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This article was published more than 6 years ago. Some information may no longer be current. Recently, Health Canada approved a pilot project by the British Columbia Centre for Disease Control that is a polar opposite approach from what I, a user of illicit drugs, lived through and experienced. Instead of restricting access to safer opioid drugs, this project ensures that people using opioids who need access to prescription drugs will get it — no questions asked. People who use opioid drugs should treat this project with great optimism, as should their families, and the general public. It will mean lives saved. It contains no misguided attempts at 'fixing' a human being and it respects their bodies and minds enough not to force them into involuntary withdrawal or abstinence approaches that often lead to more overdose deaths. As an undergraduate student, I felt the stigma and discrimination that many Canadians live with as an illicit drug user. This wasn't my research, it was my real life: I used opioids like Oxycontin and fentanyl daily. When I couldn't find drugs, I'd attend class in physical drug withdrawal. When I was short on money, I'd sell my textbooks for drugs. I'd spend hours looking for drugs, while trying to maintain a full class schedule, in constant fear of the inevitable withdrawal symptoms that paralyzed me. Living like this is tremendously difficult — many people that have used opioid drugs can tell you that. The public's perception is that drug use like mine is a symptom of cowardice and moral failure. That couldn't be further from the truth. Like many people in pain, I reached for an external — but temporary — solution. However, because I used illicit drugs, I also entered a state of criminalization. I was a criminal. In , a drug that I used, Oxycontin, was reformulated to OxyNeo, which was supposed to be more difficult to crush — and by extension snort or inject. This policy change, which the government was applauded for at the time, put many human lives into a state of chaos, my own included. The reformulation increased the street price of Oxycontin while supplies dried up. When there wasn't any Oxycontin left on the streets to buy, I started to use the most readily available drug — heroin. The strength of street heroin is unpredictable and it carries a much higher risk of overdose even when only smoked or sniffed, as I did. What I was living through was the early stages of an overdose epidemic that is now killing seven Canadians every day. What I experienced was the Canadian government making my life worse and behaviour much riskier, when it restricted access to safer prescription drugs. Please consider that since the government restricted access to prescription opioid drugs — thousands of Canadians have lost their lives to drug overdose in what's being called the worst public health crisis in decades. Canada's drug supply is tainted. It is poison, and bootleg fentanyl and its analogues led to the declaration of a public health emergency in British Columbia. I'm fortunate enough to still be here, and let me tell you — I'm not recovering from drug addiction, I'm recovering from bad drug policy. Restricting access to prescription opioids has only increased overdose deaths. I experienced more trauma, uncertainty and death as a result of this policy change then at any point in my young life. To this day, my life experience informs my professional life — advocating for the human rights of people who use drugs and for drug policy that reduces overdose deaths. For a young person in my position, a drug user relegated to a prohibited market, access to safer prescription drugs is an absolute life changer. This means that people won't have to sell textbooks to have enough money to eat, and most importantly it means that the risk of having their lives cut tragically short is reduced. This means graduations, birthdays and another day to fight for those we have lost to this overdose epidemic. The federal health minister says the government is working with a variety of organizations and levels of government to find solutions to the opioid crisis. Ginette Petitpas Taylor says Ottawa will boost treatment options for drug users. Report an editorial error. Report a technical issue. Editorial code of conduct. This is a space where subscribers can engage with each other and Globe staff. Non-subscribers can read and sort comments but will not be able to engage with them in any way. Click here to subscribe. If you would like to write a letter to the editor, please forward it to letters globeandmail. Readers can also interact with The Globe on Facebook and Twitter. If you do not see your comment posted immediately, it is being reviewed by the moderation team and may appear shortly, generally within an hour. We have closed comments on this story for legal reasons or for abuse. For more information on our commenting policies and how our community-based moderation works, please read our Community Guidelines and our Terms and Conditions. Subscribers who are logged in to their Globe account can post comments on most articles. For the month of October, The Globe is testing a five-day commenting window an increase from the previous 18 hours to ensure subscribers who want to comment have a chance to do so. Closing comments after a short window of time helps to ensure effective moderation so that conversations remain civil and on topic. Comments may also be closed at any time for legal reasons or abuse. Skip to main content. I used opioids — and I know that B. Jordan Westfall. Contributed to The Globe and Mail. The Canadian Press. Report an editorial error Report a technical issue Editorial code of conduct. Interact with The Globe.
