(i) Canada is in the midst of an opioid crisis that has killed over 35,000 people since 2016,
(ii) since 2017, the federal government has spent over $800 million on its failed Canadian Drugs and Substances Strategy, including over $100 million in funding for hard-drug supply projects across Canada, and plans to spend an additional $74 million to “scale up” these projects over the next five years,
(iii) since tax-funded drug supply was ramped up in 2020, opioid deaths have only gone up, according to the Public Health Agency of Canada,
(iv) in 2020, slightly less than 7,000 people died of opioid overdoses, while only 3,000 died of overdoses in 2016, according to the Library of Parliament,
(v) in British Columbia alone, yearly drug overdose deaths have increased by 330% between 2015 and 2022,
(vi) recently, a Global News reporter in East Vancouver was able to buy 26 hits for $30 in just 30 minutes of a dangerous and highly addictive opioid that is distributed in tax-funded drug supply programs and flooding our streets with cheap opioids,
the House call on the government to immediately reverse its deadly policies and redirect all funds from taxpayer-funded, hard drug programs to addiction, treatment and recovery programs.
He said: Mr. Speaker, I will be splitting my time with the hon. member for .
After eight years of the , everything feels broken. Life costs more. Work does not pay. Housing costs have doubled. The Prime Minister divides to control the people. Worst of all, crime and chaos, drugs and disorder rage in our streets. Nowhere is this worse than in the opioid overdose crisis, which has expanded so dramatically in the last several years.
The has a theory, backed up by a group of activists, most of them tax-funded, pharmaceutical companies and others that stand to gain from perpetuating the crisis. The theory is that, if the government provides powerful, heroin-like drugs that are uncontaminated, addicts will no longer use more deadly fentanyl, they will practise safe drug use and we will no longer have overdoses.
The has spent $78 million on 28 projects giving out free drugs. His recent budget proposes another $100 million for more tax-funded drugs. This includes heroin dispensary machines, where people can walk up, press some buttons and heroin pops out. It also includes prescriptions that allow people to take hydromorphone out into the street and use it or sell it, however they like. The theory is that this would divert away from more dangerous fentanyl. Let us look at the facts.
This is fact number one: Since the took office, there have been more than 34,000 apparent opioid overdose deaths. Here is another fact: This is not a problem the inherited; it is one he helped create. A total of 5,360 apparent opioid overdose deaths occurred from January to September 2022. This is approximately 20 deaths per day. It is a 173% increase from 2016, the first full calendar year he was in office. In other words, since his policies have come into effect, the overdose numbers have nearly tripled.
This is fact number three: While the deaths have risen across the country under the 's policies, they have been the very worst in those provincial and municipal jurisdictions that have most enthusiastically embraced them. For example, in British Columbia, where in most jurisdictions, particularly Vancouver, all three levels of government have endorsed the so-called safe supply and decriminalization of hard drugs, the levels of overdose deaths have been the highest. Across B.C., the number of overdose deaths is up 330%.
The COVID excuse no longer works. This is a fact: Despite the claim, by supporters of handing out and decriminalizing drugs, that COVID was to blame for the crisis, what we have seen is that, as COVID moves farther away in the rearview mirror, the overdose deaths actually increase. For example, in March of this year, we had 9% more overdose deaths in B.C. than in March 2022, and 23% more overdose deaths than in March 2021. The more we move away from COVID, the more the overdose deaths increase. In fact, the deaths are not coinciding with COVID. They are coinciding with the recent decriminalization of crack, heroin, fentanyl and other hard drugs on January 1.
We are told that all the experts agree, just like the Liberals tell us all the time whenever they do something that defies common sense. We remember that all the experts agreed that printing money would not cause inflation, right before it led to a 40-year high, or that catch-and-release bail would not increase crime rates, before crime skyrocketed 32%.
We are told that giving out and decriminalizing hard drugs would reduce drug overdoses. These so-called experts are typically pie-in-the-sky theorists with no experience getting people off drugs, or they are members of the “misery industry”, those paid activists and public health bureaucrats whose jobs depend on the crisis continuing.
The real academic scholarship is clear, if the minister would even bother to read it. A thorough study by dozens of doctors and researchers from Stanford University, published in The Lancet and shared by a former adviser to President Obama, found that:
At the same time, evidence clearly shows the folly of assuming that population health inherently improves when health-care systems provide as many opioids as possible with as few possible regulatory constraints as possible. Policies that should attract scepticism include dispensing of hydromorphone from vending machines and prescribing a range of potent opioids and other drugs (eg., benzodiazepines, stimulants) to individuals with OUD in hopes of creating a safe addictive-drug supply and eliminating the supervision of methadone patients—ie, converting the system to unmonitored, long-term prescriptions on a take-home basis.
The study goes on to comment on the claim that hydromorphone, which is what the government is giving out, is safe. It continues:
Although expressed from a public health viewpoint, these messages echo the opioid manufacturers in presuming that unrestricted opioid provision can only improve public health. The faith of some advocates that opioids are safe as long as they are not derived from illicit markets is impossible to reconcile with the hundreds of thousands of overdose deaths from legal, pharmaceutical grade opioids that preceded the introduction of fentanyl into U.S. and Canadian heroin markets.
Furthermore, the safe supply program uses hydromorphone, which, according to one study published in a pharmacology journal, “produced similar subjective and physiological effects as heroin, but was more potent than heroin.” This is the stuff the minister and the are giving out using our tax dollars.
In a 2020 podcast, Dr. Mark Tyndall, one of Canada's earliest safer supply advocates, said that he had tested the urine of 15 patients who were on safer supply and found that 90% of them used fentanyl. In other words, they were not being diverted from fentanyl; they were using it in conjunction with safer supply. Now we know that it is even worse than that; the hydromorphone is being resold by the user to children, and the profit is being reinvested in buying fentanyl. In other words, the government is not only giving out dangerous hydromorphone but also actually, in effect, giving out fentanyl by giving the user the hydromorphone to sell to raise the revenue to buy fentanyl. The government is using our tax dollars to give out fentanyl on our streets and cause this crisis. Meanwhile, the cost of a hit of hydromorphone has dropped by between 70% and 95%, to roughly a dollar a hit, because the government is effectively paying for it and handing it out far and wide.
This makes no sense. The facts and evidence disprove it as a strategy. This is a radical and out-of-touch approach, which is not aligned with that of any other successful jurisdiction in the world. It is quite the opposite of what is being done in places like Portugal, which has focused on recovery, not on handing out free hard drugs. Therein lies the hope. We can turn the hurt the has caused into the hope Canadians need.
In Alberta, which is thoroughly rejecting the decriminalization and tax-funded handout of hard drugs and instead putting the money into recovery, we have seen, in the most recent data, a 30% reduction in the number of overdose deaths. That is because it is clear that what people suffering from addiction need is help getting off the drugs. To have that, we need recovery communities where they can go to get help with breaking the addiction and, if necessary, be given a bit of medication to relieve the side effects of getting off the drug, and then have the psychotherapy necessary to overcome the underlying reasons they got into drug addiction in the first place. We know this works. The evidence backs it up.
Therefore, our common-sense plan is to take the money away from subsidizing heroin-like drugs, and instead put all that money into recovery and treatment and sue the powerful pharmaceutical companies that helped cause this crisis, so we can use the proceeds of that lawsuit to fund even more recovery. That is how we are going to bring home our loved ones drug-free. It is how we will turn hurt into hope. It is the common sense of the common people, united for our common home: their home, my home, our home. Let us bring it home.
:
Mr. Speaker, in my mind, today represents a seminal moment in Canadian history. On one side, we have a Liberal government that wants to flood our country with drugs; on this side of the House, we have a compassionate program for treatment to reduce the hurt and turn it into hope.
How can we do that? What is “safe supply”, which we hear so often touted in this House of Commons? It is actually a term that was coined by Purdue Pharma. I am sure every Canadian out there knows what Purdue Pharma is. They would say, “Let us just put some safe opioids out there; it would be better for everybody. These are safe substances.” However, we all know what happened; everybody in this House knows what happened. That was the beginning of the opioid crisis. Even the knows that this happened.
We fast-forward to a program that was created as a policy in British Columbia in the early days of COVID-19, in 12 days, to create this “safe supply”. This means that now, the Liberal Canadian government is purchasing drugs for people to use. If we think about it, if I wanted to take illegal substances and someone was going to buy them for me, does it make sense that I would take less or that I would take more? I think the common sense of the common people out there would realize that this would compound the problem.
