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Перейти can really relate to this article. I am very intelligent and graduated from college 7 years ago with a BFA and I cannot find a job to save gederal life. I can’t even get hired for a crappy minimum wage job. I wish I had seen this list and been diagnosed with Asperger’s before I started college so that I could have made a better choice about what I usa jobs federal jobs government jobsforher reviews google translate.

I’m obsessed goveernment books and I think I would really like being a librarian. It’s too late now though, I can’t afford to go back to school, so I’ll probably be unemployed for the rest of my life. I feel so much despair and hopelessness about this, I wish I would just drop dead.

Yah I made the mistake of majoring in подробнее на этой странице math, which usa jobs federal jobs government jobsforher reviews google translate author of the article had the good sense to put on the short ttanslate of majors to avoid.

Re: “Nerd” “It’s too late now though, I can’t afford to go back to school, so I’ll probably be unemployed for the rest of my life. It’s never too late. Although it may feel that way, I know you can accomplish anything you put your mind to. For example, you mentioned you love books.

This has a plethora of opportunity. I believe many Aspies my son included have enhanced creative ability because of their ability to analyze things in-depth. I would encourage you to leverage your passion for books as they provide opportunity to learn new things and jobs usa gov federal jobs in atlanta braves ca to changing your thought patterns to be more open and self-encouraging. You can use books to study on topics of interest and think of creative ways to offer your knowledge to people who may need it.

I just know you can accomplish your passion. Don’t believe you can’t. Best of luck. I have aspergers traits and dyspraxia. My problem is not social skills but my communication skills are not excellent. I live in the UK. I usa jobs federal jobs government jobsforher reviews google translate work in sales. I think I may have trouble work in a client – facing role. I have worked in a call centre as a telemarketer for a period of a year but it is an easy call centre.

I could not work in a call centre permanently. I am not the best person. I cannot undertake manual work, shop work or administration work because I have dyspraxia most people with AS have dyspraxia. The real problem is the competitive nature of th economy across the world. IT and Engineering jobs have disappeared due to outsourcing. I am over-qualified for non – graduate jobs. Statisticians are in demand, few people want to be statisticians.

Jobsforber is primarily targeted at children and lower able adults. No one knows how to support adults with AS. Excellent article. One thing though, obedience trainer and veterinary tech might not be a good choice for some on the Autistic Spectrum.

In these fields, it is important to have great social and people skills. A good part of training translaate dog is in training the owner how to train the dog. Also, if you have executive dysfunction, it may be hard to implement and follow steps to get to the ultimate goal – a very important thing in training. I worked in the animal care industry previously and usa jobs federal jobs government jobsforher reviews google translate wasn’t a good match for me.

Too much social skill required. It was high stress and high pressure as well. Virtually all jobs require social skills. That’s the whole problem. For example, the only line of paid work I have ever really succeeded at is data entry. The key to autistic self-empowerment is changing that equation globally. The good news is that as evidenced by this post in this blog the autism parents care about the employment prospects of autistic adults. The question is, if we and our allies do succeed at creating an ‘autistic friendly’ or more broadly, us friendly’ labor market, will it gogernment in some sense ‘artificial;’ involving subsidized jobs, make-work jobs, ‘sheltered’ jobs, etc.

Personally, I don’t think we should limit our options to things market fundamentalists would approve of. I also think at some point we will be living in a ‘post-employment’ economy, across jobsfoher board. At that point, it makes a big difference whether the public is considered to have an equity share i.

If not, society will consist of people with portfolios big enough to live on, living of course in gated communities or the equivalent, and the rest of us, for whom life will be nasty, brutish and short.

In other words, I would urge everyone to think of autistic workers or worker wannabees, as the case may be as a sort of canary in the coal mine. Thanks very much for this post. My son is 19 and struggling with this very issue. BTW, we are in the process of going through the Depart of Vocational Rehabilitation, which is supposedly very helpful or people with Asperger’s. They even said that they might /51218.txt able to help with college expenses.

I’m not sure if the DOVR is a federal thing or if each state has jbos own such program with different names Great article, this will be very helpful in steering my son when the time comes. Nerd, sorry to hear you so disheartened. It can be hard when it feels like the whole world is wired to work against you. You love books but can’t see yourself being able to complete a librarian course Or have you ever thought about writing a book?

Or working from home as a proof reader etc. There are correspondance courses that you can traslate off over a period of time. You may also be able to get help with funding due to having a disability. There are a lot of options, it can seem overwhelming sometimes but it’s worth exploring.

Good luck and many hugs. I would focus on Asperger strengths rather than dwell on the negatives. I пожалуй jobs usa gov federal jobs nearest medicaid поспоришь read Dale По этому адресу – “how to win friends and revlews people”.

He provides a formula that is basic psychology, but highly effective. Focus is an AS strength – find a subject federa, attack it.

Start your own company, invent things, or use your brain capacity for good deeds. I see AS like a video game. Some players are fast, and others are strong, but no one fedderal booth. As a librarian with Aspergers I would not recommend it for most people. There are actually major social and political aspects that are nigh unto impossible.

Pure “cataloging” with no public contact usa jobs federal jobs government jobsforher reviews google translate as вот ссылка at a large univerisity or maybe the Library of Congress. Also there is now a strong information science component. Liking books is actually only part of succeeding in libraries. Most of us now spend much little time at work reading and much time interacting. So far I usually get away with being considered eccentric by most people but it is not anything to count regiews.

As i have short term memory problem as today i was trying to train as a forklift truck driver but i kept forgetting how to drive correctly so i failed. As an adult with Asperger’s who DOES have a job, and has had a job since I left university and even when I was studyingI have to say that I see too many sob stories here.

No one, no god and no world owes you anything so suck it up. Maybe I have been lucky enough that my dubious social skills have been tolerated due to my reasonable work skills, jobsforhr somehow I have always been able to find work and get in the door. I now earn well over 6 figures a year in software and engineering and I am only in my mid 30’s, married and two daughters one of which also has Asperger’s. As per another post by Scott if you can’t find work it’s probably not your Asperger’s, but just general negative outlook and looking to читать someone or something.

Start looking at the positives and work with those. Come up with ways to sell your positive traits. If this post seems somewhat harsh then I apologize, but sometimes people need a little encouragement to pull out that proverbial finger do they not? As for me I still have a lot of bad social skills and I’ve found the best way to handle that is to usa jobs federal jobs government jobsforher reviews google translate it out when at home usa jobs federal jobs government jobsforher reviews google translate I’m trying to reign those in a little too and keep as best a lid on it when out in public.

Lucky for me my wife is very understanding and maybe even luckier as things turned out I now work from home. Due to this the typical comment when I do go out is “You don’t get out much, do you? I hope at least one person is motivated to turn things around for themselves usa jobs federal jobs government jobsforher reviews google translate reading my drivel.

Вами usajobs federal resume buildertrend logout вариант have Asperger’s, but I don’t fit the image some still have of the disorder. Not all Aspie’s love math and computers, drawing, drafting etc. I personally need more interaction than some of these jobs you recommend or I would be very bored. I am 36, female, and happily married for almost 3 yrs.

Usa jobs federal jobs government jobsforher reviews google translate –

There are many areas and many issues where interests cross jurisdictional lines. Two or even three levels of government have stakes in issues such as the environment, health, safety and employment. Our different levels of government need to work together to discuss problems, develop strategies, leverage resources and find solutions. To reinforce the importance of collaboration, the Supreme Court of Canada encourages all levels of government to work co-operatively.

In recent decisions, the Court has indicated that provincial and municipal legislation cannot impair core matters of federal jurisdiction over aeronautics or radio communication infrastructure. In addition, where possible, it prefers to allow valid provincial laws to apply, if they are not in conflict. While these decisions quite clearly establish federal authority on matters such as aerodromes and cellphone towers, the federal government does not rely on court decisions to impose projects on Canadian communities.

Instead, it chooses to use processes for consultation, and the consideration of environmental laws and land use, to ensure that local concerns are taken into consideration regarding activities and projects that fall under federal jurisdiction. A division of powers is essential to maintaining order and predictability in our society and ensures that we avoid the scenario of too many leaders in one situation, or a leadership void when no one wants to take responsibility in another.

In Canada, all jurisdictions must work together on certain issues to promote and protect the interests of all Canadians. Even when we agree to work together, we must still respect jurisdictional boundaries. I would like to provide the House with examples of three areas of federal jurisdiction in which a co-operative approach and consultations play an essential role. First, in January of , following a regulatory consultation process, Transport Canada implemented a new regulation requiring proponents of certain aerodrome projects to consult with the municipalities, citizens or other concerned stakeholders before starting work, so that local concerns could be identified and mitigated.

I add that many of these projects do not move forward if there are serious doubts expressed regarding the quality of the consultations carried out by their proponents, or if these projects are deemed not to be in the public interest. Another example under the Canada Marine Act is that there currently exist provisions for the Governor in Council to make regulations situated on a port, whether a Canadian port authority or public port facility, or on use of the seaway and its property.

These provisions include development, use and environmental protections that incorporate provincial legislation by reference. My third and final example is the Canada Infrastructure Bank, which acts as a partner in delivering federal support to infrastructure projects in the public interest alongside co-investment by the private sector, institutional investors and sponsoring governments.

Projects supported by the infrastructure bank must respect all applicable laws in their relevant jurisdictions, including any applicable environmental or labour laws. Project sponsors provide assurance to the bank and other investors that applicable laws in a province have been respected.

These three specific examples were chosen because these initiatives all require consultation and consideration of local issues related to land use and the environment.

These would be taken away from the very acts the private member’s bill seeks to amend. There are countless other examples, in the same act and elsewhere, that demonstrate the government’s commitment to hearing the concerns of Canadians, and advancing the health, safety and economic well-being of our citizens and the stewardship of our natural resources, such as our forests and waters. These duties are the responsibility of all governments, whether municipal, federal or provincial.

Our best successes occur when we come together, listen to one another and work together to support policy development, new programs and effective enforcement that serves all Canadians.

Like our provincial and municipal partners, we take that responsibility very seriously. The Liberal government will continue to prioritize co-operative federalism and consultation with its citizens.

Bill C would represent a major shift in federal-provincial dynamics in Canada and would undermine the co-operative federal relationship we worked so hard to establish. It is for these reasons the government strongly opposes Bill C We should ask ourselves two very important things every time we look at a piece of legislation at this point in history. First, this is a time to come together as one nation.

When we review legislation, we have to consider whether the legislation promotes the good of Canada. Second, and this is very important with the fall economic statement coming out later today, this is a time to build the economy.

Every time we review a piece of legislation in the House we should be asking if it brings Canada together and if it will further Canada’s economy.

The bill would amend six federal acts. It would change legislation regarding land use and development and environmental protection. The Bloc is very motivated to put forward this legislation for two reasons. First, the Supreme Court sided with the federal government in numerous court cases where federal jurisdiction overrode provincial jurisdiction. The Bloc is looking for more provincial power. Second, several of these cases actually originated in the Province of Quebec.

For these two reasons, Bloc members are very motivated to change this legislation. In my observation, Conservatives are concerned because of potential jurisdictional disputes. We think that more cases would have to go before the courts. It is not good to tie up the courts because of discrepancies between two pieces of legislation or determining which one takes precedence in which situation.

As well, we are very concerned that some sections of the bill could be considered unconstitutional. It is surprising to me that the Bloc would put something forward that would be deemed unconstitutional, considering how hard the party fights for the principle of the two founding peoples of the nation and, in particular, the province of Quebec. However, I would say how good both my leader and my colleagues from Quebec have been regarding the modernization of the Official Languages Act.

