As one of the three founders of the Canadian Association of Physicians for the Environment, I have a keen interest in preventing environmental degradation, because I know that human health —my over-riding professional focus — is entirely dependent on healthy ecosystems.

As a physician, I have not personally been arrested on Burnaby Mountain – yet – for protesting the expansion of the Kinder Morgan Trans Mountain pipeline expansion. But I understand why over 200 other people have since March, and why some doctors were risking arrest this morning while protesting the Kinder Morgan oil pipeline and tanker expansion.

As this province, once again, struggles under the burden of hundreds of forest fires and other extreme weather events closely linked to the advancing effects of human-caused climate change, the impetus to engage in civil disobedience grows stronger.

You have, to date, convicted every individual presenting to his court charged with Criminal Contempt of Court (an offence that, despite its name, does not create a criminal record) if corroborative evidence from the RCMP is available and presented by lawyers for the Crown. The penalties for conviction, drawing on precedents established during the legal system’s response to Clayoquot Sound protests in 1993 and subsequent situations, have been steadily escalating.

These now include heavy fines, extensive community hours, and increasing jail terms. Last week, you sentenced seven women, six of whom were in their late sixties and mid-seventies, to serve time in prison.

You have, so far, largely dismissed eloquent statements from scientists, health professionals, well-informed seniors and others — many of whom have never before before resorted to civil disobedience — as irrelevant. Crown lawyers continue to fall back on the narrowest of interpretations of the relevant law, while provincial and federal governments by and large sit passively aside, paralyzed by vested interests.

I am fully aware that, to a great extent, you are a prisoner of the letter of the law. You summarized this situation succinctly in your comments reported in the Burnaby Now on April 16, 2018, when you said the trials would be focused on "whether there was notice of the injunction followed by a deliberate, public disobedience of it" and that “the question of whether the pipeline is a good or bad idea is not relevant.”

Your role, as I understand it, at least in part, is that of “trier of fact.” I, by contrast, am a primary care physician in a small B.C. town. I see people based on no other criterion than that they are suffering or distressed in some fashion – by illness, injury or simply worry. In my practice, I work to address the whole person, and hence I must inevitably address the world they live in, because the their surroundings may play a role in their suffering or ill health.

Your decisions around the protesters could be interpreted as willfully blind to an essential reality of our time. But you've seen this kind of situation before. In 2005, as a lawyer, you argued on behalf of Imperial Tobacco that public officials should not be allowed to ask for reparation from the tobacco industry for injury caused by its products. You argued this case all the way to the Supreme Court of Canada, only to see that public officials, in a changed world, were granted the right to seek such reparation.

As one of the three founders of the Canadian Association of Physicians for the Environment, I have a keen interest in preventing environmental degradation, because I know that human health depends on on healthy ecosystems. #climatechange

Today, however, it would be hard to find any scientist or health professional or even any adult who would argue that tobacco companies should be so protected.

In fact, nine years before this Supreme Court of Canada case, one of the individuals you recently sentenced in this court for protesting Kinder Morgan, Mr. Errol Povah, was given an absolute discharge from a charge of mischief after he defaced a billboard advertising Players Pacific cigarettes in 1996. The evidence Mr. Povah presented in his defence, at that time, came from scholars and health scientists; they stated unequivocally that tobacco advertising was designed to cause people to smoke, and that smoking causes severe harm to human health.

Even though I'm not facing you in court, I would like to offer a chain of evidence showing that building the Kinder Morgan pipeline will exacerbate global warming, which will also similarly cause multiple severe harms to human health. And this goes beyond the risk of pipeline leaks, tanker spills, or storage tank explosions, even though these are very serious hazards which the Trans Mountain pipeline expansion might well precipitate.

I’m presenting to you evidence of the role of this pipeline expansion in exacerbating climate change, because climate change is not merely a potential hazard: it is happening right this moment, and will continue at an accelerated pace if this pipeline expansion is built.

