Question for Canadians: Will she be able to be a frequent flyer at the ER, where they patch her and let her go indefinitely? (That’s the way it is in US, typically for addicts with infections and passed out drunks, but also for people who won’t care for diseases.). Or is there truly such a shortage that they’ll stop treating her and refer her to MAID?
They'll refer her out. It's complicated. She might not be able to get a family doctor, but they should already be referring her to various (non-emergency) clinics within the hospital for follow-up. She should have been admitted for her blood sugar but I don't think she left because they threw her out. She left because she was cranky and didn't get the immediate referral to WLS and a family doctor like she assumed this stunt would get her. They probably referred her to a diabetes clinic, where she wouldn't have a GP but would have a team of professionals to help her manage her condition (and refer her to other specialists/clinics if need be) because that's frankly the priority right now. I'm betting she rejected that, because she's decided the surgery is what she actually needs. She doesn't WANT to be diabetic. She doesn't WANT to have to manage her condition. She wants the magic surgery that will make her a skinny queen and reverse her diabetes once and for all so she can go back to stuffing her face and Salad will love her.
There's a lot of misinformation about MAID out there. No one's getting referred for euthanasia because they don't have a family doctor or because they misuse the ER. Chinny wouldn't even qualify in the state she's in, bad as it is. There are treatments she's not taking -- from diet to insulin and everything in between -- that must be tried and have been shown to not be working/not be sufficient for some reason in order to prevent foreseeable death. She's nowhere near that stage and will probably never get there. There are effective treatments for diabetes. It's a manageable condition. Her non-compliance doesn't bump her to the front of the line for MAID any more than her histrionics bump her to the front of the line for WLS or whatever treatment she's decided she wants this month. It just doesn't work that way. If she was in active kidney failure, she STILL wouldn't qualify for MAID because she would just need to sign a Do Not Resuscitate order and they'd just stick her in hospice and let nature take its course. She'd die of natural causes long before the paperwork could even be processed. There would be no need to bother with the various examinations, checks, double-checks, second opinions, psychological consultations, etc. that it takes before they give you the pills.
That said, she's absolutely been flagged in the system as non-compliant and a frequent-flier. There's some patience given to people without a family doctor because they might not have access to the aforementioned clinics and specialists without a GP's referral. However, Chins just shits on the offer. She did it with the eating disorder clinic (that should've been a referral from her GP, not the "psych emerge") and she's probably done it with the blood clots, the stomach issues (remember how she needed a colonoscopy but decided it was too much trouble?) and probably half a dozen other things we don't even know about.
So they go through the motions, point her in the right direction, and then let her decide to ignore medical advice. That's 100% what's happening here. She's going to kill herself out of stubbornness and entitlement. There's no need to invoke MAID. That's just yet another program she'd abuse, frankly. Even if she qualified -- and again, she doesn't -- she'd go through the whole process, then decline to actually take the pills. That's her right -- people on MAID can change their minds literally at any point. For Chins, that point would come when she stopped getting attention (not that she'd get that far in the first place). The medical system absolutely knows this, so they make a token effort to get her out of diabetic crisis, tell her to get on a waiting list for a GP and go to the diabetes clinic in the meantime, and then send her on her way. That's above and beyond, considering her record. And she'll shit on it, as she does.