I had the pleasure of sitting on the official languages committee for a brief period of time. When it comes to the Constitution, I would expect the Bloc to consider it.

For those who are not aware, my leader was on Tout le monde en parle yesterday. If members did not have an opportunity to see him, I would suggest they watch it. Going back to my main points, it is time to come together as a nation and build the economy. There are concerns that the bill before us could have negative economic implications, as it may deter private investment and infrastructure projects because of additional red tape.

Provinces could amend their legislation on land use and environmental protection to block federal projects. Also, and this is very relevant to me as a member of Parliament from Alberta, the bill could block federal economic development projects, such as the Trans Mountain pipeline or other infrastructure projects.

In a time when we are looking to come out of the pandemic united, we really need to think about legislation that will be nation-building. I would certainly count on my colleagues from Quebec to support infrastructure projects all across Canada, as I would, as a member of Parliament from Alberta, support any projects that are in the national interest of Canada.

I think it is very important that we all take this into consideration as parliamentarians for Canada. We really have to think about the effects of legislation such as Bill C and Bill C and the way they so negatively impacted the natural resources sector here in Alberta. People have to put themselves in other people’s shoes. If legislation such as this bill were to come across that another province could potentially have the possibility to impact an infrastructure project that would be of benefit to Quebec, I do not think that they would like to see that any more than we do, as members of Parliament from Alberta who see the potential of this happening to us.

More importantly, at this time, I think we really have to question what legislation like this would do. This is the time to build this economy. This bill would create more insecurity around investment in Canada at this time.

I will hand it to the Prime Minister and his cabinet, who have done a masterful job of driving away investment from Alberta, the Prairies and the entire energy sector to the detriment of Canada. We are all suffering as we come out of this pandemic with the trillion-dollar debt that we have in front of us; the hundreds of billions of dollars of deficit that we have.

We really need to come together as a nation to think about how we are economically going to respond to this. The Prime Minister and his cabinet just do not seem to get that when one part of the nation benefits, the entire nation benefits. I would ask my Bloc colleague to consider this at this time as well. With that, I ask Canadians to really listen to the fall economic statement today.

I really hope we do not see what we saw in the Speech from the Throne, which was a complete disappointment with more poor ideas based upon ideology as opposed to real, solid ideas to build the economy going forward. That is what I am expecting more of today. When Canadians are listening to the fall economic statement today, I want them to ask themselves three questions:. Number one, will this improve the economy? Listen to what they are saying. Will it improve the economy for Canada?

Goodness knows, we need that coming out of this pandemic. Number two, will this protect my job if I have a job? Is there anything in the fall economic statement to protect my job?

I am in a place where I have seen so many people lose their jobs. There is another round of layoffs coming from a major employer, Imperial, this week here in Alberta.

It is terrible to hear about. Again, I completely blame the Liberal government for this, for its investment-destroying legislation. I do believe this bill will add to that. Will this improve the economy? Will this protect my job? Will this create more jobs? Those are the three things that Canadians have to be asking themselves. At the end of the day, I believe that Canadians have to ask their parliamentarian and government if they are taking actions and passing legislation to support the country and economy or taking actions and passing legislation that is destroying the economy, which is essentially destroying Canada.

That is what is happening bit by bit. This is the time to come together as a nation. This is the time to build the economy. The Liberal government has not done this and Bill C does not do this either. I would stress that the NDP was among those who supported that bill. We certainly intend to continue doing so because we recognize that Quebec is a nation, which should have a direct and practical impact on the decision-making process. Moreover, we believe that this bill will support a better decision-making process and greater respect for local communities, regional perspectives and decisions that have already been made by democratic institutions and organizations, such as the provinces and municipalities too.

As we have seen in the past, when a project does not have social licence—the Liberals talked about this in but have never done anything about it—it causes tremendous tensions within certain regions and certain communities, which end up quite angry that they did not have a say on a tower being erected, the use of an airport, or the activities of a company in a fishing harbour or a commercial harbour, for example.

Today’s bill would ensure that the federal government complies with provincial legislation and, accordingly, with municipal regulations. We think this co-operative approach between the different levels of government will bring about better decisions that will better serve people instead of steamrolling over them.

We call that multilateral decision-making. I think that this bill needs to be seen from the perspective of working together, of having a dialogue and listening.

The parliamentary secretary to the government House leader was also talking about listening, dialogue and collaboration. However, he then said that the Liberals are completely against this bill.

That is entirely contradictory of the Liberals. The Conservatives also opposed a similar bill in the last Parliament. I am close to falling off my chair here because it appears that the Conservatives, who claim to champion respect for the provinces and autonomy, once again oppose this bill. I do not understand. The Leader of the Opposition will have to explain to Quebeckers why he refuses to take into account provincial legislation or decisions made by certain municipalities.

It is too bad, because doing so would reduce a lot of the tension we have seen in the past in relation to certain decisions and projects. There are still some things about the bill I want to explain, so I will talk quickly. Incorporating provincial laws into federal laws can be done through the technique of incorporation by reference.

This has been used in the past, so it can be done. There is a real possibility that this bill could be used and applied, but how this incorporation will be interpreted is not yet clear. What will be the actual consequences?

If this bill is studied in committee, as we hope it will be, those are the kinds of questions we in the NDP would want clarification on, as there are still some grey areas. The previous bill, which was introduced by the member for Repentigny , made very clear reference to the National Energy Board Act. People in British Columbia and Quebec are very concerned about various projects. I, too, will be very generous.

The NDP is extremely concerned about this. We do not think that this was an oversight. That is extremely problematic. Over the past five to 10 years, we have seen that there is a consensus against shale gas production in Quebec. When development projects were proposed in Quebec, there was a public outcry against them.

In short, this bill proposes greater citizen engagement in granting projects social licence, except for anything to do with oil and gas pipelines.

Shale gas extraction in the west or northern Ontario contributes to our production of carbon and our collective carbon footprint, and this runs counter to our Paris Agreement targets. If the bill goes to committee, I hope we will be able to make this amendment and go back to the bill introduced by the member for Repentigny , which included all regulations concerning pipelines. These regulations have now suddenly disappeared.

It is smoke and mirrors. It would increase our carbon footprint and also create a tremendous amount of marine traffic in the Saguenay River Fjord, a habitat of the belugas, which is currently an endangered species. This will have very important repercussions for their ability to continue to survive in this environment.

I think we need structuring projects that create jobs, but in light of the crisis we have been facing for many years, we must ensure that everything is done through a climate accountability lens.

Greenhouse gas emissions continue to rise in spite of the pandemic. This was reported in Le Devoir this week or recently. The right thing to do is to make job-creating investments, but in renewable energy projects. I think there is huge potential there, in Quebec, or in Saguenay—Lac-Saint-Jean, especially with respect to forestry waste. Biomass can have many uses, and these are some very exciting projects.

We find this very exciting and we will support Bill C at second reading. However, we have a lot of questions about the disappearance of the pipeline provision. Sovereignty certainly does factor into our objective as a nation, as a people, but it also refers to a power that trumps all others. When federal laws contradict Quebec’s legislative provisions and run counter to our collective interests, to the detriment of the population and the environment we need to protect, we have the duty to act.

Quebec belongs to its citizens. Land occupancy, use, development and protection are essentially governed by Quebec and municipal laws and regulations. No one can argue that, and it applies to both Quebec and the other provinces. The current legal structure gives the federal government precedence over the legal and regulatory framework of Quebec and its municipalities.

This precedent is unjustified, and it undermines the legal powers and responsibilities of the Quebec government, which is working tirelessly to support land development and environmental issues. There is a great deal of infrastructure and many activities under federal jurisdiction. As my colleague said, those include wharves, ports, airports, telecommunications, federal properties and railways.

The Department of Transport is anything but a model in this respect. They would be unable to deal with any of these sectors without the help of the Quebec government. Our body of laws and regulations is being undermined in these sectors, and our people truly understand why Bill C is so important. What it addresses has an impact on their quality of life, their physical environment and their perception of what it means to live together in a democratic space such as ours, and that is what is so sorely lacking.

Although the Quebec Act Respecting the Preservation of Agricultural Land and Agricultural Activities, the Union des producteurs agricoles and the municipalities were against the construction of aerodromes, the Supreme Court ruled in that such projects could go ahead. We could also talk about the construction of telecommunications towers in some municipalities.

No one can make me believe that mayors and other elected officials did not contact several members of the House to tell them that building a telecommunications tower in such a location was ridiculous and to ask them to intervene. I am certain that almost everyone here got a call like that.

There are also projects, including the one in the Port of Quebec, that pollute and have a measurable negative impact on air quality.

That impact is being felt by the population of Limoilou. These projects can go ahead. In every case, a superior or supreme court rules in favour of federal legislation. When a company runs afoul of Quebec law, it does not worry too much about the fine because the courts are there to protect it. In every case, the rulings are handed down in federal courts by judges appointed by the federal government.

Given everything surrounding the appointment of federal judges, I will simply say that it is not enough to render a decision under the law. There must be the appearance of justice. With respect to the provisions addressed in Bill C , it is clear that the shared jurisdiction over environment and land development is never even considered by federal courts.

The Quebec government has fought a number of battles over the years, because every citizens group that tried to mobilize was stonewalled by the federal government. We need to put a stop to companies under federal jurisdiction being allowed to do whatever they want without complying with Quebec’s laws and regulations. Land development is an arduous task.

It does not always turn out perfectly, but the people who devote their time to it do so within a framework that takes our population and our laws into account. Quebec has all the necessary mechanisms to oversee, guide and evaluate every aspect of a given project. However, when these mechanisms are treated with contempt, when municipal bylaws, for example, become ineffective and legislation is called into question, people can become cynical, disinterested and even angry.

Yes, people get angry. Fortunately, this anger is often channelled into mobilization, where protest becomes a force for change. In different regions of Canada, especially in Quebec, people have protested against many projects that threatened and are still threatening their land and their environment.

We are close enough to the people to know what affects them the most, and the laws are miles away from what the people want. The federal government needs to review the imposed hierarchy so that activities under its jurisdiction take into account what Quebeckers want and need. Quebeckers certainly do not need to see Ottawa’s imperialist policy giving carte blanche to projects that break our laws and regulations.

On this subject, as spokesperson for the environment, I must point out that the Quebec government believes that its environmental and land development laws must apply at all times. Quebec’s National Assembly has unanimously called for this many times.

In Quebec, this issue is not only a political one. Municipalities, environmental groups, unions, the Union des producteurs agricoles and many more want the same thing: projects that obey the laws at every level. This will strengthen our democracy, and certainly better protect the environment. This is The climate emergency motion was voted on in the last Parliament. The motion was tabled by the Liberal government. I think we need to review the order of priorities.

We spoke earlier of and I will say it again: This is the 21st century and the climate emergency requires that we change our focus. Land management and development and environmental protection must become the factors on which decisions to authorize projects under federal jurisdiction are based. I have often said that environmental protection is a cross-cutting issue. It affects all sectors. The government with the most stringent legislation should have precedence.

In fact, federal laws are too permissive. Restrictive legislation can protect the common good. Instead of strengthening its legislation, the federal government is catering to the private sector, and these companies can do whatever they want. There is no community building, and corporate individualism is encouraged.

We want to protect our people, our land, our living environments, our industrial, social and cultural fabric, and our environment. Members from Quebec, regardless of their affiliation, will see that there is a consensus on Bill C The Deputy Speaker :.