The harmful impact of climate change on health

My first piece of evidence is that the data affirming global climate change is unequivocal, according to a massive body of consistent research gathered together by the Intergovernmental Panel on Climate Change (IPCC), a United Nations body that has been researching this subject for 30 years. I have included, as a reference, a 2014 document entitled a “Summary for Policymakers” from the IPCC. I here offer three short extracts from this report:

Second statement from IPCC 2014 report on climate change. IPCC
Third statement from 2014 IPCC report. IPCC
Screenshots from IPCC's 2014 document entitled a “Summary for Policymakers

My second piece of evidence is the 2016 report, "Consensus on consensus: a synthesis of consensus estimates on human-caused global warming," by Michigan Technological University, showing that the overwhelming majority of climate scientists agree that the planet's climate has been altered by human activity. In fact, any sense of confusion or skepticism about this objective fact is, today, almost entirely propagated and even funded by the fossil fuel industry; independent scientists with advanced expertise on climate science agree that climate change is being caused by human activity.

A graph showing that higher expertise is a major predictor of consensus on human-caused climate change. University of Queensland, John Garrett

It is worth noting that industrialized nations such as the United States, Canada and the countries of Western Europe bear most of the responsibility for the historical production of greenhouse gases.

My third piece of evidence is that Canadian government officials — despite using admirable rhetoric when exhorting others to act to reduce carbon emissions — have themselves performed very badly with respect to such a reduction. I submit a document, prepared by scientists at the Climate Action Network and a German nonprofit called Germanwatch, titled the Climate Change Performance Index.

Climate change performance of 60 countries

Closeup of graph from the Climate Change Performance Index.

From this document, I have copied a graph, also submitted in evidence, which displays Canada’s abysmal role in realistically addressing climate change. You will note that Canada (see closeup) is ranked 51 out of 60 nations assessed, with only countries such as Russia, Malaysia, Iran, Kazakhstan and Saudi Arabia – and our troubled neighbor to the south – rated lower.

The Canadian federal Environment Commissioner, Julie Gelfand, working in the office of the Auditor General for Canada, issued her annual report on March 27, 2018. In a press release that accompanied this report -- which is my fourth piece of evidence -- she stated (emphasis mine):

“Canada is not expected to meet its 2020 target for reducing greenhouse gas emissions. Meeting Canada’s 2030 target will require substantial effort and actions beyond those currently planned or in place.” She said further that “most governments either had an adaptation plan that lacked basic details, such as timelines, or that they had no plan at all.”

Commissioner of the Environment Press Release. Auditor-General's Office

My fifth piece of evidence is the acknowledgement, among scientists and regulators, that the largest source of greenhouse gases arises from the burning of fossil fuels, as confirmed by a document, entitled “Sources of Greenhouse Gas Emissions,” published by the US Environmental Protection Agency, using data from the IPCC.

Lastly, a widely acknowledged fact is that the “bitumen” or “tar” extracted from the Alberta tar sands and similar deposits is among the most greenhouse gas-intensive fossil fuels. A 2013 article from Scientific American, a respected US science journal, explains why this is so.

As I believe you know, the Kinder Morgan Trans Mountain pipeline expansion is meant to bring bitumen from the tar sands to tidewater, so that its extraction can keep going for decades to come. The authors of this piece observe that if the proven reserves in Alberta’s tar sands were burned, our country’s contribution to climate change would exceed the limit Canada needs to keep global warming below 2°C, the temperature at which catastrophic changes in the planet's climate become inevitable.

Future populations at stake

It would be naïve to assume that the effects of climate change on human health will be modest or easily manageable.

Harms and massive disruption caused by extreme weather events are today being observed all over the planet, including in this country and in this province and this very city, in which smoke and particulate matter from forest fires surrounds your courtroom.

