Mental Health
Mental Health, MAID, and Governance in Trudeau’s Canada
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The Opposition with Dan Knight
A Critical Examination of Governance, Ethical Implications, and the Search for Compassionate Solutions in a Nation in Crisis
The mental health crisis in Canada, deepened and exacerbated under Prime Minister Justin Trudeau’s leadership, has laid bare the stark realities and the fundamental cracks in our national mental health support structures. The haunting statistics released by the Angus Reid Institute have catapulted this crisis to the forefront of national discourse, but it seems that the ramifications extend far beyond mere numbers. Approximately 80% of Canadians are grappling with the inadequate availability of mental health resources, and the governmental response, or lack thereof, has amplified this concern.
Under Trudeau’s regime, the pervasive decline in mental health has not only been met with superficial commitments but has also seen the advancement of policies that many argue are an affront to the sanctity of life and individual liberty, namely, the Medical Assistance in Dying (MAID) legislation.
The Trudeau administration, amidst the throes of a profound mental health crisis, had pledged a seemingly substantial $4.5 billion over five years to address mental health care during the 2021 federal election. However, the tangible execution of this commitment remains elusive, with the funds ostensibly being absorbed into broader health care allocations. A dire need, once seemingly acknowledged, now seemingly diluted in priorities.
It’s in this same disconcerting timeframe that the contentious discussions around MAID have intensified. The proposed legislative modifications seek to expand the eligibility criteria to include individuals whose sole medical condition is a mental illness. This proposition has resulted in a fierce national debate and has amplified concerns over the values and the ethical compass guiding our nation’s leadership.
While the inception of MAID in 2016 found support among 64% of Canadians, the broadening of its scope to include mental illnesses has sparked widespread hesitation and reflection on its ethical implications. A mere 28% of Canadians support allowing those with only a mental illness to seek MAID. This shift in public sentiment is indicative of a collective realization of the complex moral, ethical, and societal implications of such a policy in a nation already strained by a lack of mental health support.
There’s an unsettling correlation between the difficulties in accessing mental health care and the support for the expansion of MAID. Two in five Canadians who’ve encountered barriers in accessing mental health care express support for the inclusion of mental illnesses in MAID eligibility. This correlation rings alarm bells about the level of desperation and despair fueled by inadequate mental health resources and support.
The MAID legislation, particularly its proposed expansion, is symptomatic of a deeper, more entrenched disregard for life and liberty. The policies and legislation emanating from Trudeau’s administration seem to foster an environment where the value of life is underplayed, and individual freedoms are undervalued. Rather than addressing the root causes and formulating holistic, compassionate solutions for mental health struggles, the government seems poised to offer an expedited escape route, overlooking the sanctity of life and the intrinsic rights of the individuals.
The urgency to address mental health challenges, especially those disproportionately affecting women, young adults, and lower-income households, is paramount. It requires genuine, sustained commitments and actions, far removed from mere electoral promises and rhetoric. The dialogue surrounding MAID, although crucial, risks overshadowing the fundamental issues at hand – the acute need for enhanced, accessible mental health care resources and a governmental ethos that values and preserves life and liberty.
In light of these pivotal concerns, this beckons a grave question to us all: Is this truly the Canada we desire? A Canada where, when faced with life’s vicissitudes, the solution provided by the government is simply to opt for MAID? Or do we yearn for a Canada that embodies hope, a belief that circumstances can, and will, improve? When 2025 arrives, the bell will indeed toll for Justin Trudeau and his Liberal compatriots, and we, as staunch Canadians, will need to rise to the occasion and answer this question. It’s a query not merely about policies or governance but about the very soul and essence of our great nation.
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Addictions
B.C. mayors voice discontent over province’s response to drug crisis
The street outside the Harbour Supervised Consumption Service in Victoria, B.C., on Sept. 6, 2024. (Photo credit: Alexandra Keeler)
By Alexandra Keeler
A number of B.C. mayors say the province’s drug decriminalization project has been a failure — and they are not confident involuntary care will address the problem
Many B.C. mayors are unhappy with the province’s handling of the drug crisis, saying it is failing their communities.
“I don’t think [the province’s] approach was very well thought out,” said Mayor Brad West of Port Coquitlam, a city of 61,000 that is a half-hour’s drive east of Vancouver.
“They announced, seemingly pretty quickly, that the province was going to pursue decriminalization, and there didn’t seem to be a lot of public discourse or consultation in the lead up to it,” he said.
“It was just kind of like, ‘Bam! Here it is.’”
West’s comments were echoed by other municipal leaders, who also say the province’s harm-reduction and treatment services are under-resourced, leaving them ill-equipped to help community members who are struggling.
‘Can’t do anything’
West says he and Port Coquitlam’s constituents observed an immediate increase in public drug use after the province launched a three-year, trial decriminalization project in January 2023.