The time provided for the consideration of Private Members’ Business has now expired and the order is dropped to the bottom of the order of precedence on the Order Paper. The House resumed from November 27, consideration of Bill C-7, An Act to amend the Criminal Code medical assistance in dying , as reported with amendments from the committee, and of the motions in Group No.

Historically, when people experience extreme existential angst or suicidal ideation and present at a professional environment, perhaps an emergency department, they receive suicide prevention care. The intervention the system provides to them is trying to prevent them from acting on their suicidal ideation. This is done out of a sense that suicide prevention is good for the person involved. It has been, and still is by many people, seen as consistent with small-l liberalism or a belief in autonomy more generally.

When people experience these kinds of feelings, they are counselled and advised in a way that affirms the idea that life for them is very much worth living.

This is the standard practice of suicide prevention as it has been practised for most of our history, and as it is practised for most people. Based on what we have already heard regarding the experiences of people with disabilities, what they are sometimes presently experiencing when interacting with the health care system is that, when they come forward with the same kinds of feelings, they do not receive suicide prevention.

Instead they receive suicide facilitation. In other words, if I, as an able-bodied person, were to come to an emergency department with the same feelings as a friend of mine, who happens to be a person with disabilities, this friend would be much more likely to be offered suicide facilitation, whereas I would be offered suicide prevention. That is discrimination by definition. The question for this House to consider is this: Who should get suicide prevention, and who should get suicide facilitation?

This is an important question that people with disabilities are raising and have been raising at committee, that they would experience something different from the health care system than people who are able-bodied.

The direction in which members want to resolve that discrimination, according to their values, is an open question, but the fact is that people will now be treated differently if they have a disability compared with if they do not. That is very clear from this legislation and the fact that, overwhelmingly, all of the organizations representing people with disabilities that testified before the committee expressed grave concerns about the implications this would have.

I think we want to be the kind of country that treats people fairly and equally, and affirms the life and dignity of all people, regardless of whether or not they are living with a disability. This is one of many concerns that was top of mind and presented at the committee discussion on Bill C I hope members will listen to it, take it seriously and think about it as they proceed to vote on these amendments at report stage.

I wonder if, upon reflecting of some of his comments, he might take this opportunity to recognize the sense of professionalism provided by the health care workers in our health care system today. Garnett Genuis :. I agree that the vast majority of our health care workers are well intentioned and do great work.

Three out of four of my siblings, as well as my wife and my father, all work in health care, so I probably have more direct familial contact with people in health care than many other members.

There are hundreds of thousands of people in this country working in health care. The reason we have safeguards is not because most of those people might make problematic decisions; it is because there is always a risk, and we have already heard from people in the disability community that people are having these negative experiences, of being encouraged toward medical assistance in dying. One person testified about being called selfish for not wanting this option.

That is why we have safeguards in place. It is not for the general cases; it is for the exceptional cases, because life and death are still involved in exceptional cases. Therefore, could the member talk about the possible risks of removing the reflection period for people with mental challenges and how we could see some very dangerous consequences from that?

He too loves books, art and design but here in the Uk it is so hard to find a way forwards either in education or suitable employment. I just wished the government would tap into these amazing intelligent people and give them the support and encouragement to live more for filled lives.

I think what you said is key: “I fail at the jobs that normal people have”. Maybe it’s time to avoid “normal” jobs.

Go for jobs that are in tune with your special interests and personality. I’ve had good and bad experiences, but my best experiences have been working for bosses who hire me for what I am good for. We all have things that we’re good at. Try not to worry too much. My Associates Degree has nothing to do with my Bachelors Degree. But many of the core subject you take for one are common for the other, such as English Many of the courses.

So not all is lost. Plus, if you change careers and get your next degree in something else, that shows diversity. This list of jobs is great but I would still caution that autism Is a spectrum and these job tiles are not set in stone. More than anything they are a guideline with many opportunities for exceptions. Also, one will never become good at something unless one challenges oneself and makes it o e’s special interest to overcome some of the hurdles and valleys.

Each had its challenges, and I went at my own pace, which was at about half-time. But I didn’t give up. The longest I have worked for a company has been 15 years. Where I have been most successful has been in jobs in tune with my special interests: Space Technoligy and Electrinic Communications and Foreign Languages. But we are all distinct and unique.

The best way it to marry as many of one’s strengths as possible into one job and not just go for regular run of the mill jobs. Best wishes! It seems I’m an exception to one of these rules. I’m a pretty good simultaneous language interpreter. I think partly I have my tendency for echolalia and echopraxia to thank.

Before it is that I execute the mimicry I do a quick translation. Kind of like a stack interceptor. My dad worked for the post office and at first was slow at sorting mail but as he practiced he became better than most. Almost savant-like. What I’m saying is that it may not only be possible to overcome some shortcomings, but also get to excel and be better than most at things that by nature seemed difficult.

One thing that we have in our favour is that we can be perseverational and if one of these disabilities gets in the way, it may be possible to make it a special interest to overcome it, even if it may take some time.

But in many of my cases, with a bit of patience, it has been very well worth it. Thank you for this article. My son is 32 and is living with me. He had H Flu Meningitis at 2 weeks old and almost died, and severe seizures. He reads.. He has apprenticed with electricians, plumbers, carpenters, landscapers, apartment building maintenance supervisors,.. Janie, Have you tried the Goodwill Job Club?

It’s like a free employment agency that will take a special interest in finding proper placement. Explain to them your circumstance. They help people at all levels. I e had good results with them. I’ve seen others have good results too.

Good luck! Addendum: Only acceptable one that pops out to me is documentary-based videography or acting. Not a word. You get enough enthusiasm and then you just need the acting part. Also, jewelry making, but I’m not going to college for something I don’t technically need a degree in :. Dear Mr. Keith Miller, you are more “blessed” than even you might realize, and as for the ‘sob stories’ I can empathize with what has been said here except for the gentleman who feels it’s all over for him, NOTHING could be further from the truth sir, as the saying goes “where there’s life there’s ALWAYS hope , because my 21 year old nephew is experiencing almost the exact same thing right now.

My heart aches for this loving and caring young man, who’s lost two very special women in his life his Mom, my sister, and his grandmother, my Mom , but still pushes on no matter what. To top it off he has a college degree, which doesn’t seem to help, and has only had a job internship working at the college library but has NOT been able to carry it forward to get work in an outside library.

In the mean while, he’s still looking for work, until ACCESS VR calls him back to let him know when they’re ready for him to come in, or he finally gets hired. There’s got to be a better way for ALL involved here, I think it’s awful and a blight on this nation. School and work were both struggles for me and now we know that AS is why they were.

Finally, diagnosed more or less a year ago, I am now of the persuasion that whatever job is the best fit for me may not necessarily be a conventional one. Does anyone think that there is an unfilled niche on this earth for someone gifted like me? I do just exactly what they tell me to do and I fulfill all my duties as they are written.

Then someone comes along and tells me to do it another way. One of my coworkers cannot make it through the day without telling me how dumb I am being or something that I am doing “wrong” even though I do what I’m supposed to do.

It’s weird, because all the patients like me, but my coworker hates my guts and seems to get pleasure out of calling me incompetent. I guess nursing just isn’t for us. I’m just a 13 year old boy with aspergers, and I feel this looks like great jobs! About me: – I think much – I am much more adult, and mature for my age, than everyone around me.

Astronaut 2. Inventor 3. Astronomer 5. Donald Duck Drawer Abit about my self. What do you think I should be? I got a job in space technology. And I love it! Well, first I got an electronics technician certificate. And the I became a satellite ground station operator and then satellite operations and maintenance specialist and then a satellite station operations and maintenance technician and then a satellite station operations and maintenance supervisor.

Today I am a director and I hang out with all sorts of cool nerdy people! And those that are not nerdy I do my best to convert them to become nerdy. People in the satellite and space field are nerdy and proud to be nerdy. For me, it is the best place to be if space technology is your special interest. All that is important is that there be kindness in people’s hearts.

Rather than aim for something in the military side, you might consider an enterprise with a motto such as “so that earth may benefit from space”. Look up that motto. You will find many kind-hearted people there who share many of your special interests with a passion.

Once you have completed your education, don’t be surprised if you hear these words: “You’re hired! So is Bill Gates. I could do it. They did it. You can do it! I am a female aspie in my 30s, looking for a job just like most of you I am now thinking about a job in care, maybe with older people I get along with them much better than with my peers or with asperger adults.

Do you think this could work out? With Library Science, I would add the caveat that for an Aspie female it is probably fine, but for an Aspie man, let me just say that libraries are internally very political and dominated by NT women.

I entered librarianship after my plans to enter academia as a German Studies professor faltered. I entered as a yet undiagnosed Aspie man in my 30s and it has been a very tough row to hoe.

I interview well, I even have a good first evaluation, but by the time my 2nd evaluation rolls around, I’ve somehow managed to piss off my boss and have been either let go outright or been bullied into resigning. I’m still gainfully employed because I 1 got diagnosed finally and thus 2 When I finally reluctantly disclosed my DX, my local county HR dept.

My supervisor eventually crossed swords with the library director and got canned. I have a much more benevolent supervisor now. But I keep getting passed over for promotion to Librarian I when I apply, losing out to younger, less experienced people but who are well known to the branch manager hiring them, while I am an unknown from the main branch, which is enough of a disadvantage to overcome my superior education 2 Masters degrees , superior intellect, and greater job experience I have worked as an actual librarian before, with 2.

In a public library setting, intellect takes a back seat to being personable and relateble to patrons, and in that race I’m at a disadvantage, or at least that is the perception of those with authority to hire. My best job was working for a large international insurance company as a logistics specialist putting together the assets needed for emergency medical evacuations at the direction of the AIG Medical Staff.

My foreign language skills were highly appreciated, as was my general world-knowledge of foreign countries. The job was challenging and stressful but very rewarding, and I was recognized by our clients for my good customer service skills. We received letters praising my casework and handling of their problems.

My customers often grew very attached to me and sometimes felt a little despondent when I was off duty or on vacation. I was very meticulous and my casework was always solid. People felt “safe” taking over cases from me, because there were hardly ever any nasty surprises from something critical that was late or left undone or unconfirmed. The only reason I left the job is because my mother felt it was “beneath” someone of my high intelligence with advanced degrees, that I wasn’t being paid what I was “worth”.

My mother is a retired librarian, so part of me figured that if I became a librarian she’d finally have to shut up with her disapproval of my career choices. Alas, it hasn’t worked out so great.

While it’s true my first 2 gigs in libraryland paid significantly better than my insurance company employer, the problem was I couldn’t stay employed for very long.

In my current public library gig, I make more than when I started at the insurance company, but less than my best and final year.

It’s frustrating and disheartening at times. DAS Hello I find your comments very informative. I too have aspergers iam 48yrs old and happily married however i still struggle with making eye-contact with people and interruppt them instead of listening. My brain is always 5 steps ahead of my mouth and body and everyone else. Also many people get burned out talking to me because of the knowledge i have.

I have a photographic memory, but only with things iam intersted in. I often jump back and forth between subjects in a conversation which confuses others because they can”t proccess like i can. I even went over my MRI’s of my brain with my neurologist!

After several minutes of dicussion he asked whre i went to medical school! I simply said it was something i read once in a medical book! As regards the jobless market i can relate. It was the 1st time I filed for unemployment in 23yrs. Do to the seasonal area i live in I work 1 full time job and 2 part-time jobs.

I have been a blue collar worker all my life. So remember, things always have to be replaced or repaired which equals jobs. So look for online classes and trade school programs particulary with refrigeration in mind this is one of the most hardest positions to get filled.