This program is beyond the comprehension of a common-sense person. The other important thing to understand is what the metrics are to measure whether it is working. Quite sadly, there are none. There are no outcome measures. There are no metrics. There is nothing to say that this is or is not working. This is a sad but grand social experiment, and it hurts me to say that.
I have personal experience in this; I worked in a chronic pain clinic as a physician adviser alongside a psychologist, an occupational therapist and a physiotherapist one day a week for 15 years, which is a long time. A lot of people there were using opioids. One of the things we know very clearly is that when people are suffering, if they do not have connectedness, hope, identity, meaning in their lives and empowerment, they do not do well. They suffer, and shame on the Liberal government for wanting this to continue.
One thing we know very clearly is that, in the program, somebody who wants to participate can access 24 eight-milligram tablets of hydromorphone. We look at that and say that 24 tablets are not that much. However, let us put that in perspective: One eight-milligram tablet of hydromorphone is the equivalent of 10 Tylenol #3 tablets. I use that as an example, because people often have their wisdom teeth out or they have a significant injury, and they might have received Tylenol #3 tablets. I would challenge them to take 10 of them. No, I would not. Let us not challenge them, because they could die from it. That is why we do not challenge them. I had my wisdom teeth out, and I took two of them. I slept half the day. This is inappropriate.
Let us look at what these 24 eight-milligram tablets look like. That is 192 milligrams a day, which is 960 morphine milligram equivalents. That means the equivalent of 246 tablets of Tylenol #3 a day. Who needs that much? I realize that chronic pain, which is my expertise, and drug addiction are two very different things. I understand that clearly, but we are talking about an equivalency of 246 tablets of Tylenol #3.
Let us be clear. When the Liberal appeared in committee, we talked about fentanyl. The treatment dose in the emergency room, if someone perhaps dislocates their shoulder, is 100 micrograms or maybe 200 micrograms of fentanyl. When we were doing emergency room procedures, we always had a respiratory therapist there to ensure that, if the person stopped breathing, we could support their breathing.
What is this decriminalization experiment excited about? It is 2.5 grams of fentanyl. How many people could be killed with that? The minister went on to say that it is always cut with something. Let us say that 2.5 grams could kill 25,000 people. If we cut it in half again and again, there is enough on one's person to kill 1,000 people. It is beyond comprehension. There is no common sense here.
The market is being flooded with opioids. We heard the great speak about the reduction in price. Prices of eight milligrams of hydromorphone have now gone down from historical averages to 25¢.
What do we see then? We see that those drugs are being bought for 25¢ from people who have gotten them for free, and they are being distributed around the rest of the country for five dollars a pill. They are also now being sold across the border into the United States. This is absolutely insane. It makes no sense. Then, those people are taking that money and trading up to fentanyl. It is illicit fentanyl, yes, but that is what they want. They want the high from fentanyl. That is what they are doing, and that is how they are getting it. Let us be clear. The Liberal government is giving them hydromorphone for free, and they are selling it to buy fentanyl. If they are not doing that, then they are taking that hydromorphone, crushing it and injecting it.
These are facts. We see this. We know that when people show up in emergency rooms with heart valves that are infected, it is because of the injections. There are spinal cord abscesses that a person gets almost only with intravenous drug use. This is what is happening with this “safe supply”. Let us be honest. It is not safe; there is nothing safe about this.
The other very sad thing that we understand clearly is that palliative care for these drug addicts is where the Liberal government is starting. It is not offering other treatment. The government is saying that they are beyond reach, and all they are going to get is medication, because the government wants to perpetuate their state of existence. We are not offering them housing. We are not offering them social supports. The government is not offering them anything except more drugs to perpetuate their zombie-like state. This is unacceptable in Canada. This approach is not working, and we know that very clearly. We know that this is not the standard of care anywhere else in the world. We know that people, Canadians, do not want to exist in this state.
If we want to talk about an outcome measure, we know that this is not reducing deaths; it is increasing them. Six hundred people died in British Columbia in the first three months of 2023. This is a 9% increase from last year. How can we say that we should continue this insane experiment?
As I said previously, this is a seminal moment. Most important, what we need to understand, and what Canadians need to understand, is whether this makes sense. Is there science behind it? Clearly, we know that the answer is no. People like to talk about the Portugal model. When the funding was reduced in Portugal for things like social supports, housing supports and medical supports, we know what happened. The rates went back up again, and the deaths went back up again. We cannot go down that same road.
We know very clearly that what we need to do is care for Canadians; we need to care for them deeply. We need to not treat them with a simplistic palliative care approach that says, “Take all the medications you want. They're safe.” From the Purdue Pharma experiment and the Canadian experiment in British Columbia, we know that they are not safe. Deaths are increasing, and we need to have this experiment stopped now; it is not working.
I have said this before: Canadians need to be connected; they need to have hope. They need to have an identity and meaning in their life, and they need to be empowered to get better. Our program will enable Canadians to do that.
:
Mr. Speaker, I will be sharing my time with the member for .
Before I begin my speech, I want to acknowledge that I am rising today in Ottawa, which is on the traditional unceded territory of the Algonquin Anishinabe people, who have lived on this land since time immemorial.
[English]
It is important that we take the time today to address this national public health crisis, but first, however, I want to talk about the wording of the motion we are debating today.
The opposition is calling on us to reverse deadly policies, yet the BC Coroners Service has repeatedly said that there is no indication that the prescribed safe supply is contributing to the drug deaths from the illicit drug supply. It seems that the Conservative Party wants to take us back to the failed ideology of the Harper-era drug policies. Assez, c'est assez.
Why can the opposition members not understand the harm that their narrative is causing. The member talks about zombies and talks about crazy policies. This is stigmatizing, and that is all they know how to do. Do they not hear the public outcry from people who actually have lived and living experiences with substance use, the people who have overdosed two and three times and have been revived at a safe consumption site and are now part of helping people get well?
Groups like Moms Stop the Harm, who have are the loved ones of people who have lost lives to overdoses and toxic drug supply, have asked the to meet with them in early June. Will he meet with them and hear their story? It changes people's lives and their opinions.
This fight against evidence-based programs that are actually saving lives just has to stop. People are dying but not for the reasons they are giving.
[Translation]
Canada is facing a twofold epidemic: a toxic and illegal drug supply and an overdose crisis.
[English]
Every day, countless lives are shattered by the devastating consequences of the crisis and over 30,000 people have died.
[Translation]
We must recognize that substance use and addiction are two complex problems that we cannot resolve by simply ignoring them or using outdated approaches.
[English]
Families mourn the loss of their loved ones. Communities bear witness to the tragedy of addiction, and the individuals suffer often in silence because they are being stigmatized, as the opposition is doing today. It does not have to be this way. Substance use disorder, opiate use disorder, is a recognized, chronic medical condition that deserves the same respect and evidence-based care as any other illness.
By implementing safer drug supply initiatives, we can save lives and provide individuals with the opportunity to break free from the cycles of addiction, because there is no recovery for people who are dead.
We have to be there. When the person using drugs asks “where is the suboxone lady”, we need that absolutely real-time approach.
It is by implementing safer supply that we minimize the risks of people using drugs. We can ensure that those who use drugs have access to pharmaceutical-grade substances that are tested for potency, purity and prominence. It is the poisoned drug supply that is killing people. The opposition needs to understand that this is the problem we are dealing with, this toxic drug supply.
[Translation]
We can prevent accidental overdoses caused by drugs with unpredictable potency, contaminated substances or adulterants.
[English]
We can save lives; we must save lives. However, our approach goes beyond saving lives. It is about creating the path to recovery and rebuilding shattered lives and families.
When individuals have access to safer drugs, they engage with the health care professionals. They are able to seek support, healing and rehabilitation. It is like moving from Insite to Onsite in Vancouver. It provides an opportunity for connection, trust and the delivery of comprehensive care.
I want to be clear that this is not about encouraging drug use or turning a blind eye to the consequences. It is about acknowledging the reality that people will continue to use drugs and that by providing a safer alternative, we can minimize the harm and pave the way toward recovery and rehabilitation.
Illegal drugs being sold illegally is still illegal. Diversion is illegal.
[Translation]
We need to recognize that, behind the statistics and the headlines, there are real people who have dreams but are struggling. They deserve our empathy, our understanding and our support. Stigmatizing people who are battling a substance use problem and criticizing the care they receive will not help them seek treatment.
[English]
What is more, Canadian drug policy and international drug policy are aligned. Prevention, harm reduction, treatment and enforcement make up the four internationally recognized pillars of drug policy.