I used opioids – and I know that B.C.’s pilot program is a literal life saver
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If you buy something using links in our stories, we may earn a commission. This helps support our journalism. Learn more. On Tuesday, May 31, the Canadian government made a ruling that was the first of its kind for the country. Starting on January 31, , the province of British Columbia will conduct a trial—lasting three years—in which people over the age of 18 will be able to possess up to 2. Canada joins a handful of countries with existing decriminalization policies; others include Portugal, the Czech Republic, the Netherlands, and the United States Oregon decriminalized possessing small amounts of hard drugs back in And a problem it is indeed. Criminalizing drug use disproportionately targets the marginalized, including Black and Indigenous communities, the unhoused, and people with mental illness. And the stigma stemming from criminalization means that people are less likely to seek help, and more likely to use drugs alone, which contributes to higher rates of overdose. While a laudable policy move, the decision is but a bandage on this gaping wound, which only worsened throughout the pandemic. British Columbia is the epicenter of the crisis in Canada and has one of the highest rates of drug-related deaths in North America. Decrim advocates staunchly argue that bringing law enforcement into the equation has done nothing to lower that number. Plus, Canadian research shows that people who are incarcerated—whether for drug-related reasons or not—are at a substantial risk of overdosing upon release; one study found that in the two weeks after someone left prison, their risk of overdosing was more than 50 times higher than in the general population. Another found that one in 10 overdose deaths are in people who left prison in the last year. Criminalization exacerbates a vicious cycle of poverty, stigma, discrimination, unemployment, and recidivism, all of which makes it harder to then stabilize substance use, says Adeeba Kamarulzaman, president of the International AIDS Society. Kamarulzaman advocates for decriminalization, combined with clean needle and syringe programs, as a way of reducing the spread of infectious diseases such as HIV—about 30 percent of new HIV cases outside of epidemics in sub-Saharan Africa are in people who inject drugs. Rates of HIV dropped dramatically in Portugal when it adopted its decrim policy in Decriminalization would also likely lower the higher rates of disease spread especially HIV and tuberculosis, and now Covid tied to incarceration. Portugal is often held up as the poster child for decriminalizing drugs. Drug use went down , drug-related deaths dropped, and the number of people getting treatment for substance use disorders increased. One factor that muddies the data is that when it adopted the policy, Portugal also invested in other arms of social welfare, including a guaranteed minimum income, which likely also had an influence. And decriminalization has support from the top. In , the United Nations Chief Executives Board, which represents 31 UN agencies, sent out a clear, unwavering, unanimous statement: Decriminalization is the way. Plus, a major portion of the drug supply in Canada is adulterated with benzodiazepines , a drug class not on the allowed list, which means that police can still arrest people who may not know that their supply has been mixed. Most experts say this is simply not high enough to make any meaningful difference. When British Columbia submitted the decriminalization request to Health Canada at the end of last year, a threshold of 4. It later transpired that the final 2. Increased drug tolerance in people who have used for a significant period of time, shared purchasing between multiple people for affordability, and the short-lasting nature of fentanyl—a synthetic opioid that is up to 50 times more potent than the heroin often found in the illicit drug market—all mean that people often carry more than 2. The biggest concern is that, if not done in the right way, the policy change could have dangerous unintended consequences. The best-case scenario, Perrin says, is that people continue to be criminalized for carrying over the allowed amount. But the worst-case scenario is it creates an incentive for drugs to be made more potent, thus worsening the opioid crisis. The threshold also means that it disproportionately targets people who require a higher amount of a substance to sustain their use. In British Columbia, fentanyl was found to be present in almost 90 percent of opioid samples analyzed by drug-checking services. Beyond decriminalizing possession, much more effort should be made to give people access to safer drugs. Despite its shortcomings, the fact that the policy is being rolled out as a trial is a positive thing, reckons Michel Kazatchkine, a member of the Global Commission on Drug Policy. The strongest way to convince naysayers is through providing cold, hard, irrefutable evidence, he says, and the best way to do that is via something that resembles a scientific study. Werb, though, is more cynical about how successful the policy will be. In your inbox: Our biggest stories , handpicked for you each day. Interview: Bobbi Althoff on exactly how she got rich—and how rich. A JD Vance adviser posted extensively on Reddit for years about drug use. Save this story Save. Most Popular. By Boone Ashworth. By Matt Burgess. By Carlton Reid. By Matt Kamen. You Might Also Like …. Contributor X. Topics drugs health Policy. Now They're Under Fire for Bias. 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Canada Moves to Decriminalize Possession of ‘Hard’ Drugs
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