Crime
Actor’s Death Raises Alarm about Off-Label Anesthetic

From Heartland Daily News
By Kevin Stone
A federal court has indicted and charged five individuals for contributing to the death of actor Matthew Perry by providing him with the anesthetic ketamine.
On October 28, 2023, Perry was found floating face-down in his hot tub. An autopsy later revealed his death had been caused by “acute effects of ketamine.” Perry, a star of the television show Friends, had long struggled with addiction.
Charged in the 18-count indictment are Perry’s personal assistant, Kenneth Iwamasa; two doctors, Salvador Plasencia and Mark Chavez; and two other individuals, Erik Fleming and Jasveen Sangha. Sangha was known as the “Ketamine Queen” who is accused of running a North Hollywood “stash house.”
Multiple Players Charged
Documents filed by prosecutors claim Perry’s assistant and an acquaintance worked with the two doctors and the drug dealer to provide tens of thousands of dollars worth of ketamine to fuel Perry’s addiction. Fleming coordinated the sale with Sangha, prosecutors say.
Iwamasa provided at least 27 ketamine injections to Perry in the five days leading up to his death, according to the prosecution. Chavez admitted selling ketamine to Plasencia for redistribution to Perry by falsifying information to a distributor and then using a prescription written in the name of a former patient.
When Plasencia texted another doctor about how much to charge Perry for the ketamine, he wrote, “I wonder how much this moron will pay,” and “Let’s find out,” prosecutors say. The trial date for Chavez and Plasencia is set for March 4, 2025.
Binge-Use Temptation
Ketamine is a dissociative anesthetic that can produce hallucinogenic effects. Ketamine is also used as a pain reliever and for the relief of treatment-resistant depression.
Some people use ketamine as a recreational drug for its ability to induce hallucinations. The effects of ketamine are short-lived, and users may rapidly develop tolerance to the drug, leading some to binge-use it.
Celebrity Power, Vulnerability
Ketamine is widely accepted as safe and effective for use as an anesthetic in a clinical setting. Off-label uses of the drug that may lead to abuse have led to rising concerns.
A recent New York Times article questioned the drug’s safety for off-label use in the wake of Perry’s death. Although ketamine ordinarily carries no more risk than other anesthetics, pain relievers, and antidepressants.
Celebrities can use their fame and wealth to circumvent effective safeguards against over-prescription and abuse, says Devon Herrick, a health economist.
“Physicians have significant leeway to prescribe FDA-approved medications off-label,” said Herrick. “Some off-label therapies later become mainstream, while others fall out of favor. What makes Matthew Perry’s situation unique was his celebrity status. Similar to the experience of Michael Jackson, Perry was able to enlist the help of physicians willing to provide him with a risky drug therapy not appropriately monitored.
“It’s unlikely a noncelebrity patient would be able to find a doctor willing to administer an anesthetic in their home,” said Herrick. “The lure of both money and bragging rights to say they’re a celebrity doctor likely culminated in Perry’s demise.”
Off-Label Benefits
Ketamine was developed as an anesthetic agent and was found to help treat some mental health conditions through off-label use, which is a common procedure, says Jeffrey Singer, a senior fellow at the Cato Institute who defends off-label use of the drug.
“Roughly 20 percent of all drugs prescribed in the U.S. are for off-label uses,” said Singer. “The [Food and Drug Administration, FDA] has always deferred to clinicians and clinical researchers on how to use drugs off-label. Once the FDA approves a drug for a particular indication, it permits clinicians to use it for any other indication where clinicians and clinical researchers believe the drug can be helpful.”
This real-world experience brings important knowledge, says Singer.
“As clinical research and clinical experience continue, such off-label drug use can lead to subsequent therapeutic advances,” said Singer. “However, clinical researchers often discover over time that specific off-label uses do not work. Over time, we should learn a lot more about what conditions ketamine works best for and what are the optimal ways to use it for those conditions.”
The system is working, says Singer.
“There is no reason why the FDA should add to the already cumbersome regulatory regime by requiring further approvals for off-label uses,” said Singer. “The FDA should leave the off-label uses of drugs to clinical researchers, clinicians, and the civil tort system.”
Black Market Problem
Adding new legal barriers to ketamine prescription would probably drive those wishing to abuse the drug into the black market, where its use would be wholly unmonitored and more dangerous drugs are also readily available, says Singer.
“People are already getting ketamine in the black market, along with other psychedelics such as MDMA, psilocybin, DMT, and magic mushrooms,” said Singer. “If the FDA further restricted online sales [of ketamine], it would only intensify profits in the black market and drive people to the black market, where the purity and strength of these drugs are less certain.
“We already have seen reports of black market MDMA—“ecstasy” or “Molly”—being laced with fentanyl,” said Singer. “Further restricting online sales of ketamine—or limiting its off-label use by licensed clinicians—will only make it more dangerous for people who continue to use ketamine. But it will not prevent them from using it.”