We lived through 10 years of that Conservative government taking harm reduction out with its deadly war on drugs, and that has been proven to be ineffective, costly and deadly. These policies have also had a profound negative effect on Canada's most vulnerable, including indigenous people, children, young people, people living with disability, and immigrants and refugees.
[Translation]
While the Conservatives continue to try to take us back to the days when substance users were told that their lives did not matter, our government is using every tool at its disposal to put an end to this national public health crisis.
[English]
I would like to quote from the public safety and justice adviser to former prime minister Stephen Harper, Ben Perrin, who said, “Safer supply has been tested and found to be beneficial for people who have been unable to have treatment for whatever reason, and are long-term substance-abuse users. We’re talking about essentially substituting a contaminated street drug with a drug that has known contents and potency to help people stay alive, first of all, and also to be able to stabilize.”
Here is what some other important experts have said. Both the College of Physicians and Surgeons of BC and the College of Physicians and Surgeons of Ontario have made statements acknowledging safer supply is a harm reduction tool to support people with opioid use disorder.
I encourage the member to reread the CMAJ article from last September and see that on safe supply, the community health centre is providing the suite of health and social services reports. That is exactly what we do. It is exactly how we get them in the door so they can find a way to a better life.
As I continue to say, since 2017, safe consumption sites in Canada have received more than 4.1 million visits, reversed 46,000 overdoses and made 236,000 referrals to health and social services, which the Conservatives have vowed to defund.
[Translation]
What do we say to the families of those who would have died if this approach had not been offered to people who use drugs? If only I could say that this is the first time the Conservatives have not followed public health advice.
[English]
Unfortunately, this is the pattern for the official opposition. Despite overwhelming support and effectiveness of vaccines and despite the fact that 11% of maternal deaths are from unsafe abortions, that party continues to prefer ideology over evidence. We, as a country, must and can do better. I prefer the Canadian Medical Association Journal to the National Post. More important, this is how we will save lives.
:
Mr. Speaker, I am pleased to rise in the House today to address the motion from the member for and provide an update on our government's response to a complex challenge facing our country, the overdose crisis. This crisis is having a tragic and unrelenting toll on Canadians, their families and communities.
[Translation]
Each one of these deaths is tragic and creates a void in the community that can never be filled. Every person who has lost their life in this crisis has left behind someone who is grieving: a friend, a partner, a parent or a child.
[English]
There are four pillars recognized internationally as necessary for a successful substance use strategy: prevention, harm reduction, treatment and enforcement. Our government is committed to a comprehensive approach that implements policies and supports for all four of these essential areas.
The dangerous, ideological and outdated approach proposed by the Conservative motion creates a false choice between harm reduction measures and treatment. We need both. As B.C. chief coroner Lisa Lapointe recently said, “There should not be a dichotomy between access to life-saving safer supply and access to life-saving treatment options”.
[Translation]
The intent of this motion is simply to create fear, increase stigmatization and score political points with the Conservative base. It is dangerous, anti‑science and would cost lives if implemented.
The toxic drug supply and overdose crisis is a daily worry for our government. When we think of the lives lost, the repercussions for communities, the devastating losses for families and the impact on the economy, we realize that it is a national tragedy.
It has never been more important for all levels of government, partners and stakeholders to work together to turn this crisis around.
[English]
To find solutions, we must first understand the many different factors that drive substance use. That must include addressing mental health. Harmful patterns of substance use are established over time. Some people can trace their substance use back to early childhood trauma. Others may be affected by poverty or housing instability.
[Translation]
While many people in Canada struggle with mental health problems, some groups face particular challenges because of systemic racism, discrimination, socio-economic status or social exclusion.
Marginalized groups are often victims of stigmatization or prejudice, which places them at higher risk. These include youth, indigenous peoples, racialized communities and LGBTQ+ people.
[English]
Stigma is harmful in several ways.
[Translation]
Stigma discourages people from seeking help and reduces their chances of getting help when they do seek it. It can also make it difficult to get the support needed to implement policies and programs to help people who use substances.
[English]
That is because there is still a deep-seated misconception that addiction is a choice, and that is just not true.
[Translation]
Addiction is a medical condition that can be treated.
[English]
The fact is that people who use substances need support, not judgment. They need community, not isolation. They need empathy and understanding, not stigma. When substance use is stigmatized, it creates a very dangerous situation. It can lead to people using drugs alone and prevent them from seeking help. That is why we need to provide a continuum of care to people who use substances, one that is woven through every area of their lives. Prevention, treatment and harm reduction measures all have a role to play, as too do actions that reduce stigma and provide continued access to health and social supports for individuals.
[Translation]
Our goal is to reduce the stigma and risks associated with substance use while providing people who use drugs with better access to health and social services.
To achieve this, Canada must address the risks of substance use from a comprehensive societal perspective.
Since 2017, the government has invested more than $1 billion in prevention, treatment, risk reduction and enforcement. This is in addition to the investments made by provincial governments within their jurisdictions.
The Government of Canada is now working with the provinces and territories on a transformative multidisciplinary care model that integrates patient centred mental health and substance use care.
[English]
From increased access to mental and substance use health through primary care to improve data and better sharing of health information between the professionals they consult, these tailor-made agreements with provinces and territories would improve access to the supports Canadians need when they need it.
[Translation]
However, we know that we need to do more, and that includes trying innovative approaches in order to save lives. It also includes making it easier for people who use drugs to access health and social services, such as treatment for people who are ready for it.
Budget 2023 sets out our plan to transfer nearly $200 billion to the provinces and territories over the next few years to improve health care, including support for mental health and substance use services. This will be done through a combination of increases to the Canada health transfer and new 10-year agreements with the provinces and territories.
[English]
These investments would help us build, among other things, a resilient health workforce that provides Canadians with high-quality, effective and safe health services when they need them. That includes access to timely, equitable and quality mental health, substance use and addiction services.
[Translation]
Through our tailored bilateral agreements, we will invest $25 billion over 10 years to work with the provinces and territories to advance shared health priorities.
[English]
This approach is the most effective way to integrate mental health and substance use services throughout the health care system.
[Translation]
This investment is in addition to the $2.4 billion over the next four years that will still be provided to the provinces and territories for mental health and addiction services as part of the 2017 common statement of principle on shared health priorities.
[English]
Harm reduction services are a vital part of a comprehensive, compassionate and collaborative public health approach to problematic substance use that includes prevention, treatment and additional social and health supports.
[Translation]
We cannot allow the Conservative Party's ideological agenda to shut down the safe consumption sites that have prevented more than 46,000 overdoses since 2017.
Safe consumption sites replace contaminated street drugs with a drug of known content and potency to keep people alive.
[English]
We need to keep people alive until they are ready to access treatment. We cannot allow the Conservatives to take us back to the failed ideology of the past.
[Translation]
Together, we can create real systemic change and give every person in Canada the support they need to live long and healthy lives.
:
Mr. Speaker, first, I would like to note that I will share my speaking time with my passionate, interesting and capable colleague from .
Talking about drugs and their repercussions is not an easy topic for me. It is not easy because I quickly become emotional. When I do not want to be emotional, I get into data and statistics, so I distance the heart from the head. It is not easy because there are people from my past who will no longer be in my present or my future. Yes, it is a topic that is important to me. I need to find a middle ground in all this. Clearly, this morning, I did not find it, but it will be fine.
A full picture of the situation is needed to be able to act properly. The purpose of pilot projects is to obtain data, among other things. The opioid crisis is not a partisan issue or an issue that should become partisan. It is not the type of issue where the terms “me” or “my party” can be used. It is the type of issue that requires phrases like: “together, we succeeded”.
I will briefly recap the data reported in the media while adding a few caveats and stating the purpose of pilot projects and safe supply programs.
The date included in the Conservative Party's motion are true. I will not review them all. The opioid crisis kills 20 people per day.
Since 2016, over 34,000 people have died. Almost all the deaths were accidental. These are people who were supplied by the black market with products that those people did not even know contained fentanyl. In 88% of cases, the deaths involved adults aged 20 to 59, people in the prime of life.
Prior to the pandemic, 10 people per day died of an opioid overdose. That increase may be the result of mental health problems that were exacerbated by the distress experienced during the pandemic.
I heard my Conservative colleagues say that the pandemic has passed. Just because the pandemic has passed does not mean the distress has passed. Just because the pandemic has passed does not mean the addiction has passed.
In the media, it was noted that people were taking hydromorphone to sell it and then buy fentanyl on the black market. Are all hydromorphone users doing that? The answer is no. How many are reselling hydromorphone? We still do not know. I hope it will be possible to find out through the pilot projects and the data collected.
