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Addictions

Reckless: British Columbia’s “safe supply” fentanyl tablet experiment

Published

5 months ago

9 minute read

From the MacDonald Laurier Institute

By Adam Zivo

While safer supply sounds nice in theory, addiction experts have found that drug users are reselling (“diverting”) a significant portion of their free hydromorphone on the black market to purchase harder substances. This has fuelled new addictions while generating handsome profits for organized crime.

Adam Zivo reviews the latest drug protocols adopted by the BC government and reports on their alarming lack of evidence and accountability.

British Columbia’s new drug protocols allow doctors throughout the province to prescribe “safer supply” drugs in a reckless manner.

In a new report titled Reckless: British Columbia’s “safe supply” fentanyl tablet experiment, Adam Zivo reviews the newest drug protocols adopted by the BC government, documenting the evolution of “safe supply” opioid programs in Canada since 2020. Zivo reports on the concerning lack of evidence behind the protocols, how they undermine recovery, drive diversion to the black market, and ruin the lives of young Canadians.

The new protocols not only avoid any requirement for drug users to first try evidence-based recovery programs before receiving high-potency opioids, but also allow minors to receive them, with no reference to the rights and roles of parents or even a minimum age for safer supply clients.

Of deep concern is also the BC government’s approach of continually increasing access to “safe” opioids despite openly admitting that there is no evidence of proven benefits or safety. The protocols also require that clients be told that their access to free fentanyl and sufentanil will almost certainly be cut off if they are hospitalized, or if they attend withdrawal management or substance use treatment facilities.

Zivo explains: “The prospect of free fentanyl and sufentanil creates powerful incentives to sign away one’s rights to evidence based treatment, so the province is essentially exploiting clients’ addictions so that it can experiment on them without taking legal responsibility for potential harms.”

Zivo adds that “one can reasonably expect that a significant portion of the fentanyl tablets being distributed by the BC government will end up being traded or resold on the black market,” explaining how mass diversion is already a major issue for weaker “safer supply” opioids like hydromorphone.

While addiction experts have been overwhelmingly critical of unsupervised safer supply, Zivo notes that many believe that the solution is not to abolish but to reform the program so that drugs can be provided more responsibly. By receiving safer supply as a temporary intervention, addicted users can transition to recovery-oriented treatments such as opioid agonist therapy (OAT.)

“It would not take much to reshape BC’s safer supply fentanyl and sufentanil programs into something more responsible and genuinely safe,” concludes Zivo. “There is nothing preventing the province from redesigning safer supply as a recovery-oriented intervention.”

To learn more, read the full paper here:

PDF of paper

Executive Summary

This past August, British Columbia’s government quietly launched new protocols that allow doctors to prescribe “safer supply” fentanyl tablets and liquid sufentanil. Fentanyl is at least 10 times stronger than hydromorphone and sufentanil, which is derived from fentanyl, is a further 5 to 10 times more potent than its parent drug. While in theory these drugs could save lives if provisioned cautiously, the way the province has chosen to distribute these dangerous opioids is nothing short of reckless.

There is evidence to support the use of opioid agonist therapy (“OAT”) medications, such as methadone, buprenorphine, and slow release oral morphine in addiction treatment, but the government’s new protocols extrapolate OAT-related evidence to support “safer supply” fentanyl even though the two therapies have little in common. In fact, the government’s protocols stress that providing safer supply fentanyl or sufentanil is “not a treatment for opioid use disorder” and that “there is no evidence available supporting this intervention, safety data, or established best practices for when and how to provide it.” It is deeply concerning that the BC government has, over the past several years, significantly increased access to “safe” fentanyl and sufentanil despite openly admitting that there is no evidence showing that these interventions provide any benefits and can be implemented safely.

“Safer supply” programs claim to reduce overdoses and deaths by providing free pharmaceutical-grade drugs as alternatives to potentially tainted illicit substances. While safer supply sounds nice in theory, addiction experts have found that drug users are reselling (“diverting”) a significant portion of their free hydromorphone on the black market to purchase harder substances. This has fuelled new addictions while generating handsome profits for organized crime. Some patients have even been coerced into securing safer supply they didn’t need. Pimps and abusive partners pressure vulnerable women into securing as much hydromorphone as possible for black market resale. Other vulnerable patients, such as the geriatric and disabled, have been robbed of their safer supply outside of pharmacies.