The project initially enabled residents to use otherwise illicit drugs — such as fentanyl, heroin and cocaine — in most parts of the province, although it prohibited drug use on school premises or near child-care facilities.
Yet, West says drug use in parks and playgrounds was a major issue in his community.
“What [decriminalization] meant in a place like Port Coquitlam is that when you did have an incident that required a police response, none was forthcoming anymore,” he said. “[Police] would tell you, ‘Well, we can’t do anything. We’re not allowed to.’”
In June 2023, Port Coquitlam responded by passing a bylaw, introduced by West, that banned drug use in public spaces. Other B.C. municipalities — including Nelson, Kamloops and Campbell River — soon followed suit.
In December, B.C. tried to pass a law enabling police to remove people from public spaces if they were using drugs. But a B.C. court temporarily blocked it, citing risks to drug users.
The province then sought approval from Ottawa to re-criminalize public drug use, which it obtained this spring. Now, hard drug use is only permitted in private residences, legal shelters or harm-reduction clinics.
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Wait times
West says he has also been frustrated with the province’s harm-reduction facilities, which he describes as “poorly staffed” and “under-resourced.” These facilities often fail to connect individuals to necessary resources or recovery programs, he says.
West has witnessed some of these problems up close. His stepbrother battled addiction and homelessness before finding recovery.
“The biggest barrier that I think he encountered — and most people encounter in terms of recovery — is the wait times,” he said.
The wait time to get into B.C.’s private addiction rehab centres is about three to seven days. But the cost — ranging from $10,000 to $30,000 a month — is out of reach for many.
By contrast, the wait time to get into government-funded programs is about three to six months.
In addition to advocating for more accessible recovery services, West emphasizes the need for stronger enforcement at docks, ports and borders to combat drug trafficking.
“Our ports of entry, our border, the port itself, are completely porous,” he said. “We have no dedicated port police — one of the few jurisdictions that doesn’t. And as a result, Metro Vancouver has become an epicentre for drug trafficking.”
In May 2023, he was the sole Canadian mayor invited by US Secretary of State Antony Blinken to discuss the issue with other mayors. “We have weak [drug] laws … This is why I think we’ve become a global hub for [drug trafficking],” he said.
Brain damage
The BC NDP and BC Conservatives have both recently pledged to introduce involuntary care, which would enable the province to admit people with addiction challenges, brain injuries and mental-health issues into treatment facilities without their consent.
Mayor Leonard Krog of Nanaimo, a coastal city of about 100,000 on the east side of Vancouver Island, has long advocated for involuntary care.
Nanaimo Mayor Leonard Krog sits in his office at Nanaimo City Hall on Sept. 4, 2024. (Photo credit: Alexandra Keeler)
Krog notes that a significant segment of the homeless population has suffered brain damage, which can exacerbate efforts to help them. A 2020 report by Brain Injury Canada says about 50 per cent of people experiencing homelessness have some form of brain injury.
Krog does not believe people with brain injuries and addiction issues are likely to seek treatment on their own. “Those folks should be in secure, involuntary care,” he said.
But he is not optimistic that NDP’s involuntary care proposal will address the full scope of the issue.
“[I]n terms of numbers, my strong view is that it will not address the significant population who are currently in the streets.”
Stay alive
Victoria Mayor Marianne Alto believes in providing support to keep people alive until they seek recovery.
“My view of harm reduction is … I’ll give you anything you need to stay alive until you have that epiphany moment,” she said.
But she is concerned that the province has not adopted a comprehensive approach to tackling the drug crisis. The recent proposals to introduce involuntary care have not eased her concerns.
“Involuntary care can be a necessary tool in a complex system,” she said. “But its effectiveness hinges on clear standards. We must ensure that individuals receive not just initial intervention but also ongoing support to prevent their return to the circumstances that led them there.”
“The devil is in the details,” she said.
Victoria Mayor Marianne Alto leans against a railing in downtown Victoria, B.C. , in May 2022. (Marianne Alto’s Facebook)
The B.C. capital has been pursuing additional strategies to tackle the city’s homelessness, addiction and mental health challenges.
For example, a local nonprofit has been working with individuals living in parks to connect them with housing and support. “It’s also very slow, because to be very successful, you have to do it one person at a time, one-on-one. But it’s working,” she said.
But other efforts have met resistance.
City council rejected a motion introduced by Alto that had proposed rewarding churches and cultural centres that offered overnight parking to vehicle-dwelling homeless people. Five council members opposed it, Alto says, citing fears about crime and concerns that the program overstepped their duties.
“There is a genuine fatigue in the public, which is being reflected in municipal councils, saying, ‘How much further, how much longer, how much more?’”