The black market exists because people cannot access something legally, no matter what it is. However, on the black market, it is impossible to control either the amount or quality of drug hits. That is the main problem.
People who become addicted leave the health care system, even if they can function day-to-day. These people quietly leave the system because they will not tell their physicians that they have an addiction and need help. It is a minority who will do this. The system needs to reach these people. How can they be reached? It is by seeking them out where they get their supplies.
Since these products are unfortunately addictive, one way to ensure the health of these people is to give them the opportunity to access products that are controlled in quantity and quality. When they come to pick up these products, there are people there who will listen to them, hear them and learn about their struggles, find out where they come from and quietly try to sort things out. It may take a very long time to overcome an addiction. Some never manage to do so.
Unfortunately, the Conservative motion does not mention the services provided by the pilot projects. These include medical care, mental health support, medical support regarding sexually transmitted and blood-borne infections, employment assistance, and housing assistance. These projects have a holistic and broad vision of the needs of people who are addicted. Their addiction did not just happen, all of a sudden. Something happened.
All these activities within the pilot projects and all these interventions must be based on understanding and openness, not judgment or punishment. We have to consider where the person is at. How did they get there? How can we help them? We need to unravel the knots in the addicted person’s mind.
The Conservative motion does not refer to the fact that, so far, participants who are actually involved in these programs have had many beneficial effects, such as improved health, well-being and quality of life; a lower risk of overdose and reduced use of street drugs, which are inherently dangerous; a willingness to deal with health issues related to their situation; having more energy and being more active; and having more time in their lives. These are all important factors. They are more engaged with themselves. Lastly, these people re-engage not only in their own lives, but in their own societies. Will they be cured for life? Maybe or maybe not, but they do get on the path to recovery.
Drug use is a public health and public safety issue. We must keep in mind that there is no single, simple solution. No single department is responsible. It is everyone’s business.
Interventions must be based on evidence-based best practices and seek to protect the health and dignity of individuals. Dignity is one of the most important factors in the process. It is amazing how the behaviour of people with addictions can be affected by the gaze of others. It is amazing how they are affected by their own gaze, when they look in the mirror and see how much they have deteriorated, destroyed from within. They know it.
They need help in dealing with that, in accepting and seeing the best in themselves. They should not be judged, not be ostracized and, above all, not be allowed to return to the black market with its uncontrolled hits.
Quebec has a strategy comprising seven areas for action that intersect with the interdepartmental action plan: information and awareness; overdose prevention and harm reduction; public policy and regulation; vigilance and monitoring; evaluation, research and training; addiction treatment; and pain treatment.
Those seven areas can be broken down into 15 measures that will consolidate and enhance access to naloxone as well as consolidate and expand the offer of substance use services. The goal is to protect people, even from themselves.
By developing safer supply practices, drug hits can be controlled, as I said before, in terms of quantity and quality. Most importantly, stakeholders are opening the door to recovery for people with addictions by giving them access to support services that would be inaccessible without the pilot projects. Is that perfect? No. Services are overwhelmed by the magnitude of the crisis, hence the importance of better and larger health transfers.
In short, the current crisis needs to be taken seriously. We must listen to stakeholders and develop a holistic vision to help people with addictions while cracking down on black market criminals. Above all, we must stop stigmatizing mental illnesses. The Conservative motion is throwing out the baby with the bathwater. I would rather keep the baby and raise it right.
:
Mr. Speaker, I am a little surprised by the direction of the debate this morning. Actually, I am not that surprised.
The debate is difficult, emotional, sensitive and human, and it affects people deeply. I know what I am talking about because I had first-hand experience with addiction in my family. I was exposed to different kinds of addictions throughout my childhood.
There is no denying that no one ever truly recovers from an addiction. The struggle lasts a lifetime. People who are addicted to drugs continue to be addicts for the rest of their lives, whether they use or not. It is something people are born with, and it is nothing to be ashamed of. Some people are born with addictive tendencies, just as others are born with brown eyes, the ability to run 100 metres in 10 seconds, or to become a soccer champion, a doctor, a major international researcher or a Nobel Prize laureate. People are born with this thing inside them and have to live with it. Judgment has no place in the conversation.
The problem with the Conservatives is that their approach is always a bit dogmatic. It is never easy. However, I would like to point out that they at least deserve some credit for raising difficult, complicated and important issues on their opposition days. In the past few weeks, they have addressed the housing crisis, which is another major crisis that we are dealing with in Quebec and Canada, and even around the world right now. It is a huge issue. The problem is their proposed solution.
Another Conservative opposition day focused on the carbon tax. They want to eliminate the carbon tax. The Conservatives were broaching another important issue of our time, another fundamental crisis that we are dealing with, the climate crisis. They suggested eliminating the carbon tax, but they did not suggest any other solutions.
Is it the same thing for the housing crisis. What solution did the Conservatives suggest? They suggested eliminating municipal governments. According to the Conservatives, there is one level of government too many in this country. We agree with the fact that there is one level of government too many. We could get on board with the option of eliminating one. However, we disagree with the Conservatives as to which level of government is unnecessary.
The Conservatives are raising these important issues, but they are presenting simplistic solutions that we are not sure will get us anywhere. The United States tried the “tough on crime” approach. My colleague spoke about it earlier. The Conservatives are suggesting being tough on drug addicts. They always want to take a punitive, prohibitive approach. If they see something as a problem, then they want to get rid of it. However, as I said earlier, when someone is born with this problem, they have to live with it every day.
The United States, a country recognized for its strict drug policies, has not managed to stem drug consumption. In the United States, opioid-related deaths increased from 50,000 in 2015 to almost 100,000 in 2021. This punitive approach towards drug users has had no impact on drug consumption in the United States. That is more or less the Conservatives' approach this morning. That is roughly what they are proposing.
The U.S. also has the highest incarceration rate in the world, and that is connected with drugs and drug consumption. This record disproves the ideological approach introduced by Nixon long ago. As mentioned earlier, some areas of the United States have changed tack, adopting an approach similar to those developed by Switzerland and Portugal.
In 2001, Portugal changed its approach to combatting drug consumption and the accompanying HIV epidemic by decriminalizing simple possession of drugs. This worked in Portugal. In the many studies that have followed, a new paradigm has emerged. We are familiar with it, and the Bloc supports it. Drug consumption is not just a criminal justice issue, it is first and foremost a public health issue.
Let us talk about public health. The Conservatives can be criticized for being dogmatic in their approach today. However, if we start from the paradigm that this is a public health and mental health issue, because it is, then health care needs to be funded properly. We need to help people, support them in the process, but that takes money. It takes people to support them, like psychologists and nursing aids. It takes centres where they will be supported. It is a mental health and public health problem. For that, health care needs to be properly funded.
What have we seen in the past few months? Over the past 30 years, every province in this country has been complaining non-stop about the lack of adequate funding for health care. There were negotiations recently. What happened? Quebec asked for $6 billion a year. We got barely $1 billion. Is that how we acknowledge the work of people who work in this field? Is that how we acknowledge even the most basic needs on the ground right now? The answer is: of course not. On one hand, the Liberals have an approach we can agree on, but it is largely underfunded, so we are left with a problem.
With substance use comes poverty. As my colleague mentioned earlier, this is another important issue related to the opioid crisis. With poverty comes difficulty finding housing. Difficulty finding housing means there is a housing crisis. There is a housing crisis in this country. How many times have we talked about it? I cannot believe how many times we have to repeat the same things in the House.
I am going to talk about the housing crisis because it is fundamental and it is related to what we are talking about today, although those on the other side of the House will not admit it. On Monday night, I was here in committee of the whole with the on the other side, the director of the Canada Mortgage and Housing Corporation, or CMHC, and all the senior officials from the department, and it was a pathetic display.
I have no doubt that the Minister of Housing is a very nice person. I do not want to be partisan in saying this, and I apologize, but he does not have the know-how to deal with the crisis that we are facing right now. That was very clear on Monday night. We were asking some very pertinent questions.
The challenge is real. Even the Liberals know it. The minister identified the housing problem that we have in this country. We must build 3.5 million housing units by 2030. He said so himself. We do not even need to tell him what the challenge is; he knows what it is. What is happening?
According to the National Housing Council, 115,000 housing units have been built since the national housing strategy was launched. I will remind members that we need 3.5 million units. We have built 115,000 units, but members might want to hold on to their hats, because according to the National Housing Council, we have lost 550,000 affordable housing units. We are in the red.