Also taking the course to be medical billing coder is a great move and you can do it from home. I hope this message helps someone. Also their are some schools and colleges available for those wih syndromes. My friends son has Williamson sysndrome which is on the autistic scale.

He sent him to a special school just for this and he is doing well now. Best regards to all. So I completed all requirements to obtain my degree but was denied my diploma, my grades or name were not published and they said they could not let me graduate.

They think I’m wierd, different, so I must have a problem. Still, the faculty members can randomly manage to brainwash four girls to bully me after meeting with them behind my back and giving and using my “wierdness” as proof I’m some sort of evil person. They treated me really badly and I really thought I had left those days I was harshly bullied behind me. So I did it. I finished my degree, was told my small thesis was effing awesome, top notch, but then they changed their mind and decided a wierd person shouldn’t graduate.

I hate having to take them to court as I’m being told to do by a highly respected psychoanalist, who has been inisting I put a lawyer to defend me and despite they have told me the opposite, that it is not crazy at all given the circumstances. It’s not easy at all to complete a degree with no support at all Aspergers and no recognition of it’s existence in people with a high IQ. I’m heartbroken. I appealed within the universities organisms, the pones I was assured where correct to present my claim to.

It was such a struggle -not the subjects or the job I was training for- but the people and only God knows how much I had to think about how to go about relating with people to survive. Sometimes sharing helps. It was such a milestone for me, the beggining of a new phase.

Why don’t I deserve to graduate like everybody else who completed all requirements???? I want to be a contributing memeber of sociaety and I already am. I have my opwn business, yet yes I0m wierd and different. Different does not equal bad, but when they figure that out it may be too late for me, and I need help now.

I have aspergers myself, on top of that a mild intellectual impairment and oral dysphyxiation. Been working as sports turf manager Greenkeepers for 12 years, raised up around a workaholic of a pop with thanks to DOCS. Guess what I inherited that workaholism and hard work ethics.

Now the part that people get annoyed about is my pops mindset that a career comes first. My nan no longer asks about how my career is going.

She would rather ask bunnings what turf weed this is which they don’t know anywhere near as much as a greenkeeper trainee or a horticulturalist. Because of that I maybe successful career man but every other aspect in life is a failure I will never be in a relationship because I hate taking time off work to have a life.

I hate even getting sick and sitting out the day. Collapsed once with the flu at work and was not fit to go home so I slept at work.

The issue there is my only intelligent conversation is about business which most people find boring and non intelligent. Like talking about wow cool that dirt bike is banging on about rubbish is intelligent. Worst mistake I have ever made was try to get somewhere in life instead of settling for less. Basically working that industry has made my aspergers worse off. I’m also 30yrs and just diagnosed aspie and experiencing the same – and also lacking hope but from one as pie to another we can do it!

I’d strongly encourage you to find someone who can support you in ur mission to get work experience in a library type job volunteering to gain experience and hopefully this will open doors for you. There is always hope stick on in there I believe in you xxx.

I would not recommend Architecture – it is a profession that, more than most professions, rewards sociopaths and narcissists. Anyone who is socially awkward will be pushed to a dark corner and exploited by those who shine socially. I do think just drafting in a more practical, production-oriented environment where ego is less of a factor would be a good fit.

Surveys, site maps, 3-d parts, CNC cad drawings for cabinets, etc. Design is a really tough, tough path to take for the neurotypical, let alone an Aspie. Maybe if you are a genius and your own boss, but otherwise it’s heartbreaking. Don’t ever quit on finding what you can contribute to society, that will also make you happy.

I went back to school with two kids and a full time job and every day I would say out loud” this is only temporary, hang in there”. I’m an 18 year old girl with Aspergers and I’m in college studying video game programming. Let me tell you, it isn’t easy being autistic in a non autistic world. I’ve been ridiculed for how I talk and for the awkwardness I have when I try to socialize. But from what I’ve realized while programming is that because I’m a very visual learner, it comes almost naturally to me.

Guess that’s my trade off- horrible communication skills, but pretty awesome when it comes to programming. That’s a very depressing statistic that I hope changes soon. Focus and get better than anyone else in your field on that narrow topic. Out study, out think, out perform. Keep a job. I was the most amazing dishpit monkey the cafeteria ever had. Aspies do not do well without a box to work in. Being unemployed is a death sentence. Everything is harder when you don’t have a full time job.

Whether getting money to go to school, or launching a business. Retail sales is actually pretty good as well. At first, I was a mess, but once you create a system of what to say and when, and follow the script, you can do really well. I am lucky that i Have my wife to help me understand this world that doesn’t make any rational sense. But before her, I had a really close friend that we could just talk openly about creating a process for how to interact with people.

Just keep working! I worked for a local newspaper my parents owned, and did a whole pile of free work as well as paid work doing their website, taking photos, and making a video series for their social media accounts, until I was good enough to go into freelance business. Prioritize your effort! Start your morning by writing down everything you want to do in a day, prioritize it in order, and then write down how long it will take to do each task Every day I do this, I am a one man productive army.

Every day I do not do this, my mind finds something stupid like spending 20 minutes to write on this comment thread, or watching youtube for 2 hours straight on the migration patterns of Canadian Geese. HOpe this helps! I have asperger’s, diagnosed as an adult at 23, most definitely not a “mild” case. You list here carreers that an aspie can’t do. I think that’s wrong. I know in my heart, in my mind, and deep down within my soul that I am capable of anything I set my mind to. Just about the only thing I can’t do is become the president of the united states, and that’s simply because I have no desire to deal with all the idiots in DC.

I believe that anyone is capable of anything. Don’t believe me? What about the champion wrestler who had no legs below the knees? What about the man with no arms who plays guitar with his feet? What about all the millions of people who do what others consider impossible every day?

Honestly, shouldn’t you be empowering people with asperger’s instead of saying what they can and can’t do? Me, I am going to be a prolific inventor, and accomplished author, and a successful day trader. Doubt me? Go ahead. I have no doubts, only patience and tenacity. I will accomplish my goals or die trying, and the world will be a better place for it, whether or not you think I can do it.

In the end, all the support I need is my own belief in myself. Sadly, many people with asperger’s never develop that sort of confidence, because they are stuck in this world where people are always tearing them down and even worse, telling them they can’t do certain things because of their limitations.

Guess what? As a creator, each human is capable of achieving any goal. The fact is, most people give up after only a few failures. Micheal Jordan, he failed at basketball. He kept trying. He failed at inventing the lightbulb over a thousand times. People like you would have said, I give up, it can’t be done. Well, Einstien didn’t believe that. He kept trying, and now lives on as one of the most brilliant men in history, though I doubt he was much more than two standard deviations from normal in IQ So, next time you want to tell someone they can’t do something.

You should keep in mind that you might be telling Einstein that he can’t invent a lightbulb, he was, after all, just a patent clerk. I really like the premise of this article, showing what fields a person with asperger’s might excell in, but the fields in which we might struggle in, they are far from impossible. Neigh, I’d say the rewards are even greater when accomplishing impossible things. I hope you consider revising this article. However, Einstein was the patent clerk.

Have a great day! Sandra Just lost a hellish job that required intense multitasking, heavy social interaction and high workload. People thought I was not approachable and even unwilling to help them despite a massive effort on my behalf and a sincere desire to help.

Then the badmouthing and bullying made it unbearable. A office is completely the wrong environment. I am now looking into low paying work in nurseries in the hope of working in an environment where I am allowed to focus on one task at a time without constant disruption.

I am a technician but female and always find I am stereotyped into clerical or even secretarial work. I – my father – my sister are all on the spectrum. My father ran billion dollar companies – I am the top salesperson at my company. I have never worked in an office – and am paid on commissions only. Working with customers is a learned trait. Solving problems is the best part of my job. I was not successful in school.

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Arabic to English video Translation Please let me know your English to Japanese , words. She returned in to work as a chaplain for the Prince William and Loudoun regions and then moved into the general manager position for the Prince William region in Carolyn has served as executive director for the Arlington region, including the Capital Caring Halquist Inpatient Center since She has also served in various roles including as a U.

Senate Staff aide on health care issues and as a nursing home administrator. Susan has served in the executive director role for Capital Caring Health offices in Loudoun and western Fairfax counties and she was also the executive director for Prince William and Fauquier counties from to Susan has also worked as clinical operations manager, clinical supervisor and RN case manager during her time with Capital Caring Health.

The board is composed of more than leading experts competitively selected from industry, professional, trade, education, health care, and nonprofit including government organizations from across the United States.

In her role as Chief People Officer, Vivian has responsibility for Human Resources and Education, which includes talent acquisition, management and retention, compensation and benefits, regulatory compliance, policy development and staff development, training and education.

David joined Capital Caring Health in and has plus years of experience in the healthcare. Prior to joining Capital Caring Health, he served as the Senior Vice President for Reimbursement and Regulatory Affairs of an organization providing ancillary support services to long-term care facilities throughout the United States. He has held management positions in several of the largest teaching hospitals on the East Coast. David is an advanced member of the Healthcare Financial Management Association and is a past president of their Washington, D.

He is a graduate of the University of Maryland. Eric De Jonge, M. As Chief of Geriatrics at Capital Caring Health, he is leading efforts to build an array of health services for elders with advanced illness, including Primary Care at Home PHC , Social Services, and other needed senior health services.

In , Dr. De Jonge helped develop and advocate for a Medicare reform law called Independence at Home IAH to advance the field of home care medicine and reduce Medicare costs.

The IAH demonstration began in and Dr. A native of Chicago, Dr. He trained in primary care internal medicine at Johns Hopkins Bayview and completed fellowships in health policy at Georgetown and Geriatrics at Johns Hopkins. Yale University School of Medicine. Carilion Clinic — Family Medicine. During his final year of residency, he served as Chief Resident.

Philadelphia College of Osteopathic Medicine. Gondar College of Medicine. He cancelled his engagement mere weeks before his wedding day more than a half century ago, wracked with a severe case of cold feet. But a few months separated from young Frances Peltzman humbled him, and by the spring he was calling on her again.

Fortunately for him, she agreed to take him back, and their elopement in the summer of opened the door to all the good things that followed. The couple went to the same high school and met on the bus to school. They divorced when Neil was 3. She and her boss Fred fell in love, a romance that necessitated a change in jobs for her — she became a telephone operator — and led to their marriage.

The family bought a house in Yardley, PA. Sydney Parker lived with his parents after he got sick, and Neil recalls visits to their house on weekends. Sometimes his father would take him bowling. Neil graduated from Pennsbury high school in Yardley and went on to college at Penn State. He played minor league football and earned his degree in rehabilitation education. He was interested in working with people with disabilities like his father. During his senior year, Neil met Fran on a blind date.

She was working at the New Jersey Department of Health at the time. They got engaged soon after Neil graduated from college and planned a big family wedding. But weeks before their big day, Neil cancelled the wedding. Fran was devastated. She quit her job and moved to New York City to start fresh. But several months later his heart pulled him back and he went to find her again.

He asked her to marry him again that weekend. She said no. With some coaxing from her best friend, Fran saw him again, and they agreed to get married. Their wedding almost did not happen a second time.

One reissued official birth certificate later, they drove to Maryland and tied the knot on July 31, The only thing scarier was telling their parents. And he did. The couple moved to Philadelphia and Neil got a job as a case worker. He made home visits to determine eligibility for public assistance. On weekends he served in the National Guard.