This article was produced through the Breaking Needles Fellowship Program, which provided a grant to Canadian Affairs, a digital media outlet, to fund journalism exploring addiction and crime in Canada. Articles produced through the Fellowship are co-published by Break The Needle and Canadian Affairs.
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Health
21 states threaten top medical group with legal action for claiming puberty blockers are ‘reversible’
Idaho Attorney General Raul Labrador
From LifeSiteNews
Idaho Attorney General Raul Labrador is leading a group of 21 states in warning the American Academy of Pediatrics that its ‘evidence-free’ endorsement of ‘transitioning’ minors violates most states’ consumer protection laws.
More than 20 state attorneys general are banding together to warn the American Academy of Pediatrics (AAP) that it could face legal action if it continues to promote surgical and chemical “transitioning” of gender-confused minors, Idaho’s top law enforcement official Raul Labrador announced Tuesday.
As previously covered by LifeSiteNews, the AAP sides firmly with LGBT activists on how to approach children suffering from gender dysphoria, endorsing the use of puberty blockers, cross-sex hormones, and surgical transformation of developing bodies, going so far as to accuse states that deny minors so-called “gender-affirming care” of “state-sanctioned medical neglect and emotional abuse.”
AAP’s position is based on “evidence free standards,” the Idaho Attorney General’s Office contends, the “most concerning” of which is its claim that the “use of puberty blockers on children is safe and reversible. This assertion is not grounded in evidence and therefore may run afoul of consumer protection laws in most states.”
“When used to suppress hormones below normal ranges during or before puberty, puberty blockers: (1) may interfere with neurocognitive development; (2) compromise bone density and may negatively affect metabolic health and weight; and (3) block normal pubertal experience and experimentation,” reads the coalition’s letter to outgoing AAP president Benjamin Hoffman and his incoming successor Susan Kressley. “And when puberty blocker use is followed directly by cross-sex hormone use, which is often the case, infertility and sterility is a known consequence, at least for those who began puberty blockers in early puberty.”
“Telling parents and children that puberty blockers are ‘reversible’ at the very least conveys assurance that no permanent harm or change will occur. But that claim cannot be made in the face of the unstudied and ‘novel’ use of puberty blockers” for gender dysphoria, it continues. “It is even less defensible now that the World Professional Association for Transgender Health and its standards of care—the AAP’s apparent cornerstone source—have been exposed as unreliable and influenced by improper pressures,” referring to revelations earlier this year that Biden administration officials pressured WPATH to remove age limits.
The attorneys general of Alabama, Arkansas, Florida, Georgia, Idaho, Iowa, Kansas, Louisiana, Mississippi, Missouri, Montana, Nebraska, North Dakota, Ohio, South Carolina, South Dakota, Texas, Utah, Virginia, and West Virginia, as well as the Arizona Legislature, went on to threaten legal consequences for AAP if it does not reverse course.
“Idaho law, for example, prohibits ‘[e]ngaging in any act or practice that is otherwise misleading, false, or deceptive to the consumer,’” the letter says. “Most other states likewise prohibit making statements to consumers that are false, misleading, or deceptive. Each of us takes our responsibility to protect consumers in our states very seriously.”
The AAP has until October 18 to answer a series of information requests about its decision-making process on the subject.
“It is shameful the most basic tenet of medicine – do no harm – has been abandoned by professional associations when politically pressured,” Labrador said. “These organizations are sacrificing the health and well-being of children with medically unproven [procedures] that leave a wake of permanent damage […] Parents should be able to trust that a doctor’s medical guidance isn’t just the latest talking point from a dangerous and discredited activist agenda.”
A significant body of evidence shows that “affirming” gender confusion carries serious harms, especially when done with impressionable children who lack the mental development, emotional maturity, and life experience to consider the long-term ramifications of the decisions being pushed on them, or full knowledge about the long-term effects of life-altering, physically-transformative, and often-irreversible surgical and chemical procedures.
Studies find that more than 80% of children suffering gender dysphoria outgrow it on their own by late adolescence and that “transition” procedures, including “reassignment” surgery, fail to resolve gender-confused individuals’ heightened tendency to engage in self-harm and suicide – and even exacerbate it, including by reinforcing their confusion and neglecting the actual root causes of their mental strife.
Many oft-ignored “detransitioners,” individuals who attempted to live under a different “gender identity” before embracing their sex, attest to the physical and mental harm of reinforcing gender confusion, as well as to the bias and negligence of the medical establishment on the subject, many of whom take an activist approach to their profession and begin cases with a predetermined conclusion in favor of “transitioning.”
“Gender-affirming” physicians have also been caught on video admitting to more old-fashioned motives for such procedures, as with an 2022 exposé about Vanderbilt University Medical Center’s Clinic for Transgender Health, where Dr. Shayne Sebold Taylor said outright that “these surgeries make a lot of money.”
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