Based on extensive research evidence in the scientific and health literature, let me enumerate the following harms – many of which have also been documented at length in the popular media:

  • Injuries and deaths from heat stroke, aggressive and fast-moving forest fires, floods caused by extreme rainfall events or coastal storm surges, and intense wind storms, all exacerbated by concomitant harm from toxic water and air pollution
  • The displacement of entire populations in the South Pacific and in low-lying communities everywhere, forced to move permanently from their homes by rising sea levels (with an estimated 50 million people to be displaced by 2100)
  • Increasingly widespread disease transmission caused by advancing insect and other vectors -- carriers of disease organisms, such as such as ticks carrying Lyme disease or mosquitoes carrying West Nile Virus
  • Intense and prolonged and sometimes irremediable mental suffering, as people and whole communities lose their livelihoods, their long-time homes, and even their way of life, and finally
  • Direct conflict over scarce resources resulting from crop failure and water scarcity, leading to social unrest and even actual outright warfare (as in Syria, which immediately before the current conflict, experienced the most intense drought in over 900 years).

This global crisis known as climate change will affect not just some unfortunate or misguided people, nor simply this or that region or province or country, or even continent. It will affect the entire planet and all its living things. Climate change will not simply cause hardship and suffering and impairment of health and well-being, or even deaths. It will impair the very life support systems upon which all of us are utterly dependent.

In a very recent article commenting on the recent heat wave in Britain and Europe, climate scientists have stated emphatically that the link between human-caused climate change and such extreme weather events is scientifically “unambiguous” and “inescapable.”

Prominent futurist Buckminster Fuller called our planetary home “Spaceship Earth,” and an elementary knowledge of astronomy confirms that this is an apt description. To damage the operating systems of this “spaceship,” so that future generations find it barely habitable, is unconscionable.

Given the real world context I have just outlined, I must tell you that I feel compelled, as a knowledgeable health professional, to take whatever steps I can to limit the extraction of fossil fuels from the tar sands. Those who protest Kinder Morgan's expansion know what is at stake. We cannot act as if the harms visited on people in other parts of the world are irrelevant to our professional role, because one way or another, those harms will also affect us and those around us – either indirectly, or directly, when extreme weather events damage the community where we live.

Whether you and I choose to acknowledge it or not, we are intimately conjoined by the fact that a threat of global dimension, with profound, clearly measurable and highly predictable harmful outcomes, has been laid out starkly before us by some of the best and brightest minds in our human community.

The impact of this threat now depends entirely on our individual and collective conduct over the next few years. And if you and I fail to act responsibly, then the harshest burdens of our failure will be borne not by you and me, because we’ll be dead in a decade or two. They will be borne by those who are young today, and by many more not yet born.

As the courtroom drama over the Kinder Morgan protests plays out, the world heads relentlessly towards a two-degree Celsius rise in global average temperatures, with attendant and escalating adverse effects on human and ecosystem health. We must break this fatal deadlock.

We can, and must, do better.

Keep reading

Bravo! Extremely well plead, Dr Bell.
Let's hope Justice Affleck reads this and sees who is breaking the law here, the governments who sign agreements and treaties and then breach them, and the mega companies they allow to breach the agreements and treaties, not the persons who engage in civil disobedience over these breaches and the morally bankrupt.
Vincent Pigeon (retired lawyer)

A copy of this open letter should be sent to every member of the cabinet before it meets in Nanaimo.


So gratifying to see doctors weigh in on these issues. I’m sure there are other physicians who will agree with you. Where have you all been? Glad to see you writing here, Dr. Bell. Now that you have started, please continue to communicate on wide forums about climate change and health. You can make a difference.

Gloria Taylor
Winnipeg South Centre
Green Party Canada

This should be sent to Justin Trudeau

Thank you for your open letter which summarizes the cause against the pipeline expansion admirably! In the name of my grandchildren, I thank all conscientious health professionals that speak up and stand up against an increase in Canada's GHG emissions.