On August , their daughter Sherri Lynn was born. A year later, Scott David was born. Neil went back to school in the evenings and got his Masters degree in Counseling and Guidance at Temple University. He got a job in Washington DC and the family moved to Virginia when Sherri was five years old and Scott was four years old. He worked at the College Board, where he tested and counseled teenagers for college readiness. After two years, he was hired by DC government, where he worked with minority youth, including those who were disabled or who had been incarcerated, to help them find jobs.

He later became a program analyst. They bought a house in Vienna when Frank was born. Neil coached Little League on the weekends. And in the summers he took his kids to the same stretch of beach in Atlantic City that he used to go to as a child. He retired after 23 years with the DC government. He missed working with youth, though, and for several years he was a substitute teacher in the Fairfax County schools. The children loved him, Fran recalls, and delighted in his stories — like the time he and Fran accidentally brought a gecco home in their suitcase from a vacation in Costa Rica.

They found it two days later in a roll top desk and set it free in a park, where the neighborhood kids would go and look for it. As their children grew up and got married, the Parker family became increasingly international. Neil and Fran welcomed a daughter-in-law from Mexico, another from Poland, and a third with Japanese ancestry who was born and raised in Lima, Peru.

The extended family lives close to each other and they pitch in to help one another. Now his grandchildren go for walks with him and they are very happy to be quarantining together. Neil still loves sports and rooting for the Nationals and the former Washington Redskins.

When Sulaiman Bangura came to America from Sierra Leone 17 years ago at the age of 23, he was seeking a better life. He found it not only in the United States, but also through a rewarding career in nursing. Now as an RN for at-home hospice services with Capital Caring Health, the largest non-profit provider of elder health, advanced illness, hospice, and at-home care services for the Maryland, Virginia, and Washington D.

But it soon became more than a job to Bangura; it was a calling. He then trained to become a Registered Nurse and ultimately got his Bachelor of Science in Nursing degree.

He has worked at Capital Caring for the past 13 years, where he has become passionate about helping people at the end of life. The onset of the novel coronavirus pandemic dramatically changed his work.

Suddenly he had to connect with patients through virtual telehealth visits. Bangura says that was really hard. Since the hospice team has been able to make home visits again, they have been careful to take precautions for both the patients and themselves. Bangura goes home each night to his wife, three children and both his mother and mother-in-law, and so he worries about getting the virus or bringing it home.

But he says everyone is very mindful about safety at work. In his spare time he likes to listen to music. He enjoys reading books. Bangura walks often and has an exercise machine at home, both of which are great for managing stress. But he especially enjoys weekends watching soccer with his friends. Most of all, Bangura is passionate about his job in hospice care. Sulaiman was recently recognized as a Special Ceca Foundation Award Winner for his dedication and professionalism as an RN case manager.

His hospice patients and their families were quick to praise his work, saying he consistently displays compassion and goes above and beyond for all his patients. This is a job where caring for others is just second nature, but Bangura would be the first to tell you he gets much more in return.

Helping families cope with loss is an intrinsic part of daily work for Steven Skobel, a palliative care nurse practitioner. At Capital Caring Health, the largest non-profit provider of elder health, advanced illness, hospice, and at-home care services for the Maryland, Virginia, and Washington, D.

But even with that familiarity, it has been a challenge to cope with the sheer volume of Covid deaths. There is no escaping the shadow of the pandemic at work, and away from the hospital Skobel and his colleagues have had to find new ways to recharge their batteries for another challenging shift. As an expert in the field of palliative care, Skobel is part of a relatively new discipline, but one with deep roots in the very origins of nursing.

The first hospice was founded in the U. Essentially, palliative care wraps the patient and their family in a sort of medical embrace, a way to ease the journey.

When he first entered nursing school, there were just a handful of men in his class. Over time the profession has become more diverse, embracing more men and a broad mix of ethnic and cultural backgrounds.

What is different with Covid is the scope of the outbreak, he says. It is on a scale that has not been seen since the Spanish influenza epidemic. Because of the high number of Covid-related deaths, he has been working as a full-time member of the intensive care team, combining his palliative care expertise with other nursing skills needed in the intensive care unit which, at one point, was operating an extended ward to cope with overflow.

Before Covid, Skobel was used to seeing families cope with both sudden, unexpected loss and those who have some warning of what is ahead. Perhaps a bad case of pneumonia takes hold unexpectedly, or a longtime cancer winds towards an inevitable end. Skobel would guide families through the final days, or hours as they sat bedside, able to touch, talk, and comfort their loved one, and, in turn be comforted by nurses and doctors.

But now, in the midst of a pandemic, that family comfort and professional guidance must come at a distance, with farewells said via FaceTime, and updates and developments delivered by phone or text message. In recent weeks, the number of cases his team is seeing has fallen. He believes the medical teams battling the virus are better prepared as new patients come in, thanks to a steep learning curve about which drugs work and help flatten the curve.

His fellow professionals also have been sharing both formal research from noted journals, and the sort of anecdotal information grounded in daily experiences. Like everyone else, his life beyond the hospital has changed. He and his wife are walking the family dog daily. Recharging his batteries in new ways. Dealing with a pandemic has reinforced a fundamental truth he holds about his chosen profession. Tom Koutsoumpas serves as President and CEO of Capital Caring Health, one of the largest not-for-profit hospice and advanced illness care providers in the nation.

Collectively NPHI members serve over , patients and families across America every day and annually provide over 40 million dollars in charity care. Their shared mission is that care must be delivered at the bedside and not dictated in the boardroom.

C-TAC is a national, non-profit non partisan alliance of patient and consumer advocacy groups, health care providers both public and private, and faith-based organizations, all with the shared mission of providing comprehensive world-class patient-centered advanced illness care especially for those who might otherwise not have access to the best available chronic illness management.

Other accomplishments include helping establish Healthsperien, a consulting and legal services firm focused on strategic issues that bring together the public and private sectors to advance hospice and advanced illness care. Call NPHI Career Center. Find Out More. Meet Our Team of Recruiters. Reena Jehle rjehle capitalcaring. What our Employees say about working at Capital Caring Health.

What We Offer. Comprehensive Benefits. Search this website. Types of Care. Get Involved. Resource Center. Recent News. Interview Segments. Call our Care Line. Start Care Today. Reach out to one of our care experts today.

– Debates (Hansard) No. 39 – November 30, () – House of Commons of Canada

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In addition, where possible, it prefers to allow valid provincial laws to apply, if they are not in conflict. While these decisions quite clearly establish federal authority on matters such as aerodromes and cellphone towers, the federal government does not rely on court decisions to impose projects on Canadian communities. Instead, it chooses to use processes for consultation, and the consideration of environmental laws and land use, to ensure that local concerns are taken into consideration regarding activities and projects that fall under federal jurisdiction.

A division of powers is essential to maintaining order and predictability in our society and ensures that we avoid the scenario of too many leaders in one situation, or a leadership void when no one wants to take responsibility in another. In Canada, all jurisdictions must work together on certain issues to promote and protect the interests of all Canadians.

Even when we agree to work together, we must still respect jurisdictional boundaries. I would like to provide the House with examples of three areas of federal jurisdiction in which a co-operative approach and consultations play an essential role. First, in January of , following a regulatory consultation process, Transport Canada implemented a new regulation requiring proponents of certain aerodrome projects to consult with the municipalities, citizens or other concerned stakeholders before starting work, so that local concerns could be identified and mitigated.

Another example under the Canada Marine Act is that there currently exist provisions for the Governor in Council to make regulations situated on a port, whether a Canadian port authority or public port facility, or on use of the seaway and its property. These provisions include development, use and environmental protections that incorporate provincial legislation by reference. My third and final example is the Canada Infrastructure Bank, which acts as a partner in delivering federal support to infrastructure projects in the public interest alongside co-investment by the private sector, institutional investors and sponsoring governments.

Projects supported by the infrastructure bank must respect all applicable laws in their relevant jurisdictions, including any applicable environmental or labour laws.

Project sponsors provide assurance to the bank and other investors that applicable laws in a province have been respected. These three specific examples were chosen because these initiatives all require consultation and consideration of local issues related to land use and the environment. These would be taken away from the very acts the private member’s bill seeks to amend. There are countless other examples, in the same act and elsewhere, that demonstrate the government’s commitment to hearing the concerns of Canadians, and advancing the health, safety and economic well-being of our citizens and the stewardship of our natural resources, such as our forests and waters.

These duties are the responsibility of all governments, whether municipal, federal or provincial. Our best successes occur when we come together, listen to one another and work together to support policy development, new programs and effective enforcement that serves all Canadians.

We have every intention of continuing to listen to and work with other levels of government. The federal government has worked effectively with provinces, territories and municipalities over many years in response to the requirements of the communities they serve and to the needs of the country as a whole. Like our provincial and municipal partners, we take that responsibility very seriously. The Liberal government will continue to prioritize co-operative federalism and consultation with its citizens.

First, this is a time to come together as one nation. When we review legislation, we have to consider whether the legislation promotes the good of Canada. Second, and this is very important with the fall economic statement coming out later today, this is a time to build the economy. Every time we review a piece of legislation in the House we should be asking if it brings Canada together and if it will further Canada’s economy.

This is not just because of the fall economic statement, but as we emerge from the pandemic and start to consider how we will do vaccine procurement and distribution, we have to think about these things. I want to go over Bill C briefly for those listening who may not be aware of what it proposes. The bill would amend six federal acts. It would change legislation regarding land use and development and environmental protection. The Bloc is very motivated to put forward this legislation for two reasons.

First, the Supreme Court sided with the federal government in numerous court cases where federal jurisdiction overrode provincial jurisdiction. The Bloc is looking for more provincial power. Second, several of these cases actually originated in the Province of Quebec. For these two reasons, Bloc members are very motivated to change this legislation.

In my observation, Conservatives are concerned because of potential jurisdictional disputes. We think that more cases would have to go before the courts. It is not good to tie up the courts because of discrepancies between two pieces of legislation or determining which one takes precedence in which situation. As well, we are very concerned that some sections of the bill could be considered unconstitutional. It is surprising to me that the Bloc would put something forward that would be deemed unconstitutional, considering how hard the party fights for the principle of the two founding peoples of the nation and, in particular, the province of Quebec.

However, I would say how good both my leader and my colleagues from Quebec have been regarding the modernization of the Official Languages Act. I had the pleasure of sitting on the official languages committee for a brief period of time. When it comes to the Constitution, I would expect the Bloc to consider it. For those who are not aware, my leader was on Tout le monde en parle yesterday. If members did not have an opportunity to see him, I would suggest they watch it.

Going back to my main points, it is time to come together as a nation and build the economy. There are concerns that the bill before us could have negative economic implications, as it may deter private investment and infrastructure projects because of additional red tape. Provinces could amend their legislation on land use and environmental protection to block federal projects.

Also, and this is very relevant to me as a member of Parliament from Alberta, the bill could block federal economic development projects, such as the Trans Mountain pipeline or other infrastructure projects. In a time when we are looking to come out of the pandemic united, we really need to think about legislation that will be nation-building.

I would certainly count on my colleagues from Quebec to support infrastructure projects all across Canada, as I would, as a member of Parliament from Alberta, support any projects that are in the national interest of Canada. I think it is very important that we all take this into consideration as parliamentarians for Canada. We really have to think about the effects of legislation such as Bill C and Bill C and the way they so negatively impacted the natural resources sector here in Alberta.

People have to put themselves in other people’s shoes. If legislation such as this bill were to come across that another province could potentially have the possibility to impact an infrastructure project that would be of benefit to Quebec, I do not think that they would like to see that any more than we do, as members of Parliament from Alberta who see the potential of this happening to us.