Over the past five years, the government has implemented an $82‑billion program. Not only are housing units not being built, but people have less access to housing. People with addictions could benefit from social housing with supports. It is desperately needed.
Let me close with this. As I mentioned earlier, an economist at the CMHC said that, in Quebec alone, 1.1 million housing units need to be built in the next 10 years. On its own, the market will build 500,000 units. Everyone needs to mobilize, all of us here in the House and all levels of government, to find a way to build 600,000 units in the next 10 years. That means 60,000 a year. Only 115,000 have been built in the last five years, so we are nowhere near that goal.
There are a number of considerations, including funding for housing and health care. There is also a human element underlying all of this. There are tragedies and families who have lost loved ones.
We need to mobilize. Unfortunately, dogmatic motions like the one the Conservatives introduced this morning will not move the debate forward.
:
Mr. Speaker, much as I am disappointed to see this motion come forward in the manner it has, I am also happy to see that we are having this conversation and debate today, because over 35,000 people have died from a toxic drug supply in this country since 2016.
This is not an opioid crisis as the motion states; rather, these deaths have occurred because of a toxic, unregulated drug supply, and I am going to speak to a couple of things in the motion.
First, (iii) of the motion states:
since tax-funded drug supply was ramped up in 2020, opioid deaths have only gone up, according to the Public Health Agency
Yes, of course, they have. Between 2016 and 2020, fentanyl became the predominant drug on the market, meaning more people were accessing it instead of pills like oxycontin. Fentanyl analogs, like carfentanil and benzodiazepines, also appeared in the drug supply at this time. More people have died because the fentanyl supply has become more widely accessible and more volatile.
There were fewer than 1,000 people across Canada, probably around 500, accessing safe supply in 2020, with a denominator of tens of thousands of people were using fentanyl, and probably hundreds of thousands. There were 22,000 people who died from an overdose by 2020 under the current government. It is impossible that the 500 people or fewer who were on safe supply, the mass majority of whom are alive in 2023, drove those 22,000 deaths. Conservatives need to learn to do the math and listen to the experts.
It states in (iv) of the motion:
in 2020, slightly less than 7,000 people died of opioid overdoses, while only 3,000 died of overdoses in 2016, according to the Library of Parliament
Again, Conservatives cannot back that up. Those people died from a toxic drug supply. We know these deaths are not occurring because of the government's safe supply and safe injection programs, and to assert that is disinformation.
I am going to talk about some of the activists the government has highlighted. It said that activists are leading the safe supply charge. We know that provincial chief coroners and chief medical health officers across the country, like in my home province, and the police have said that.
I will read a quote from the Canadian Association of Police Chiefs, which made it very clear that its members cannot police their way out of this because it is a health issue. It proposed “diverting people dealing with substance abuse or addiction issues away from the criminal system and toward social services and health care. The association stipulated such a change would need to be synchronized nationally.” The government has not done this.
It also cited in its report that it “endorsed access to users of a safe supply pharmaceutical-grade opioids to combat the uncertain composition of illegal street drugs, which is the cause of many opioid overdoses.”
“It further made a recommendation in favour of supervised consumption sites — where people could use drugs in a clean, safe environment, under the supervision of health professionals trained in emergency intervention.”
The activists are supporting safe supply. This is deeply concerning when I see the cite that it is only activists who are advocating.
Also, there is one thing in the speech by the that I would like to correct. He talked about incidents of youth being trafficked safer supply.
Today, in The Globe and Mail:
Vancouver Police, asked...about the possible sale of such narcotics, said in a recent statement that “there's always a potential” for safe-supply medication to be sold on the illicit market.
However, the force added they are not aware of any incidents in Vancouver in which safe supply has been trafficked to youth...
This was in response to the comments the has made here in the House of Commons. I can assure the House that the members of the Vancouver police know and are certain that youth are being targeted with illegal, unregulated, poisoned drugs, such as fentanyl, which is not regulated. This is what we are dealing with.
In (vi) of the motion it states:
recently, a Global News reporter in East Vancouver was able to buy 26 hits for $30 in just 30 minutes of a dangerous and highly addictive opioid that is distributed in tax-funded drug supply programs and flooding our streets with cheap opioids,
People can buy anything on that corner and have been able to for decades, at least over 50 years, so it is not great evidence if they go to the most robust drug-selling corner in Canada and that is what they come back with.
The photos of what they purchased show that most drugs were in a blister pack. A blister pack is issued to one patient. So, the Global reporter bought most of the 26 pills from just one person, and it is not evidence of a wide-scale diversion to buy from one person.
The motion today could have been about calling on the government to create an emergency committee of Parliament to deal with the toxic drug crisis. It is the leading cause of unnatural death in my home province; more than motor vehicle accidents, more than homicide and more than death by suicide. However, the Conservatives did not do that. They chose to bring forward this motion, which creates more stigma and more harm actually.
A person who decides to use a single dose of a toxic drug at a weekend party is as vulnerable as any struggling person with problematic substance use, and the result can be the same: a fatal, toxic drug overdose. I know this, because in my home community, we have seen lots of people die, and lots of young men. The average age of people who are dying is 44, and the majority of them are men dying at home alone.
Guy Felicella, a peer clinical supervisor at the B.C. Centre on Substance Use, said that “People who aren't ready, able or interested in addressing their addiction don't deserve to die from the toxic drug supply.” I agree.
I have risen in the House on many occasions, as members know very well, in support of a health-based approach to substance use. I would like to welcome all members from all sides of the House who are joining our call for increased investment to respond to this crisis and for people who are suffering with substance use disorder. The sooner we can actually come together across political lines to make this happen, the sooner we are going to save lives.
This is a national health crisis, and we are not acting like that. However, we need to understand what we are dealing with when looking at this crisis. It is not the easy, simplistic approach that the Conservatives are bringing forward. This crisis will never end through just investing in treatment and recovery without recognizing that this is a complex emergency, it is multi-faceted and it requires harm reduction as well, which go hand in hand; they are not pitted against each other.
Government members want to say that they are doing everything they can, but they spent less than 1% of what they spent on the COVID-19 health crisis. This is not responding to a health crisis in the way that needs to happen. We saw how they responded to SARS, HIV and COVID, and they need to do what they did there. They need to pull everyone together. They cannot just download treatment and recovery to the provinces. We saw what Portugal did. It stepped up and showed us what courage looks like and what is needed: investments in therapeutic treatment, housing and ensuring that we are dealing with this issue as a health crisis, not a criminal issue. It takes a multi-faceted approach, and I am really encouraging that today, but we need to simply do more of what we talked about.
We need to listen to experts. It is so important that everybody in the House listen to the experts. I travelled across this country when I was talking about my bill, Bill , which was just a reflection of the Expert Task Force on Substance Use. I was able to meet with people on the front line of this crisis, such as people who use substance and experts, and the whole time they encouraged us to listen to the report.
The Canadian Association of Chiefs of Police of Canada, as I have cited, has come forward very much in alignment with the expert task force, and actually had a seat on that task force. The task force was unanimous in that we need to stop criminalizing people who use substances, we need to expunge records of people who have been charged with personal possession, and we need to ensure that people have access to a safe supply and treatment on demand. So, we meet them where they are at and we invest in recovery, education and prevention, because we know that when people relapse, we need to catch them, but we also need to meet them where they are at through the whole thing.
My bill was defeated, as members know. The Conservatives teamed up with the majority of the Liberals and they voted against my bill, which was supported by the Bloc, the Greens and the NDP. I know that members of the Bloc had some issues with my bill, but they wanted to at least get it to committee and listen to the experts, which both the Conservatives and Liberals would not do, despite the fact that it just reflected the government's own Expert Task Force on Substance Use.
Moms Stop the Harm is coming to the Hill on the anniversary of the bill, which comes up not next week, our break week, but when we come back. It will be June 1. They are coming here because they are upset that, a year later, not a lot has changed. That bill would have given the government 12 months to come back with a strategy on how to respond to the expert task force on substance use, but they voted against it. I am hoping that every member in this House will at least meet the moms, and when they go back to their riding, talk to their chief medical health officer. I have not found one chief medical health officer, or a coroner, who does not support taking a multi-faceted approach and supporting safer supply.
I also urge the to meet with the chiefs of police. Hopefully, again, he will meet with the moms from Moms Stop the Harm. I know that the leader of the official opposition has been using Global News reports, the National Post and even Conrad Black to get his advice on how to move forward in terms of this toxic drug crisis.