Wow. An excellent article. Thank you so much. It's about time that politicians wake up and smell the forests and see the wildlife that is being destroyed more and more each year. Every member of government should have to read this article and then vote on policies with their hearts and minds and not their pocketbooks. Thanks again. I wish more health professionals would get involved before there is nothing left to fight for.

And that wildlife that is being destroyed includes us.

Thank you Dr. Bell. I know there are politicians who will be strengthened by this and business people who will be inspired.

Our Canadian government as represented by Trudeau and his cabinet meeting in Nanaimo August 21/22nd, as I write this, is without any doubt, contributing to irrevocable harm to Canada: our environment, our people and the support systems on which all life depends. This harm extends far beyond our borders and delivers suffering and societal/environmental collapse to those least responsible for this calamity. This government's hypocritical support for massive expansion of the tar sands, one of the dirtiest fossil fuels , and the infrastructure that ensures many decades of hugely increased production of this profoundly destructive fossil fuel helps to ensure the global catastrophe unfolding before our eyes. The Trans Mountain Pipeline will produce in the life cycle of its production, shipping and burning green house gas dwarfing Trudeau's green house gas mitigation with his vaunted carbon tax of $30.00 along with Line 3 by orders of magnitude .The failure of this government to halt Trans Mountain and tar sands expansion is unforgivable. There are many more of us prepared to defy the government’s decision to buy Trans Mountain Pipeline with heartfelt civil disobedience in the name of sanity. When a government goes rogue and breaks promises made directly or implied to stop this doomsday march to chaos and suffering, it is time for all of us to make a stand. If this legal system and this government can undermine so profoundly our rights as citizens to protect our future from the apocalyptic destruction much of which we see today, from forest fires burning with an intensity not witnessed before, in weather patterns producing heat waves, storms, drought and flooding on scales unheard of, in the melting of ice sheets in Antarctica and Greenland with the potential to flood most major coastal cities within not centuries but likely decades, there is a higher order of responsibility we will answer to. Trudeau is pushing the hands of the Doomsday Clock closer to a midnight we can only imagine in our bleakest nightmares. There are alternatives. We can build sustainable societies and environments. The science is clear. Trudeau! Take off fossil fuel subsidies and support green energies. Shut down tar sands expansion and invest in infrastructure and economic systems that more fairly and equally distributes our wealth. We will fight for these things today , tomorrow, and into the future. We will support and vote for ethical government. We will resist this madness with all our abilities. Be sure of this.

Thank you so very much for your eloquent letter to Mr. Affleck. I hope he will read and listen to it.

Corporate captured "Justice" Kenneth Affleck hides behind the letter of the "law" in the naive, if not downright fascist, belief that it will prevent chaos by maintaining respect for our legal system, while by the act of doing so, eroding respect for that very system.

Thank you Dr. Bell.
Now, I shall be crass and complain that over the past two decades I have personally invested a couple of thousand dollars in technologies to lessen my carbon footprint. I am NOT wealthy. This has been a sacrifice - un-rewarded by any level of government and undertaken out of conviction. Therefore, like the wildfires of B.C. and elsewhere I am burned and enraged by the inactions and the resistances of corporations and the greedy extractors (despoilers of the earth) who continue -unabated, to push the earth toward extinction.

Governments seem to be helpless cowards in the face of oil oligarchic manipulations. I ask the Koch Brothers, their ilk and enablers - what will your descendents - if any survive - do with all the wealth you have plundered - will it save them from extinction? Unlikely, and apparently this does not concern you. I ask what DOES concern you?- What will deflect your apocalyptic greed and stupidity?

When will the enablers: sitting smugly in their robes in the halls of "justice"; sitting uselessly in the halls of governance; sitting evilly on their thrones constructed of the bones of the dead - dead from drought, burned in fires, blasted to powder and vapour by the wars erupting worldwide....When will the enablers wake up?