I would ask my Bloc colleague to consider this at this time as well. With that, I ask Canadians to really listen to the fall economic statement today. I really hope we do not see what we saw in the Speech from the Throne, which was a complete disappointment with more poor ideas based upon ideology as opposed to real, solid ideas to build the economy going forward. That is what I am expecting more of today. When Canadians are listening to the fall economic statement today, I want them to ask themselves three questions:.

Number one, will this improve the economy? Listen to what they are saying. Will it improve the economy for Canada? Goodness knows, we need that coming out of this pandemic. Number two, will this protect my job if I have a job?

Is there anything in the fall economic statement to protect my job? I am in a place where I have seen so many people lose their jobs. There is another round of layoffs coming from a major employer, Imperial, this week here in Alberta. It is terrible to hear about. Again, I completely blame the Liberal government for this, for its investment-destroying legislation.

I do believe this bill will add to that. Will this improve the economy? Will this protect my job? Will this create more jobs? Those are the three things that Canadians have to be asking themselves. At the end of the day, I believe that Canadians have to ask their parliamentarian and government if they are taking actions and passing legislation to support the country and economy or taking actions and passing legislation that is destroying the economy, which is essentially destroying Canada.

We want a process that is more harmonious and respectful of all the players in the regions and that is why we in the NDP fully support the spirit of the bill introduced today. We represent people at the federal level, but these very people are also citizens of the provinces and municipalities. Today’s bill would ensure that the federal government complies with provincial legislation and, accordingly, with municipal regulations.

We think this co-operative approach between the different levels of government will bring about better decisions that will better serve people instead of steamrolling over them. We call that multilateral decision-making. I think that this bill needs to be seen from the perspective of working together, of having a dialogue and listening. The parliamentary secretary to the government House leader was also talking about listening, dialogue and collaboration.

However, he then said that the Liberals are completely against this bill. That is entirely contradictory of the Liberals. The Conservatives also opposed a similar bill in the last Parliament. I am close to falling off my chair here because it appears that the Conservatives, who claim to champion respect for the provinces and autonomy, once again oppose this bill.

I do not understand. The Leader of the Opposition will have to explain to Quebeckers why he refuses to take into account provincial legislation or decisions made by certain municipalities. It is too bad, because doing so would reduce a lot of the tension we have seen in the past in relation to certain decisions and projects.

There are still some things about the bill I want to explain, so I will talk quickly. Incorporating provincial laws into federal laws can be done through the technique of incorporation by reference. This has been used in the past, so it can be done. There is a real possibility that this bill could be used and applied, but how this incorporation will be interpreted is not yet clear. What will be the actual consequences? If this bill is studied in committee, as we hope it will be, those are the kinds of questions we in the NDP would want clarification on, as there are still some grey areas.

The previous bill, which was introduced by the member for Repentigny , made very clear reference to the National Energy Board Act. People in British Columbia and Quebec are very concerned about various projects. I, too, will be very generous.

In short, this bill proposes greater citizen engagement in granting projects social licence, except for anything to do with oil and gas pipelines. Shale gas extraction in the west or northern Ontario contributes to our production of carbon and our collective carbon footprint, and this runs counter to our Paris Agreement targets. If the bill goes to committee, I hope we will be able to make this amendment and go back to the bill introduced by the member for Repentigny , which included all regulations concerning pipelines.

These regulations have now suddenly disappeared. It is smoke and mirrors. It would increase our carbon footprint and also create a tremendous amount of marine traffic in the Saguenay River Fjord, a habitat of the belugas, which is currently an endangered species.

This will have very important repercussions for their ability to continue to survive in this environment. I think we need structuring projects that create jobs, but in light of the crisis we have been facing for many years, we must ensure that everything is done through a climate accountability lens. Greenhouse gas emissions continue to rise in spite of the pandemic. This was reported in Le Devoir this week or recently. The right thing to do is to make job-creating investments, but in renewable energy projects.

I think there is huge potential there, in Quebec, or in Saguenay—Lac-Saint-Jean, especially with respect to forestry waste. Biomass can have many uses, and these are some very exciting projects.

Quebec belongs to its citizens. Land occupancy, use, development and protection are essentially governed by Quebec and municipal laws and regulations.

No one can argue that, and it applies to both Quebec and the other provinces. The current legal structure gives the federal government precedence over the legal and regulatory framework of Quebec and its municipalities. This precedent is unjustified, and it undermines the legal powers and responsibilities of the Quebec government, which is working tirelessly to support land development and environmental issues.

There is a great deal of infrastructure and many activities under federal jurisdiction. As my colleague said, those include wharves, ports, airports, telecommunications, federal properties and railways. The Department of Transport is anything but a model in this respect. They would be unable to deal with any of these sectors without the help of the Quebec government. Our body of laws and regulations is being undermined in these sectors, and our people truly understand why Bill C is so important.

What it addresses has an impact on their quality of life, their physical environment and their perception of what it means to live together in a democratic space such as ours, and that is what is so sorely lacking.

Companies under federal jurisdiction encounter few obstacles. In the last Parliament, I took a good look at the projects that people were unhappy with, and the situation is no better now. By maintaining its provisions, the federal legislator is showing its contempt for the people of Quebec and their laws, through which they want to have a say on what happens in Quebec. Although the Quebec Act Respecting the Preservation of Agricultural Land and Agricultural Activities, the Union des producteurs agricoles and the municipalities were against the construction of aerodromes, the Supreme Court ruled in that such projects could go ahead.

We could also talk about the construction of telecommunications towers in some municipalities. No one can make me believe that mayors and other elected officials did not contact several members of the House to tell them that building a telecommunications tower in such a location was ridiculous and to ask them to intervene.

I am certain that almost everyone here got a call like that. There are also projects, including the one in the Port of Quebec, that pollute and have a measurable negative impact on air quality. That impact is being felt by the population of Limoilou. These projects can go ahead. In every case, a superior or supreme court rules in favour of federal legislation. When a company runs afoul of Quebec law, it does not worry too much about the fine because the courts are there to protect it. In every case, the rulings are handed down in federal courts by judges appointed by the federal government.

Land development is an arduous task. It does not always turn out perfectly, but the people who devote their time to it do so within a framework that takes our population and our laws into account. Quebec has all the necessary mechanisms to oversee, guide and evaluate every aspect of a given project. However, when these mechanisms are treated with contempt, when municipal bylaws, for example, become ineffective and legislation is called into question, people can become cynical, disinterested and even angry.

Quebeckers certainly do not need to see Ottawa’s imperialist policy giving carte blanche to projects that break our laws and regulations. On this subject, as spokesperson for the environment, I must point out that the Quebec government believes that its environmental and land development laws must apply at all times. Quebec’s National Assembly has unanimously called for this many times. In Quebec, this issue is not only a political one. Municipalities, environmental groups, unions, the Union des producteurs agricoles and many more want the same thing: projects that obey the laws at every level.

This will strengthen our democracy, and certainly better protect the environment. This is The climate emergency motion was voted on in the last Parliament. The motion was tabled by the Liberal government. I think we need to review the order of priorities. We spoke earlier of and I will say it again: This is the 21st century and the climate emergency requires that we change our focus. Land management and development and environmental protection must become the factors on which decisions to authorize projects under federal jurisdiction are based.

I have often said that environmental protection is a cross-cutting issue. It affects all sectors. The government with the most stringent legislation should have precedence.

This should satisfy the parliamentary secretary, who was saying that federal laws would no longer hold. Effectively, the toughest law would prevail. In this case, Quebec’s environmental protection laws are stricter than those of the federal government. In fact, federal laws are too permissive. Restrictive legislation can protect the common good. Instead of strengthening its legislation, the federal government is catering to the private sector, and these companies can do whatever they want.

There is no community building, and corporate individualism is encouraged. We want to protect our people, our land, our living environments, our industrial, social and cultural fabric, and our environment. Members from Quebec, regardless of their affiliation, will see that there is a consensus on Bill C The Deputy Speaker :. The time provided for the consideration of Private Members’ Business has now expired and the order is dropped to the bottom of the order of precedence on the Order Paper.

The House resumed from November 27, consideration of Bill C-7, An Act to amend the Criminal Code medical assistance in dying , as reported with amendments from the committee, and of the motions in Group No. Historically, when people experience extreme existential angst or suicidal ideation and present at a professional environment, perhaps an emergency department, they receive suicide prevention care.

The intervention the system provides to them is trying to prevent them from acting on their suicidal ideation. This is done out of a sense that suicide prevention is good for the person involved. It has been, and still is by many people, seen as consistent with small-l liberalism or a belief in autonomy more generally. When people experience these kinds of feelings, they are counselled and advised in a way that affirms the idea that life for them is very much worth living.

That is discrimination by definition. The question for this House to consider is this: Who should get suicide prevention, and who should get suicide facilitation? This is an important question that people with disabilities are raising and have been raising at committee, that they would experience something different from the health care system than people who are able-bodied. The direction in which members want to resolve that discrimination, according to their values, is an open question, but the fact is that people will now be treated differently if they have a disability compared with if they do not.

That is very clear from this legislation and the fact that, overwhelmingly, all of the organizations representing people with disabilities that testified before the committee expressed grave concerns about the implications this would have. I think we want to be the kind of country that treats people fairly and equally, and affirms the life and dignity of all people, regardless of whether or not they are living with a disability.

This is one of many concerns that was top of mind and presented at the committee discussion on Bill C I hope members will listen to it, take it seriously and think about it as they proceed to vote on these amendments at report stage. I wonder if, upon reflecting of some of his comments, he might take this opportunity to recognize the sense of professionalism provided by the health care workers in our health care system today. Garnett Genuis :. I agree that the vast majority of our health care workers are well intentioned and do great work.

Three out of four of my siblings, as well as my wife and my father, all work in health care, so I probably have more direct familial contact with people in health care than many other members. There are hundreds of thousands of people in this country working in health care. The reason we have safeguards is not because most of those people might make problematic decisions; it is because there is always a risk, and we have already heard from people in the disability community that people are having these negative experiences, of being encouraged toward medical assistance in dying.

One person testified about being called selfish for not wanting this option. That is why we have safeguards in place. It is not for the general cases; it is for the exceptional cases, because life and death are still involved in exceptional cases.

Therefore, could the member talk about the possible risks of removing the reflection period for people with mental challenges and how we could see some very dangerous consequences from that?

A person may be experiencing an extensive set of challenges on a particular day that may be very real but very transient. The reflection period is designed to ensure that the choice people make reflects considered exercise of autonomy over time, not a momentary place of darkness.

One amendment that would make a big difference to people living with disabilities is the requirement that a doctor or a nurse practitioner not be the one to initiate the conversation. If people come forward and say that they would like more information about MAID, then at that point the doctor or the nurse practitioner would engage and provide that information.

It should be clearly established in the law that people cannot have it suggested to them that they should consider it. If it is not something they want brought up and suddenly they are told by the system that they should really think about dying, it completely changes their engagement with the system.

Why not have in place an amendment that says that the first person to bring it up should be patient, not the doctor? We put that forward at committee. Unfortunately it was voted down, but I am hopeful people in the other place will consider this as something to maybe put in the legislation.

The Supreme Court had forced that legislative moment on reluctant politicians with the Carter decision, although the conversation had been simmering across society from the last century into this one. However, in , Bill C brought us nowhere near where the Supreme Court had ruled Parliament must go. It was an interim step. It was a very cautious first step that was driven home with the Truchon-Gladu ruling in Quebec, which ordered that a class of people denied eligibility for medical assistance in dying by Bill C were indeed entitled to access medical assistance in accordance with the Carter ruling.