We really need to get back to ensuring that we are listening to the report by the expert task force. I want to talk about who was on it. There were public health officials; indigenous health leaders; community health leaders; business, labour, university and social service agencies; the Canadian Association of Police Chiefs; public policy thinkers; and people with lived and living experience. They were unanimous in their recommendations. I want to give huge credit and thanks to that task force, because they put a lot of work in. Again, they embraced the four-pillar approach.
I understand that it takes courage to make this journey. We saw courage in Vancouver under former senator Larry Campbell. He was a police officer, then the chief coroner for British Columbia and then the mayor of Vancouver. He was the one who brought in Insite and safe consumption sites to save lives. That is the kind of courage we need today from everybody here. Again, we can look to other countries, such as Portugal, for their treatment and recovery programs. We can look at Switzerland, which has a safe supply model. There are models around the world.
I hope that we can come together today and talk about how we can find a pathway to actually work together. However, the stigma that is attached to substances is a huge barrier for people when it comes to getting help. We know that even today's motion is triggering a lot of people who use substances and were looking at safe supply as a pathway out of supporting the unregulated toxic drug supply that is coming from the streets. This supply is manufactured, distributed and marketed through organized crime.
We know we need to go further. We have to invest in a full spectrum to support people who use substances, including supervised consumption sites; real-time, on-demand public treatment options; and pharmaceutical-grade options and alternatives to illegal street drugs. We also have to ensure that people have housing. I was in the riding of my good colleague, the member for , and we went to a no-barrier housing place. It was great to see some of the people there being able to access OAT or safer supply, which they could not do when they were homeless, living in the bush or living wherever they could. We need to make sure that this is included.
When we call for more treatment services, let us recognize that, first, we must keep people alive by reducing their exposure to the toxicity of illegal street drugs. My good friend, the member for , represents the Downtown Eastside, a community struggling for survival and ravaged by toxic drug deaths. She once told this House that dead people cannot be treated. How true is that?
I just want to also do some fact checking here. I am going to read a quote from Corey Ranger. He is a clinical nurse specialist from AIDS Vancouver Island. He cites that there are “more sensationalist media hit-pieces about safe supply than actual safe supply. In BC, well-over 101,000 people are at risk of fatal drug poisonings, and less than 5% of those individuals are able to get a ‘safe supply’”. That is exactly what is happening. This incremental approach by the government is failing people who use substances. We know incrementalism costs lives in a health crisis.
However, the Conservatives' misinformation also costs lives. It is deadly. I do appreciate the Conservatives bringing forward this notion to move money from harm reduction to treatment, but even that is not close to enough money.
I want to read a quote from Guy Felicella. He says, “I've been to/left treatment over a dozen times to try & stay sober. If it wasn't for harm reduction services like supervised consumption sites, safer alternatives, naloxone and clean supplies to protect me in my relapses, I wouldn't be alive today or have the decade of sobriety that I do. Don't listen to people who attempt to misinform you that harm reduction enables drug use; it enables people to stay alive and for many to try recovery again.”
I want to make sure that we talk about the importance of trauma-informed treatment and ensure that it is available to people. A constituent wrote to me and said he was going to have to sell his house to keep his son in treatment; it was $300 a day. That is completely unacceptable. We can look to Portugal, which has taken huge steps on this. In my home community of the Alberni Valley, we lost 20 people by the eight-month mark last year. It is a community of 30,000 people. We are four times the national average, and this disproportionately impacts indigenous people.
I think we all know the numbers. I do not need to get too heavily into that. I hope every member of this House will read the report from the expert task force on substance use. I hope everyone will reach out to their community leaders, to their chief medical health officer, to their law enforcement, to the experts in their community and, most importantly, the moms who have lost loved ones, in the week ahead. This is something that I will be advocating for.
I am going to talk about safe supply and the pilots that have been happening. Ottawa has had a significant increase. There is a claim that people do not actually use their safe supply and that they just sell it to others. This is a quote from the former Stephen Harper legal adviser, Professor Ben Perrin. He stated, “Participants in the Ottawa safer supply program reduced their use of illicit fentanyl by 85% while on the program.”
We have seen great results at Parkdale Queen West. In London, Dr. Sereda has been running a really important program. We know that safer supply reduces the risk of death and overdose, reduces reliance on an unregulated supply of drugs, increases access to engagement with health and social services, improves social well-being and stability, reduces ER visits and hospitalizations, improves physical and mental health, and reduces health care costs. It also reduces criminal activity. Those are the facts from these studies. It certainly helps people get their life back.
We have heard some participants speak about what safe supply has done for them. These are some of the things people have said: “My whole lifestyle improved”, “Got my life back”, “My life has improved drastically”, “It saved my life”, “I function productively in society”, “My life is getting better”, “Frees time to do more constructive things”, “More energy and confidence to focus on my art” and “Opened a whole new outlook and positive way of living”. The list is long.
I know that what we are doing is not working. We are seeing a government take a very weak approach in responding to a health crisis; the lack of investments and the lack of urgency show the underlying stigma. This is the stigma, right there with the government and its failed approach, as well as its inability to pull together all parties in this crisis.
One thing I understand about the Conservatives and what they are bringing forward is frustration. Canadians are frustrated by the lack of action by the government to respond to this crisis. However, this does not mean that the response should be guided by misinformation. It does not mean we cut off safe supply as a tool to keep people alive, to ensure that people are able to get the help they need and to find a pathway to recovery and to treatment.
This motion today, to gut the harm reduction program and to stop safe supply in its tracks without proper evidence and science, does not make sense. It goes against what police, chief medical officers, coroners, moms, experts, those the Conservatives deem as activists, and the expert task force on substance use say.
I hope this dialogue, this conversation, can be turned around. I hope we can try to come together and find some common ground to deal with this crisis that is right before us. It is impacting everybody here.
:
Madam Speaker, I will be splitting my time with the hon. member for .
After eight years of the , everything feels broken. Life costs more. Work does not pay, and housing costs have doubled. The Prime Minister divides to control the people. Worst of all, crime and chaos, and drugs and disorder rage in our streets. Nowhere is it worse than the opioid overdose crisis that has expanded so dramatically in the last several years.
This is an important debate we are having today. The opioid addiction crisis is real, and it is costing Canadian lives. The unimaginable pain that those who are suffering from addictions are going through, as well as that of their families, their friends and their loved ones, cannot be understated.
I know that many of us here have probably gone to too many funerals, and I know I have, of those who were suffering from addiction because of this crisis. Many times when we talk about those who are addicted or people who are struggling with addiction, we think about the people who we might see in the downtown or who might be homeless. It is true, some of them are. However, very often they are also the people we know, people we may not have expected, people who might be family members, co-workers, friends or neighbours, people who we would not expect to be in that situation but are in this crisis and are suffering from addiction.
We know there is no simple solution. The issue here is very complex and there are many factors that affect it. What we can see is that the Liberal government approach is not working. The Liberal plan is not helping those who are struggling to get past their addiction and fully recover. In fact, those Liberal policies have actually made the situation worse.
I want to read from the text of the motion today. It says:
(i) Canada is in the midst of an opioid crisis that has killed over 35,000 people since 2016,
(ii) since 2017, the federal government has spent over $800 million on its failed Canadian Drugs and Substances Strategy, including over $100 million in funding for hard-drug supply projects across Canada, and plans to spend an additional $74 million to “scale up” these projects over the next five years,
(iii) since tax-funded drug supply was ramped up in 2020, opioid deaths have only gone up, according to the Public Health Agency of Canada,
(iv) in 2020, slightly less than 7,000 people died of opioid overdoses, while only 3,000 died of overdoses in 2016, according to the Library of Parliament,
(v) in British Columbia alone, yearly drug overdose deaths have increased by 330% between 2015 and 2022,
(vi) recently, a Global News reporter in East Vancouver was able to buy 26 hits for $30 in just 30 minutes of a dangerous and highly addictive opioid that is distributed in tax-funded drug supply programs and flooding our streets with cheap opioids,
the House call on the government to immediately reverse its deadly policies and redirect all funds from taxpayer-funded, hard drug programs to addiction, treatment and recovery programs.
What would Conservatives do?
Conservatives believe that addiction is a health condition and that it should be treated as such. A Conservative government would have a recovery-oriented system of care that helps people on their journey. This means prevention, intervention, treatment and recovery. Conservatives believe that we have to meet people where they are at, but we need to stop leaving them there. We should be helping them get their lives and their families back, and help them fully recover.