Kevin Stone ([email protected]) writes from Arlington, Texas.
Crime
RCMP warns Central Alberta property owners of paving contractor scams

News release from Innisfail RCMP
Innisfail RCMP is warning the public about asphalt-paving company scams in the area. Out-of-town companies, claiming to be pavers, are offering their services at an inexpensive rate. Residents are paying for the service up-front and then receiving a sub-standard job or being asked to pay more than the original quote. These companies, who will sometimes also offer roof sealing services, will then disappear from the area before people realise they have been scammed. These individuals have been known to provide few details of their identity and utilize non-descript vehicles rarely bearing commercial logos. Some of these fraudulent companies do have logos to appear legitimate.
Innisfail RCMP urges property owners to beware of out-of-town companies offering such services. The contractors claim to have leftover asphalt from previous jobs and promise to provide quality services. However, the product used is believed to be cold, recycled asphalt or a gravel and oil mixture with no lasting properties. This results in the asphalt falling apart once it is driven on. We would like to remind residents to exercise caution when retaining contractor services and, if it sounds too good to be true, then it probably is. Citizens are advised to be cautious of any cold approach or unsolicited offers from paving companies.
Residents should be weary of any contractors who:
- Come to your door saying they are working in the area and offering a deal for leftover asphalt
- Drive vehicles bearing no business names or logos
- Pressure you into making a quick decision or refuse to take “no” for an answer
- Ask for a down payment to buy materials
- Refuse to give you a written quote with their business name, physical address and outlining the services they will provide prior to completing the work
Here are a few tips to avoid falling prey to scammers:
- Before agreeing to a contract with a person who comes to your door, get names of their previous customers and verify that they were satisfied with the work.
- Do some research on the company with either the Better Business Bureau in Alberta, with the Consumer Investigations Unit, with your local Rural Crime Watch or on social media sites.
- Make sure to obtain a written quote from the contractor that includes the full business name, full address, phone number, GST number and provincial and municipal license numbers, if applicable.
- Ensure the quote you receive gives details such as the quantity and the quality of materials being offered.
- Obtain quotes from local suppliers as a form of comparison.
If you are approached by a paving company and you are concerned that it is suspicious, please do not hesitate to contact the RCMP.
If you, or anyone you know, has fallen victim to this scam, contact the Innisfail RCMP Detachment at (403) 227-3342, or your local police. If you wish to remain anonymous, you can contact Crime Stoppers at 1-800-222-8477 (TIPS) online at www.P3Tips.com or by using the “P3 Tips” app available through the Apple App or Google Play Store.
Crime
Veteran RCMP Investigator Warns of Coordinated Hybrid Warfare Targeting Canada

Sam Cooper
Central to this strategy is fentanyl—a substance whose reach now extends far beyond Canadian borders.
Fentanyl overdoses. Dirty money flooding real estate. Election interference. Foreign-backed antisemitism igniting across Canadian campuses. These are not isolated crises, warns Calvin Chrustie, a veteran RCMP national security and transnational crime investigator. They are interlinked weapons in an accelerating campaign of hybrid warfare targeting Canada—one that is hollowing out state institutions, fracturing social cohesion, and damaging our alliances. In the view of Chrustie, like other North American experts recently interviewed by The Bureau, adversarial regimes are exploiting Canada’s systemic vulnerabilities to destabilize the country from within, with consequences extending into the United States, Australia, the United Kingdom, Taiwan, Japan, and beyond.
In a sweeping interview with the Macdonald-Laurier Institute, Chrustie laid out a sobering account of how foreign states—chiefly China and Iran—are combining their intelligence capabilities with organized crime networks and proxies such as Mexican cartels to exploit Canadian systems. The Bureau has analyzed Chrustie’s comments and connected them to broader findings in its investigations into transnational crime and state-sponsored influence operations.
At the heart of Chrustie’s warning is a shift in how adversaries like China and Iran operate. No longer relying solely on spies or cyberattacks, they are weaponizing organized crime—leveraging fentanyl trafficking, corruption, and influence operations to destabilize democracies.
“Hybrid warfare is the blending of military and non-military means to weaken or destabilize a target,” Chrustie explained. “For hostile states, transnational crime is a tool—just like cyberattacks or disinformation. China, Russia, Iran, North Korea—the CRINKs—use TOC to raise money, create chaos, and undermine our institutions. TOC is no longer just criminal—it’s geopolitical.”
Fentanyl, in this context, is not only a public health catastrophe but a deliberate weapon.
“It’s about destabilizing communities, overwhelming public services, and hollowing out social cohesion,” he said. “Just like the Soviets used propaganda and the KGB used disinformation, modern adversaries use drugs, money laundering, and crime networks to erode their adversaries from within.”
