why the media doesn’t seem to notice or care.
From the Youtube channel of Dr. John Campbell.
Confirmation of excess deaths in 2023 for US, UK, Canada, Australia, NZ, Netherlands, and Denmark. However, deaths are lower than expected in Poland, Hungary, and Sweden.
OECD data https://stats.oecd.org/index.aspx?que…
Alberta
New app uses AI to help Calgary medical students practise interacting with patients

A Calgary medical student has developed a new app that allows future doctors to work on their diagnostic and communication skills before they set up their practices. Eddie Guo, seen in an undated handout photo, is a second-year student at the University of Calgary’s Cumming School of Medicine. He says that one of the challenges in medical school is becoming better at interacting with patients. THE CANADIAN PRESS/HO-University of Calgary
By Bill Graveland in Calgary
A Calgary medical student has developed an app that allows future doctors to work on their diagnostic and communication skills before they set up their practices.
Eddie Guo, a second-year student at the University of Calgary’s Cumming School of Medicine, said one of the challenges beyond the book learning in medical school is becoming better at interacting with patients.
As a result, he’s turned to the rapidly growing area of artificial intelligence to create a number of virtual patients, with a variety of health conditions, that a student can talk to.
“It’s good to get more than just two or four hours of the practice we get in medical school to really be able understand what it’s like to communicate in a real-life scenario,” said Guo.
“We think it’s a good idea to have more than a few hours of practice before actually going out into the wild and seeing patients for the first time.”
Guo created a program, called OSCE-GPT, where the computer is the patient. Users choose the patient’s gender and can select a scenario or let the computer decide on one for them.
“I’m Ben Johnson and I’ve been having some really bad abdominal pains over the past two days. It’s in the right upper quadrant and it spreads to my back,” said the robotic male voice in the program.
“I’ve also been feeling nauseous and vomiting. I’m here in the emergency department because of the pain.”
The AI patient can answer questions about its condition and, after the conversation, provides feedback to the student along with a list of other questions that could have been asked.
Guo said until he is finally allowed on the medical wards, the only other interactions he gets are with standardized patients, professional actors who present with various conditions.
“As you can imagine, they’re really quite good at their job, but they’re also very expensive,” Guo said.
“We don’t get that much opportunity really to practise speaking with a patient, and so what this app was born out of was a lack of possibility to practise.”
Guo collaborated with medical resident Dr. Mehul Gupta. He said this kind of additional help will make for better doctors.
“One of the things we learn again and again in medical school, and that’s reinforced again in residency, is that the history you take from a patient is almost 99 per cent of the diagnosis that you make and the impression you make on a patient the first time you speak with them is long-lasting,” Gupta said.
“If you have the opportunity to practise to tailor your questions to see how you could have done better, you really do become a better doctor overall.”
Guo said the app is still being upgraded and at this point there is no image of a patient that shows up on the screen. He said he is hoping that things like a chest X-ray, a CT scan or a picture of someone’s skin could be incorporated into the program.
Within the first month of the app’s launch, more than 550 health-care trainees from Canada and across the world including Europe, India, Saudi Arabia and the United States signed on.
This report by The Canadian Press was first published Sept. 22, 2023.
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