It is not just that the Liberal program is a failed experiment that has been tried and which has failed in other cities in other parts of the world. The scary part is that their program is adding more drugs to the streets, which is making the drug supply cheaper, so there are now more drugs on the streets. It has become more affordable for those trying to purchase them.
There is a B.C.-based physician who says that, before safe supply, before the government's program, 8 milligrams of hydromorphone tablets sold for $10 in Vancouver's downtown east side. The doctor says it now costs between 50¢ and a dollar.
Dr. Vincent Lam, the medical director of Coderix Addiction Therapy, provided insight into the situation in downtown Toronto, so we are going from Vancouver to Toronto. According to his patients, 8 milligrams of the same drug tablets that used to go for $20 on the street now sell for between two dollars and five dollars, and sometimes as little as one dollar.
A doctor in Ottawa said that 24 milligrams of hydromorphone, which they believe came from the city's safe supply facilities, sells for two dollars on the street. Before safe supply, they were selling for $20 to $30. A representative from the Nanaimo Area Network of Drug Users said that the system is broken. They estimated that up to 80% of safe supply drugs in Nanaimo, B.C., are currently being diverted. The system definitely is broken. It is not working.
What is happening is that those who are struggling with these addictions are selling the drugs they are receiving from the government. They are selling them because they need stronger drugs. These ones do not work any more. They are selling them at such a low cost that even our young Canadians, children and youth, are able to buy them for one or two dollars a hit. We are creating a cycle where more and more Canadians are getting more addicted rather than breaking that addiction.
This crisis has left Canadians struggling right across the country, and it does not see background or religion. I have talked to many parents in South Asian communities who have seen their children go through these addictions and go through the struggle.
I visited a gurdwara in Surrey where the head of the gurdwara said that they have sent home international students, and we are talking hundreds across the country. They have had to send home their bodies. Many of them have stresses. There are pressures that they face, having come to Canada. They are young, and it is different, so there is loneliness. There are pressures on them, financial stress. Many of them have become addicted to drugs, and many of them have overdosed. This itself has become a pandemic and a serious crisis in the community.
All of this, addictions, the use of drugs and the supply of drugs, have also led to more gang activity as well, which has led to more of our young people dying. They are being killed in gang activity. Conservatives' common-sense plan would end taxpayer dollars for drugs and put people in addiction, treatment and recovery programs. Conservatives will bring our loved ones home, drug-free.
:
Madam Speaker, after eight years of the , everything feels broken. Life costs more, work does not pay and housing costs have doubled. The Prime Minister divides to control the people. Worst of all, crime and chaos, drugs and disorder rage in our streets. Nowhere is this worse than the opioid overdose crisis, which has expanded so dramatically in the last several years.
This is a really tough subject, and it is very tough when we are challenging what many people thought they knew. Addiction is a ruthless, cold-blooded thief. It is a vile disease that destroys families and lives. It is a disease that preys on its innocent host in unimaginable ways. Addiction will make the victim say and do anything to anyone in order to eliminate the pain.
That is where we need to focus our efforts, and that is what our opposition motion today does. Instead of putting a band-aid on the gushing wound, Conservatives are saying, let us treat the trauma and let us destroy the predator and save the host. Conservatives are calling on the Liberals to redirect their taxpayer money from safe supply to treatment and recovery and bring our loved ones home. Conservatives are asking to invest in understanding why and to fund recovery. Conservatives want to give people suffering with addiction back their life, their family and their body.
I believe safe supply is one of the most powerful marketing campaigns ever released. Let us be honest. If a loved one had a life-threatening disease, people would buy or agree to anything that would keep them alive. They would not ask questions. They would just hear that it would keep them alive and sign the dotted line. The idea of safe supply has sold a whole culture of people a falsehood, a hope that they will save their loved ones, but the reality is that safe supply just keeps them where they are. It allows addiction to continue to prey on its innocent host. Honestly, it is a hell of a business model. Why not keep the customer coming back for more?
There is a distinct difference between OAT and safe supply, and it is critical that everyone watching listens to the difference, because once they do, I believe they will understand that Conservatives are the only party offering a compassionate solution to the biggest crisis our country has ever suffered.
Evidence-based medication refers to opioid agonist therapy, or OAT. It includes drugs such as Suboxone, Sublocade and methadone. This is different from Canada's safe supply, which includes drugs like hydromorphone. Hydromorphone is equivalent to heroin.
OAT is a recovery-oriented therapy that addresses the torturous and sometimes deadly withdrawal symptoms that opioid addicts experience when they stop using their drugs. These symptoms are a major barrier to recovery if left untreated. I highly recommend everyone watch Dopesick. It is one of the best public education tools out there to understand this.
I have many friends who have lived a full life or who live a full life in recovery thanks to OAT. With OAT, those in recovery are given long-lasting, milder opioids that stave off withdrawal without providing any high or euphoria, helping patients live free of narcotic impairment. The administration of OAT is tightly controlled. Patients generally must come to a clinic every day for supervised consumption. Take-home use is strictly monitored.
In contrast to OAT, safe supply drugs are intended to mimic the highs of illicit substance use, not manage withdrawal. Safer supply does not move patients toward a drug-free life. It is, in theory, intended to prevent overdoses and death until one is ready to begin their recovery journey.
Many people who are not on board with our solutions will say that it is the deadly supply of fentanyl on the streets that is killing people, and they are absolutely correct, but guess how those dealing with addiction are getting that deadly, toxic dose of fentanyl? They are selling their government-funded safe supply. Why are they selling their government-funded safe supply? It is because they need a stronger high. Never before have we had such powerful drugs. The physiological dependence on these drugs cannot be overstated.
It turns out that hydromorphone is too weak to get fentanyl users high, and, for this reason, many safer supply recipients simply sell (“divert”) their government-provided hydromorphone on the street, at rock-bottom prices, to purchase more street fentanyl. Safer supply doesn’t dissuade illicit fentanyl consumption—it subsidizes it.
That is a direct quote from Adam Zivo from the National Post.
The type of studies they (safer supply advocates) are doing are the weakest. The bottom line is that they're not comparing—this is the unethical part—they're not comparing hydromorphone programs to the standard of care, which is methadone.... That would be more ethical.
That was said by Dr. Lori Regenstreif.
...it's very common for my patients to tell me that they know people who sold most, if not all, of their prescriptions for PSADs [public supply of addictive drugs]. Unfortunately, that means that the hydromorphone is going somewhere else.
That was said by Dr. Vincent Lam.
How do we prevent overdoses? We must invest in prevention, in naloxone and in programs that treat the “why” in addiction. Until people who are addicted understand why they are using, they will never be free. Until people have the support they need, they are stuck. Conservatives are asking this House and demanding that the Liberals redirect funding from safe supply to treatment and recovery.
Canada is in the midst of an opioid crisis that has killed over 35,000 people since 2016, and that number does not account for the collateral damage that addiction leaves for families. How many kids are traumatized because their parent is stuck in the grip of addiction or has lost a parent, a sister, a mother, a daughter, a brother, an aunt to addiction?
Since 2017, the federal government has spent over $800 million on its failed Canadian drugs and substances strategy, including over $100 million in funding for hard-drug supply projects across Canada, and plans to spend an additional $74 million to scale up these projects over the next five years. Since tax-funded drug supply was ramped up in 2020, opioid deaths have only gone up, according to the Public Health Agency of Canada. In 2021, more than 8,000 people died of opioid overdoses, while less than 3,000 died of overdoses in 2016. It is not working.
I just cannot explain a more horrible disease than addiction. There are parents at home right now who are waiting for a phone call because they had a bright, amazing child who maybe got hurt and was prescribed opioids or maybe had trauma and used drugs to escape the pain. They are waiting for a phone call saying their child has died. Imagine if the Liberals committed to spending $800 million on treatment and recovery instead of drugs that are funding drug dealers. I know this is hard. So many people got sold an idea and it was wrong. Again we see an example of the government spending money in all the wrong places.
The path out of addiction takes full commitment, and access to treatment and recovery must be available instantly. Seconds matter. We need housing away from the life that will put them back where they were, and we need to invest in prevention. Mentally healthy, resilient kids turn into mentally healthy, resilient adults. Treating the problem with the problem is not a solution. Safe supply is killing our children. The data is in, and overdoses are up 300%.
Today the Conservatives are asking the House to call on the government to immediately reverse its deadly policies and redirect all funds from taxpayer-funded hard-drug programs to addiction treatment and recovery programs. Let us be leaders and invest in recovery and treatment, and let us bring everyone's children home safely.
:
Madam Speaker, I will be splitting my time with the member for .