This erosion now extends beyond physical harms into the social and political realm. Chrustie pointed to radical protest movements and the rise in antisemitic incidents on Canadian campuses as evidence of convergence between TOC and foreign influence operations.
“These aren’t disconnected trends,” he said. “The same threat actors behind fentanyl and money laundering are often involved in radicalization efforts. Iranian networks, for example, have long been tied to money laundering and extremist financing. And those networks are not operating in isolation. They’re aligned with China and the Mexican cartels.”
Chrustie argued that radical activism and identity-based polarization are being amplified not just by ideology, but by illicit foreign-backed financing and digital manipulation. “We’re talking about convergence,” he said. “These networks exploit every vulnerability—from public health to political discourse. Failing to connect the dots between TOC, extremism, and foreign interference means we’re always reacting too late.”
Central to this strategy is fentanyl—a substance whose reach now extends far beyond Canadian borders. “There’s no denying the scale of fentanyl production in Canada. It far outpaces our internal consumption,” he said. “We know Canadian labs are supplying Australia in large quantities. And we don’t know how much is crossing into the U.S.—because we’re not meaningfully tracking it. That lack of visibility alone is a serious national security concern.”
Seizures at the border are not the solution, Chrustie argued, because they’re not the full picture. “The U.S. has robust systems for this. Canada doesn’t,” he said. “So pointing to low seizures as proof of safety is misleading—it really just tells us what we’re not seeing.”
And what we’re not seeing, he says, includes deeply compromised infrastructure. “They exploit Canada’s weaknesses, especially in places like Vancouver, where strategic assets such as ports, shipping companies and supply chain infrastructure are key hybrid warfare targets,” he said. “The intent is to target North America through Vancouver-based assets, because it’s a lower-risk operating environment.”
The financial flows enabling this system are equally opaque—and equally dangerous. Chrustie cited the HSBC cartel laundering scandal, which led to a $1.9 billion U.S. settlement, as a historic warning that was never heeded. “The same cartel networks that emerged through the HSBC probe are engaged in Canada today,” he said.
“At one point, more encrypted communication companies linked to TOC and terrorist financers were based in Vancouver than anywhere else in the world,” he added. “These platforms were used globally—by cartels, arms traffickers, terrorists, state proxies. That tells you all you need to know about how Canada is perceived by adversaries.”
So why is Canada such a prime target? Chrustie identifies four layers of failure: strategy, structure, systems, and culture.
“We lack a cohesive, public national security strategy,” he said. “Unlike the United States or Australia, Canada doesn’t clearly define TOC as a strategic national threat. We don’t have a single, unified doctrine coordinating our federal agencies—police, intelligence, border services, foreign affairs. And TOC thrives in those gaps.”
“Our institutions are siloed,” he continued. “Policing is on the front line, but CSIS, CBSA, military and CSE aren’t always integrated. Right now, the RCMP is expected to shoulder most of the burden. But that’s unsustainable. We need an all-agency model.”
Canada’s legal and regulatory systems are another weak point. “Our legal system is designed for a domestic, rule-of-law environment. It’s ill-suited to confront global adversaries who don’t play by those rules,” Chrustie said. “Disclosure rules from Stinchcombe, Charter constraints, and evidentiary burdens mean that complex prosecutions often fall apart or never proceed.”
Finally, Chrustie warned that Canadian political culture is its most underappreciated vulnerability. “Canadians are culturally indifferent to national security,” he said. “We’ve taken a maternalistic approach—shielding the public from harsh realities, hoping to avoid panic or xenophobia. But that silence has allowed foreign actors to operate here with little resistance.”
“The historical paternalist approach of governments and bureaucrats—‘we won’t discuss these issues in public, we are the experts’—that thinking is outdated,” he said. “China, Russia, Iran and North Korea are the biggest fans of that mindset.”
Asked what a real solution looks like, Chrustie offered a sweeping and urgent framework: a national strategy naming hostile states and TOC as geopolitical threats; centralized agency coordination; intelligence-led disruption operations with allies abroad; and legal reforms enabling proactive countermeasures.
“We either need carve-outs with enhanced powers for TOC-related and foreign threat investigations—or we rely more on foreign-facing disruption efforts and accept that prosecutions are secondary,” he said.
He also emphasized grassroots engagement. “The solutions are in the communities, not in the siloed offices of governments,” Chrustie said. “We need to engage business leaders, civic organizations, educators, and diaspora communities. We need to build national resilience—not just enforce laws after the damage is done.”
His closing warning was as stark as his opening diagnosis.
“Canada is a saturated and vulnerable target,” he said. “And until we stop treating this as a criminal justice problem and start treating it as an integrated national security emergency, we will continue to lose ground.”
“There is no room for spectators.”
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