There are other issues with the protocols, too. They require that clients be told that their access to free fentanyl and sufentanil will almost certainly be cut off if they are hospitalized, or if they attend withdrawal management or substance use treatment facilities. This creates powerful disincentives for drug users to seek life-saving health care. Further, none of the safer supply protocols by the British Columbia Centre on Substance Use (BCCSU) discuss the rights and roles of the parents of minors struggling with addiction. It appears that health care providers can give fentanyl and sufentanil to minors regardless of whether parents are aware of, or consent to, this intervention. The protocols do not specify a minimum age for safer supply clients.

It would not take much to reshape BC’s safer supply fentanyl and sufentanil programs into something more responsible and genuinely safe. There is nothing preventing the province from redesigning safer supply as a recovery-oriented intervention. Experts argue that safer supply could be helpful if used as a temporary intervention that helps severely-addicted users make the transition to recovery-oriented treatments, such as OAT.

There is also nothing stopping the province from fixing many of the issues with the safer supply program – including lax safeguards for youth. Any safer supply model must require supervised consumption. It is the absence of this supervision that has enabled the mass diversion of safer supply drugs onto the black market.

Governments have a duty to provide evidence-based treatment to vulnerable citizens and consider collateral harms to others. Rather than fulfil this duty, the BC government is committing to risky and highly experimental interventions that lack an appropriate evidence base.

Adam Zivo is a freelance writer and political analyst best known for his weekly columns in the National Post. He holds a Master of Public Policy from the Munk School of Global Affairs and Public Policy and recently founded the Centre for Responsible Drug Policy, a nonprofit advocacy organization.

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Addictions

City of Toronto asks Trudeau gov’t to decriminalize hard drugs despite policy’s failure in BC

Published on May 2, 2024

By

From LifeSiteNews

By Clare Marie Merkowsky

“Criminalizing the possession of drugs for personal  use leads to discrimination and stigma, and contributes to people hiding their drug use from their  physicians, friends, family, colleagues, and community”

The City of Toronto is asking Prime Minister Justin Trudeau’s government to decriminalize hard drugs. 

In a March letter, Toronto city officials appealed to the Trudeau government to legalize all quantities of crack, cocaine, heroin, meth, and other hard drugs, despite warnings that it will bring increased chaos and violence to the city. Its reasoning is that people look askance at drug abuse and drug abusers, who then attempt to hide their habit.  

“The evidence demonstrates that criminalizing the possession of drugs for personal  use leads to discrimination and stigma, and contributes to people hiding their drug use from their  physicians, friends, family, colleagues, and community,” the document claimed.  

The letter, penned by Medical Officer of Health Dr. Eileen de Villa, City Manager Paul Johnson, and Chief of Police Myron Demkiw requested that the Trudeau government decriminalize hard drugs for young people as well as adults. The application places no limit on the quantity of drugs which would be legally obtained. 

Toronto is already seeing a rise in crime since the election of Toronto mayor Olivia Chow. Canadians have pointed out that Toronto is dealing with several issues, without adding the decriminalization of hard drugs,  

“Trudeau must reject Toronto’s application to allow public use of crack, cocaine, heroin, & other hard drugs,” Conservative Party leader Pierre Poilievre wrote on X, formerly known as Twitter. 

“His dangerous policy cannot bring the same chaos, death & destruction to more Canadian cities,” he added.  

Poilievre further explained that Canadians have already seen the dystopian effects of the decriminalization of hard drugs in British Columbia, which “has caused chaos in hospitals, playgrounds, parks, and public transport.” 

READ: British Columbia should allow addicts to possess even more drugs, federal report suggests

Beginning in early 2023, Trudeau’s federal policy, in effect, decriminalized hard drugs on a trial-run basis in British Columbia.    

Under the policy, the federal government began allowing people within the province to possess up to 2.5 grams of hard drugs without criminal penalty, but selling drugs remained a crime.  

The province’s drug policy has been widely criticized, especially after it was found that the province broke three different drug-related overdose records in the first month the new law was in effect.  

Last week, BC Premier David Eby finally admitted that the province’s ‘safe supply’ program was a failure and called on the Trudeau government to reverse the program. However, Trudeau has yet to respond to the province’s appeal for help.  