The legislation before us now, Bill C-7 , as amended in committee, under-amended I believe, and I will get to that in a moment, goes considerably beyond Truchon-Gladu. That said, the past five years of medically assisted death has brought Canadian society to a much more accepting place than in ; that increased acceptance of the practice justifies the additional provisions included in Bill C To my point that Bill C-7 was under-amended by the justice committee, the Conservatives hold that, for a variety of reasons, not least of which the WE scandal prorogation that wasted six valuable weeks in the summer, Bill C-7 has been indecently rushed through committee with not nearly adequate consultation.

In the shadow of time allocation, signalled by the Liberal House leader last Thursday, it seems it will be denied adequate debate now during report stage. This flawed process makes even more important the separate full and comprehensive parliamentary review of medically assisted death demanded by Bill C At committee, the Conservatives proposed nine amendments to better protect vulnerable groups, reasonable amendments, all rejected by the Liberals, but amendments which I hope Senate colleagues will consider in the upper house.

I say that with some expectation of that actually happening as a result of testimony before the Senate’s legal affairs committee last week by the Minister of Employment, Workforce Development and Disability Inclusion.

In fact, the minister endorsed exactly the same point as was proposed by one of the Conservative amendments, which was voted down by Liberal members of the House justice committee. She said, unambiguously, that health practitioners should not be allowed to discuss the issue of assisted dying until a patient asked.

Admittedly, this is a particularly difficult issue and one of context. I understand why anyone, but particularly a person with disabilities might feel improperly, even terrifyingly pressured, depending on how the matter is raised by a doctor.

There is quite a difference between a physician informing of a range of choices facing a seriously ill patient and directly recommending assisted death. The Canadian Nurses Association advised the Senate committee that the law should explicitly allow doctors to raise the issue with patients, as did the Canadian Association of Medical Assistance in Death Assessors and Providers.

Stefanie Green told the committee that it would be unprofessional not to lay all the options on the table. I am sure we will all follow Senate dealings on this question very closely. The disability inclusion minister testified as well before the Senate committee that she was open to considering an amendment to Bill C-7 that would impose a month sunset clause on the proposed ban on individuals suffering solely from mental illnesses to seek an assisted death.

Legal experts have made it abundantly clear that if that clause remains in Bill C-7 , it is destined, almost certainly, to return to the Supreme Court where it will almost certainly be found to be unconstitutional. This is another consideration to watch closely.

Over the years since Bill C was passed, and now as Bill C-7 is being rushed to law, a dark cloud has hung over discussion and debate, and that is the government’s still unkept promise, a broken promise actually, to better provide choice, a meaningful alternative to physician-assisted death.

In fact, the importance of access to palliative care and end-of-life decision-making was one of the few unanimous points of agreement in the special joint committee’s report to Parliament in February The government promised to expand the availability of accessible, affordable, acceptable palliative care for all those who for reason of conscience, faith or choice decided not to avail themselves of physician-assisted death.

The Liberals’ inconsistency in the matter of choice in other circumstances aside, this is a promise that must be fulfilled. It is essential that hospice and palliative care capacity in the country be vastly expanded to provide for those who would choose a meaningful alternative to MAID. As I said in the House four years ago, my personal decision, which will determine my vote on this legislation, is a product of three individuals and their experiences and my own.

In my previous life as a journalist, I followed closely the unsuccessful legal crusade of Sue Rodriguez, as ALS steadily increased its smothering, deadly grip on her. Who owns my life? Steven Fletcher, Canada’s first quadriplegic MP, re-elected three times. Steven did not give up after a life-changing accident. He met immense challenges and he overcame them. However, in two private members’ bills tabled several years ago, which I seconded, and in testimony before the justice committee in January , Steven made a powerfully convincing argument for self-determination to one day make a final decision.

Steven argued for a law by which an individual could make one’s own decision based on one’s own morals and ethics, but under guarantee there would be no pressure on that person from society, family, friends, or the facility in which he or she might be. I was also powerfully persuaded by the tragically tortuous passing of my brother-in-law, a brilliant academic, by Alzheimer’s.

I informed the House during debate on Bill C that should such an end one day face me, I would surely compose an advance directive and that one way or the other it would be fulfilled. Finally, as a cancer survivor, I have had many hours of reflection during treatment and since to personally ponder the issues involved in medically assisted death and Sue Rodriguez’s quite powerful rhetorical question: Who owns my life?

Bill C-7 would correct the major deficiencies of the original legislation, but it is still deficient. Whatever happens in the Senate, I hope the parliamentary review, which should have occurred before consideration and passage of Bill C-7, will now more thoroughly examine this evolving law and properly lead to eventual amendments, chief among them measures to better ensure protection of Canada’s most vulnerable.

I respect the member’s belief in Parliament. If an amendment is brought forward that has already been voted on and defeated in the House by elected parliamentarians, does the member support that very same amendment being brought forward in the Senate chamber where the Senate would pass something on which a clear decision was by members of Parliament? Peter Kent :. One of the things that is so important to me is the use of language. This is about a human being managing their own life journey.

They are looking at a foreseeable death and they want to die in the best way they possibly can. Could the member talk about the importance of language and making sure that, as we go through this process, we are very respectful of the people who have to make decisions about how they choose to leave?

I must say to her first point that I do not agree with the characterization of medically assisted death as suicide. I believe it is about determining by a profound, personal and dignified choice the manner of an unavoidable outcome. I just wanted to thank the hon. I am so glad that he is well and over cancer.

Please God it remain so. As the bill went to the justice committee, I held out hope that parliamentarians would listen to the concerns of the disabled and other vulnerable Canadians who were sounding the alarm on the legislation and its implications for their lives. I hoped that the committee members would consider passing amendments to protect the vulnerable, such as extending reflection periods, which are the amendments that we are debating today, so that people would not feel that they are being rushed into medical assistance in dying.

Despite the overwhelming and compelling evidence, the committee majority really chose to ram through the bill with little consideration. There were only five meetings to hear witnesses, and of those five meetings, the majority were with the proponents of medical assistance in dying and there was very little opportunity, relatively, to hear from those who had concerns about the bill.

This amounted to a mere hours of debate on an issue that is literally about the life and death of Canadians. It is just wrong that the government is trying to ram through this important legislation in an expedited manner without taking time to listen and include the concerns of those communities who are vulnerable.

It appears that the Liberals do not really want to listen to criticism or work to improve the bill and that they want to implement their agenda, regardless. In doing so, I believe they are ignoring the voices of disabled people, indigenous people, doctors and many others who have raised concerns. In dealing with the amendments today, I am very pleased that my Conservative colleagues have strongly put forward these amendments related to the day reflection period.

I believe that the defeat of this amendment is removing a very basic safeguard for the protection of the vulnerable. The government claims that this would only apply to those with a reasonably foreseeable death and that there should not be a reflection period.

However, we have seen the evidence that people who would not be under the existing legislation, individuals who do not have a reasonably foreseeable death, are receiving medical assistance in dying under the current legislation.

The government has not strengthened or clarified the definition of what is reasonably foreseeable. The Liberals are actually planning to remove it as a requirement entirely. I do not believe that the two streams the Liberals are talking about would apply any protections. The reflection period is essential to give Canadians the opportunity to make a decision and then revisit that decision after deep reflection. I understand that no decision to pursue MAID is taken lightly, but by accelerating the timeline between the decision and the receipt of MAID, we are removing an opportunity for reconsideration.

I also do not believe that doctors are always in the best position to consider underlying mental health conditions. If someone comes in and seeks medical assistance in dying with this new expedited timeline, doctors may not be equipped to recognize people with mental health challenges. It could be that those struggling with their mental health will receive medical assistance in dying without their family being informed and without an opportunity to offer treatment or an intervention.

This is obviously a very real and dangerous possibility. In fact, it has already happened. According to testimony from Dr. Kestenbaum has been with Capital Caring Health since and is well known in the industry as an expert in hospice and palliative care. Prior to joining Capital Caring, Dr. Kestenbaum served as hospice medical director for plus years.

Carrie is the Vice President, Clinical Performance. Carrie joined Capital Caring Health, when it was known as Capital Hospice, in when the newly revised Medicare Conditions of Participation were released. She believes that fostering a culture of trust is integral to promoting change that enhances the quality of the care provided to each patient and family, every day. Linda Biedrzycki, MHA, an innovative healthcare administrator with a proven track record in effectively managing physician practices, serves as Vice President of Practice Management at Capital Caring Health.

She led more than 50 clinicians who cared for nearly 85, lives per year. She enjoys traveling, Crossfit, cooking, spending time with family, friends, and her German Shepherd. In this role, Joe provides leadership, guidance and management of the finance and accounting team, in addition to providing strategic recommendations, financial forecasting and planning. Joe has more than 20 years of experience in healthcare finance, including major financial roles the long-term care industry and hospital setting.

Joe began his career in healthcare at MedStar Health. Joe has a history of operational improvements, business analysis and has a collaborative approach. In this role, she works with the CEO and provides direct executive support, acts as a liaison, assists with managing strategic initiatives and oversees executive administrative operations. Kimberly has plus years of experience in healthcare and human resource management. While serving as Director of Human Resources, Kimberly successfully led the hiring and recruitment team and worked to build relationships to expand the pipeline of job candidates to fit critical roles within the organization.

She has published several prominent articles and book chapters on home care and hospice management and speaks locally and nationally on these and related topics.

A strategist who develops impactful outreach plans amplified with crisp messaging and strong collaboration with stakeholders and partners, Laura has built a career that crosses the private, public and nonprofit sectors, working for brands such as AARP, Wal-Mart, and United Health Group.

Most recently, Laura designed and led global skills-based executive volunteer programs for multi-national corporations. She has held senior political appointments in Florida and District of Columbia governments. Committed to volunteerism, Laura enjoys contributing her time and leadership to community and civic organizations.

She is an avid supporter of cultural and performing arts. Irwin has been a hospice medical director with Capital Caring since and has also maintained a family medicine practice during that time. He appreciates the breadth of experience that includes helping people through the entire range of life, including newborns, children, adolescents, adults and older generations. He has been honored several times to receive the Northern Virginia Magazine Top Doctor award, including in and Howard University Hospital — Family Practice.

Cameron Muir, M. In this role, Dr. Muir is responsible for identifying and implementing new business initiatives based on emerging innovative models designed to care for people with advanced illness. Prior to his work with Capital Caring Health, Dr. He received his medical degree from the University of Virginia School of Medicine, completed his residency in internal medicine at Dartmouth-Hitchcock, and earned fellowships in bioethics at the University of Chicago Medical Center and in Hospice and Palliative Medicine at Northwestern University Feinberg School of Medicine.

University of Virginia School of Medicine. She is also currently the hospice medical director in the Winchester region. University of the East. Internal Medicine. Prior to his role with Capital Caring Health, Steve co-managed a data consulting and marketing services firm headquartered in New York.

Steve has also led marketing campaigns for environmental groups like The Nature Conservancy and the World Wildlife Fund. He has also provided marketing support to presidential campaigns for both major parties. Mia was a noteworthy leader in the fields of finance, telecommunications, and technology before pivoting to senior healthcare leadership more than a decade ago. During this time, she has personally assisted countless families find support for their loved ones across all areas of the senior healthcare spectrum.

Gary Bacher, J. In this role, Gary directs efforts to determine how best to improve all aspects of advanced illness and hospice care throughout Capital Caring Health and on a national level. Gary most recently served as Chief Strategy Officer at the Center for Medicare and Medicaid Innovation where he was responsible for directing the development of new models and initiatives to improve and refine value-based care. For more than a decade, he has led efforts in health care improvement, operating at the intersection of public policy, law, regulatory affairs and business development.