“Safe supply“ is the term used to refer to government-prescribed drugs that are given to addicts under the assumption that a more controlled batch of narcotics reduces the risk of overdose. Critics of the policy argue that giving addicts drugs only enables their behavior, puts the public at risk, and disincentivizes recovery from addiction. Where “safe supply” has been implemented, it has not reduced the number of overdose deaths. It has sometimes even increased it. 

The effects of decriminalizing hard drugs in parts of Canada have been exposed in Aaron Gunn’s recent documentary Canada is Dying, and in the British Telegraph journalist Steven Edginton’s mini-documentary, Canada’s Woke Nightmare: A Warning to the West.    

Gunn says he documents the “general societal chaos and explosion of drug use in every major Canadian city.”    

“Overdose deaths are up 1,000 percent in the last 10 years,” he said in his film, adding that “[e]very day in Vancouver four people are randomly attacked.”  

Even Liberals have begun admitting that Trudeau’s drug program has not helped addicts but only added to their problems.   

In April, Liberal MP Dr. Marcus Powlowski testified that violence from drug users has become a problem in Ottawa, especially in areas near the so-called “safe supply” centres which operate within blocks of Parliament Hill.     

“A few months ago I was downtown in a bar here in Ottawa, not that I do that very often, but a couple of colleagues I met up with, one was assaulted as he was going to the bar, [and] another one was threatened,” said Powlowski.    

“Within a month of that, I was returning down Wellington Street from downtown, the Rideau Centre, and my son who is 15 was coming after me,” he continued. “It was nighttime, and there was someone out in the middle of the street, yelling and screaming, accosting cars.”   

RELATED: Liberal MP blasts Trudeau-backed ‘safe supply’ drug programs, linking them to ‘chaos’ in cities

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Addictions

British Columbia to re-criminalize hard drug use in public after massive policy failure

Published on May 1, 2024

By

From LifeSiteNews

By Clare Marie Merkowsky

British Columbia premier David Eby announced that his province plans to re-criminalize hard drug use in public spaces after its decriminalization last year led to widespread social disorder.

British Columbia is asking the Trudeau government to roll back its drug decriminalization program after increased violence and continued overdoses.  

On April 26, New Democratic Party (NDP) premier of British Columbia David Eby announced that he is working with Prime Minster Justin Trudeau’s federal government to re-criminalize drug use in public spaces, including inside hospitals, on transit, and in parks. British Columbia, under permission from the Trudeau government, had decriminalized such behavior in 2023.

“Keeping people safe is our highest priority,” Eby explained in a press release. “While we are caring and compassionate for those struggling with addiction, we do not accept street disorder that makes communities feel unsafe.”  

“We’re taking action to make sure police have the tools they need to ensure safe and comfortable communities for everyone as we expand treatment options so people can stay alive and get better,” he continued. 

Under the new regulations, police would be given the power to prevent drug use in all public places, including hospitals, restaurants, transit, parks and beaches.   

However, drug use would remain legal at “a private residence or place where someone is legally sheltering, or at overdose prevention sites and drug checking locations.”  

Eby’s concerns over drug use were echoed by Minister of Public Safety and Solicitor General Mike Farnworth who said, “Our communities are facing big challenges. People are dying from deadly street drugs, and we see the issues with public use and disorder on our streets.”   

“As we continue to go after the gangs and organized criminals who are making and trafficking toxic drugs, we’re taking action now to make it illegal to use drugs in public spaces, and to expand access to treatment to help people who need it most,” he promised.   

Under the policy, the federal government began allowing people within the province to possess up to 2.5 grams of hard drugs without criminal penalty, but selling drugs remained a crime. 

While British Columbia has not yet indicated it plans to re-criminalize possession, its decision to clamp down on public drug use presents a major departure from its previous tactics of continually liberalizing its attitude toward narcotic use.

Since being implemented, the province’s drug policy has been widely criticized, especially after it was found that the province broke three different drug-related overdose records in the first month the new law was in effect. 

The effects of decriminalizing hard drugs in various parts of Canada has been exposed in Aaron Gunn’s recent documentary, Canada is Dying, and in U.K. Telegraph journalist Steven Edginton’s mini-documentary, Canada’s Woke Nightmare: A Warning to the West.   

Gunn says he documents the “general societal chaos and explosion of drug use in every major Canadian city.”   

“Overdose deaths are up 1,000 percent in the last 10 years,” he said in his film, adding that “[e]very day in Vancouver four people are randomly attacked.”  

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