Gary is widely recognized as a national expert on a broad range of health plans, encompassing providers, employers, state-based exchanges and government organizations. He has also served as a policy and legal advisor on issues including fraud and abuse, antitrust, HIPAA, government payment systems, and FDA rules and regulations. He is well known for his innovative approach to business development leading to enhanced patient access for both Hospice and Palliative Care.

In this role, Kieran coordinates with all parties involved in providing hospice and advanced illness care including the medical community, community government and business leaders, insurers, service partners, patients and their families, and internal staff and volunteers.

As Chief Growth Officer, Kieran also works to elevate our mission, values, and care services to a wider population. As VP of Public Affairs and Strategic Partnerships, she leads organizational-wide initiatives to build, strengthen, and maintain relationships with key stakeholders that advance the work of Capital Caring Health.

In this role, she supports all Innovation Lab activities, including the upcoming launch of the advanced disease specific programs and the ongoing development of other Innovation Lab programs. He also served as the Executive Director of Keep Prince William Beautiful, a not-for-profit serving Prince William County, Virginia, where he led the organization to record fundraising and new programs and initiatives.

She has more than 30 years of experience in marketing, communications, and public relations, having held leadership positions in this capacity at Georgetown University Hospital, the American College of Radiology, Magellan Health, and Providence Hospital.

She oversees all Marketing, Communications and PR initiatives for the organization and works in collaboration with team leads from all departments to ensure consistency in messaging and branding. She has received numerous awards for her work in health care marketing and communications including an Addy Award from the American Advertising Federation, a national Telly Award, and more than 25 MarCom platinum and gold awards.

She is a certified Project Manager and is an active participant in fundraising efforts on behalf of St. Michael Byas-Smith, an expert in interventional pain and symptom management and palliative care, is now seeing patients in Washington, D. With more than 25 years of experience, Dr. Byas-Smith performs interventions to relieve pain associated with cancers of the breast, lung, and abdominal organs and manages symptoms associated with neuropathy, osteoarthritis, and a wide variety of advanced illness.

Cancer Pain Specialist,Dr. He provides comprehensive interventional pain and palliative care consulting services in Northern Virginia and Washington D. University of Illinois School of Medicine. Emory University School of Medicine — Anethesia. Cook County Health and Hospital Systems. University of Jos. Memorial Family Medicine — Family Medicine. Guntur Medical College.

Barnabas Hospital — Internal Medicine. Phillips lives in Silver Spring, MD with his family. They have one dog and two cats. His hobbies include drumming and ice hockey. A senior-level healthcare Information Technology Executive, Hershell has a proven track record of building high-performing teams and leading healthcare organizations with development of long-range strategic plans and IT roadmaps.

His areas of expertise include: guidance for EMR selection processes, project management and implementation, developing long-range strategic plans and IT roadmaps, the design and implementation of support centers with SLAs that drive high customer satisfaction, re-engineering of complex IT processes and implementation of interoperable systems.

Prior to joining Capital Caring Health, he was Vice President for InfoPartners, Inc, based in Nashville, Tennessee and provided strategic and operational guidance to executive teams at numerous healthcare organizations. When the war ended, he took a side trip to Ireland to see his ancestral homeland and his grandmother. That fateful trip was the start of a lifetime of traveling for Michael.

Michael grew up in a large working class family in Lawrence, Massachusetts. He was the oldest son of eight siblings. His father was a butcher and his mother a seamstress. The children also worked to help support the family.

In the summertime, Michael harvested hay and weeded vegetable gardens at area farms. One winter, he recalls working at an ice house where he was responsible for floating the ice down from the lake to the processing house. Michael enjoyed playing sports with the other kids in town and swimming in the river below the cliff where he lived. During the school year he studied hard. Only a few people from town went to college at the time, but Michael was one of the few who got a scholarship to go to Boston College when he was He remained in Europe long enough to stop the Germans from coming through the Alps at the St.

Bernard Pass, liberate concentration camps and celebrate with thousands of people in Augsbourg as the American Army tanks rolled in when the war ended. To this day he has two pieces of Lira he took as a souvenir from a bank that he helped to liberate from German occupation. Michael treasured the trip to Ireland he took after the war because he could see where his parents had grown up. He met his year old paternal grandmother and his maternal grandfather. His grandmother was so excited she hitched up the horse to a jaunting cart and headed off to church with herself and Michael in the back.

Back at home, Michael returned to Boston College and graduated with a degree in Physics. When he finished, he went to work at Firestone where he helped design a recoilless rifle that was later used by militaries around the world, including the U.

He also ran a test site at Lake Erie. When the company needed someone to travel around the country, they chose Michael, the resident bachelor, to go. Within a few years, Michael met his future wife Barbara while mingling at a Catholic social for young people in Fort Wayne, Indiana. They dated for three years before they got married. The family lived in Fort Wayne and then later moved to Roanoke, Virginia. And he succeeded. After working at Firestone, Michael transitioned to a company working in the burgeoning fiber optics industry.

There, he had a chance to work with Philo Farnsworth, who created the prototype of the first all-electric television. As a director of research, he oversaw a team that developed night vision goggles, which were also adopted by the military, and night vision telescopes. He became a leader in this technology and the company, and he would go on to be the first president of the Night Vision Goggles Association.

He moved to another division of the company eventually, where he worked closely with Nobel Prize winner Charles Kao, who invented and developed fiber optics. By then, he was focused on international sales. He built sales networks in Puerto Rico, Mexico, Philippines, and many other places. After the kids were grown, Barbara often traveled with him. Sometimes the whole family would travel together. They especially enjoyed trips to Mexico and the beaches on the West Coast, which Michael describes as the most beautiful in the world.

Closer to home, the family also enjoyed spending time at their historical log cabin at Smith Mountain Lake which Michael fixed up. He built a wrap around porch perfect for stargazing. He also loved tending his garden there.

Michael is proud of the family he has raised. He is especially proud to have sent all five children to college. His big family has only grown as it now includes 11 grandchildren and about 40 nieces and nephews, and Michael is glad that his five children call often or live close by.

Marrygold Ugorji was on leave from her job this spring with a sprained ankle when coronavirus case numbers began to spike in the Washington DC area. She watched the death toll rising on the news and worried about her impending return to work. In the beginning she worried that she would not have the personal protective equipment she needed.

She also wanted to feel supported in a broader way. Fortunately, the morning that she finally got the call to visit her first Covid 19 patient, a scheduler on the other end of the line—someone she had never met in person—put her at ease.

She assured Marrygold that another certified nursing assistant would also be there, and that she was part of a team. So, she drove to the skilled nursing facility and steeled her courage in the car.

She put on her foot coverings, an N95 mask and a surgical mask. With both masks and the shield, it was hard to breathe, she says, but she continued on. Then she took a hot shower and washed her hair before facing her husband and daughter. Being a caregiver has always come naturally to Marrygold. She grew up with a large extended family in the U.

Virgin Islands and watched her aunt repeatedly step in and care for family members when they became ill or needed help. When she was 16, she moved to New Jersey to attend a vocational school and study culinary arts. She got a job working in the kitchen of a nursing home. But she soon realized that instead of over the stove, she wanted to be in the dining room helping the elderly residents.

So, she trained to become a certified nursing assistant. She spent the next decade working in the geriatric unit of a New Jersey State psychiatric hospital. In , love brought her to Northern Virginia. She married her soul mate, a spiritual and thoughtful man from Nigeria, and they joined their lives.

She started working in an assisted living community, where she encountered hospice care services more often. She recalls building relationships with residents and then losing them. There was one man who was often angry with his caregivers, but who would calm down with Marrygold. During his last days, she would visit him and sit by his bedside.

That was her gift to him—and his parting gift to her. Not long after, she went to work for Capital Caring, focusing her energies on people at the end of their lives. The care plan she follows for each patient is only part of the care she provides, she says. She offers comfort in the form of a light massage or a listening ear or some calming music. She likes to sing to her patients, Caribbean songs she grew up with or inspirational music.

Marrygold describes another patient who stands out in her memory. She went to say goodbye to one afternoon, not knowing if she would still be there the next time she came to work. Sherri Parker started her career as a social worker nearly 30 years ago working with hospice patients. Now she is leading an effort to bring care into the home much earlier for older adults who have an advanced illness or disability.

Primary Care At Home is a new program from Capital Caring Health, the largest non-profit provider of elder health, chronic illness, hospice, and at-home care services for the Maryland, Virginia, and Washington, D. So this old fashioned house call program, as she calls it, brings home-based medical care, including visits from a doctor, a nurse practitioner and a social worker who all specialize in geriatrics.

The team can provide in-home blood work or other diagnostic tests when needed. The goal is help people stay out of the emergency room or hospital and to age in place safely by addressing health concerns early.

Sherri works with patients and families to access community resources and she runs a biweekly caregiver support group. When Sherri started college, she knew that she wanted to help people. During one of her social work classes, she received a field assignment in the oncology wing of a hospital.

She found the experience very gratifying. Since then she has worked in home-based hospice and home health, in grief and bereavement counseling, and in acute care and long-term care settings.

She has been at Capital Caring for 23 years. She helps people think through what matters most to them and how they want to live in their final years. Sherri also enjoys mentoring graduate students and inspiring the next generation of social workers.

The novel coronavirus pandemic has made in-home care more challenging, but the Primary Care At Home team is still working to help older adults who need services. Sherri and the rest of the team are getting creative to make sure patients can access the care they need. And they still visit patients and their families in person when necessary. She visits one patient at home who is blind, for example, and also calls her to check in by phone. After months of quarantining, in-person home visits can be really energizing, she says.

Sherri recalls the joy she felt after visiting with a patient who lives alone and struggles with technology. It was a bittersweet farewell. Before Covid, she would sometimes hug her patients goodbye, she says. Instead, when she went outside the door, she removed her face shield and mask, so her patient could see her face and the emotion in her smile and tried to connect with her through the window. At home, she recharges with gardening.

She took a recent trip with her husband to the beach, and she loves spending time with her family. Throughout her more than year career as a hospice care nurse, Colleen Carberry has never appreciated the healing power of a smile—or a touch—more than she does now.

In the midst of a pandemic, she still provides in-person care for patients approaching end of life and comforts their families. But she can no longer hold their hands or give them a hug. And with a mask covering her face during visits, she can no longer even share a smile. Colleen started her nursing career 27 years ago. At the time, she was a recent college graduate working at a surf shop in Virginia Beach when one of her coworkers brought in a brochure for nursing school orientation.

Colleen agreed to attend the orientation and found a lasting fit. She was drawn to hospice care early on because of the intimacy of the work, she says. After working as a nurse care manager and educating doctors, nursing homes, and hospitals about hospice care, she wanted to focus on direct patient interactions and she took a job at Capital Caring Health, the largest non-profit provider of elder health, advanced illness, hospice, and at-home care services for the Maryland, Virginia, and Washington, D.

The novel coronavirus has made it more difficult to share in those intimate moments. Physical distancing protocols are taking a toll on her patients and their families. The changes are especially difficult for patients with dementia, who rely more on facial recognition and facial cues for connection. Without the ability to smile or hold hands, she is spending more time in conversation with patients and families and trying to show her empathy through active listening.

That affects what she sees as a central part of her work. Carberry is one of thousands of frontline care workers who are taking risks each day to attend to the needs of their patients.

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– Debates (Hansard) No. 39 – November 30, () – House of Commons of Canada