I am grateful for this opportunity to speak today to discuss the ongoing toxic drug overdose crisis. While I do that, my thoughts are on the many people we have lost in London, Ontario, a lot of friends and family, to this overdose crisis, which continues to exact a heartbreaking toll on individuals, families and communities across the country.
As the representative for London West and the former municipal representative for the downtown core of London, I have had the opportunity to see first-hand the hard work and dedication that our frontline workers have put into saving lives and improving outcomes for Londoners experiencing addiction.
I want to take this opportunity to thank them and to thank the Middlesex-London Health Unit, the Regional HIV/AIDS, the London InterCommunity Health Centre and anyone else who has dedicated their time, our volunteers, to helping the most vulnerable people experiencing this disease that has put them through unimaginable situations.
This dual pandemic has impacted people from all walks of life, ages, education levels and party lines, including many of us in the House today. We can no longer say that it is a stranger or that it is happening over there, because it is happening in all our communities. We are talking about our children, our friends, our parents and our neighbours, which is why I cannot understate the importance of a compassionate, collaborative and integrated response to reducing substance harms and saving lives.
Since 2016, Dr. Andrea Sereda of the London InterCommunity Health Centre has been running a safer supply program that has saved countless lives. Thank God, she is doing this work as an experienced doctor. We are not taking opinions from op-eds or online news; we are actually looking at studies that have been conducted by experts in the field. However, the program received federal funding in March of 2020.
Between April 1, 2020 and March 31, 2021, overdoses in the area dropped from 59% to 23%, 44% of the clients had not committed a crime to pay for drugs since beginning the program and one third of clients stopped using IV drugs. This is only one small piece of the empirical evidence that a safer supply actually works.
Prevention, harm reduction, treatment and enforcement make up the four internationally-recognized pillars of drug policy. Sadly, the Conservative Party does not understand the importance of the harm reduction pillar, preferring instead to ignore hard evidence and research, and is taking us back to the failed ideology of the Harper-era drug policy, which was costly, ineffective and deadly.
We are hearing from experts themselves, especially in communities like London, Ontario, where we know that a safer supply is working, that we need to continue to explore all avenues to address this ongoing crisis.
Our government, on the other hand, is committed to responding to this crisis from a whole-of-system and evidence-based approach. To date, we have launched many actions and investments to address the overdose crisis, including increased naloxone access, increased options for opioid agonist treatment, supervised consumption sites, which we have in the community of London, Ontario, and safer supply programs, whose importance, sadly, continues to be negated by the opposition.
An integral part of our response is ensuring that we have the best research evidence to inform our health policies and practices, and ultimately lead to better health and safety outcomes for all Canadians. This is where the incredible work of the Canadian Institutes of Health Research, or CIHR, comes in.
Over the last five years, CIHR has invested more than $179 million in research related to substance use, including $75 million in research related to opioid use alone. With its help, our government is supporting priority research initiatives that are now helping policy-makers and health care providers identify effective solutions for addressing the overdose crisis.
I want to begin by highlighting a pan-Canadian research network that is focused on substance use, the Canadian Research Initiative in Substance Misuse, or CRISM, which connects researchers, service providers, decision-makers and people with lived experience of substance use from across Canada.
CRISM's overall objective is to translate evidence-based interventions for substance use into clinical practice, community-based prevention, harm reduction and health system changes. The network is now recognized as a critical network that responds to the policy and evidence needs of decision-makers.
With ongoing support from the federal government, CRISM is able to conduct clinical trials, develop national treatment guidelines, promote the effective implementation of evidence-based interventions into clinical and community settings, and provide key evidence for decision-makers, like ourselves.
In June 2022, our government announced that it would be renewing CRISM with an investment of $17 million over six years to build and expand on the success of the initiative’s first phase, including by increasing the number of regional nodes from four to five to enhance geographic coverage.
This renewed investment also includes $5 million over four years for CRISM to undertake a national controlled trial in the management of methamphetamine-use disorder. The expertise and guidance that CRISM provides is integral to improving the quality of care and quality of life for people in Canada who use substances.
Outside of this investment, in 2019, CIHR also invested $1.5 million to support the evaluation of interventions implemented across Canada in response to the opioid crisis. This included evaluation of overdose prevention sites, rapid access addiction medicine models of care and naloxone programs, just to name a few. It also included research to evaluate non-pharmacological interventions for pain management.
Research to address the toxic drug and overdose crisis became even more critical during COVID-19, which exacerbated the existing crisis to a devastating extent. As part of the pandemic response, our government committed to, through CIHR, launching a funding opportunity in 2019 to support the evaluation research into harm-reduction approaches and to address the opioid crisis in the context of COVID-19. We know that this has grown since COVID-19.
This funding opportunity provided $2.2 million to support five research projects to assess the implementation and impact of safer supply interventions and supervised consumption sites, thereby addressing pressing evidence needs of decision-makers and knowledge-users in the area of harm reduction.
Additionally, CIHR mobilized CRISM to rapidly develop six national guidance documents to support people who used drugs, decision-makers and care providers during COVID-19, for example, guidance on telemedicine support for addiction services. We are also prioritizing bold policy changes to help people who use substances on their journey.
Last year, our government announced a time-limited exemption from the Controlled Drugs and Substances Act to the province of British Columbia, allowing for the personal possession of small amounts of certain illegal substances. Through this exemption, we will be able to reduce the stigma, the fear and the shame that keeps people who use drugs silent about their use, or using alone, and help more people access life-saving support and treatment.
Notably, the exemption included requirements related to comprehensive monitoring and evaluation. In addition to efforts led by B.C., our government is supporting an arms-length evaluation of this exemption.
This five-year evaluation project, led by CRISM, will study the impacts of the exemption and help us understand the full impacts of decriminalization in B.C., including the health and socio-economic impacts. This scientific evidence will be critical to ongoing decision-making as it relates to the overdose crisis.
We are also supporting critical research through CIHR’s investigator-led programs, which supports world-class research submitted by scientists at universities and research institutions across the country.
In addition to supporting the translation of research into improved programs and policies related to substance-use treatment and prevention, we will also be supporting research focused on improving health human resources related to substance use.
For example, CIHR is currently funding a project led by Dr. Kathleen Leslie and Dr. Mary Bartram at Athabasca University that will provide better information about policy options and stakeholder priorities to help create a pan-Canadian mental health and substance-use workforce strategy. This strategy will support the development of a high-quality, sustainable, diverse and culturally competent workforce that will have the capacity to provide equitable access to mental health and substance-use services for all Canadians.
:
Madam Speaker, the then prime minister was unsuccessful.
Now we will take a look at the current . I have argued in the past that his party is more to the right. It is about as extreme as one can get with respect to the right wing, if we listen to some of the things Conservatives say. Just yesterday, they were being accused of misrepresentation of facts. Once again, what we see is opposition parties outside of the Conservatives, and the government, correcting the opposition.
A previous question to my colleague suggested that we are politicizing it. Is that really true? Members should read the motion and listen to some of the speeches. We have had several Conservatives stand up, and what are they saying? They are following the lead of their leader. I printed out what their leader said. Here is how he started off his comments in moving the motion. He stated, “After eight years of the Prime Minister, everything feels broken. Life costs more. Work does not pay. Housing costs have doubled. The Prime Minister divides to control the people.” Other members have stood up and said the same thing. Like a bunch of lemmings and seals, they follow suit and support whatever it is the says. Facts do not mean anything.
An hon. member: Not true.
Mr. Kevin Lamoureux: Yes, it is true, Madam Speaker.
At the end of the day, we need to recognize the impact this is having in our communities. Even without the provincial government, the federal government worked with Sunshine House in Manitoba so we would have a mobile overdose prevention unit for the city of Winnipeg. I could talk about areas in Winnipeg North, like Point Douglas and others, where there is a real and tangible need with respect to the impacts this has on real people. Conservatives want to throw all of it away, even though they know full well that it has been successful in saving lives. They try to tie other things to it in order to simplify it in one way and complicate it in another for their bumper stickers. That is where their concern lies.
The following quotes from Ben Perrin are interesting. Many of the current Conservatives may not know who Ben Perrin is. They can do a quick Google search and will find he was a senior policy adviser to the Prime Minister's Office when Stephen Harper was the prime minister. He dealt with issues like public safety, immigration and justice. He was the primary adviser to Stephen Harper.
This is what Ben Perrin has to say about today's Conservative Party: “[They are] rehashing Conservative, war-on-drugs tropes that have been long since discredited and have been found to be not only ineffective but costly and deadly.” He also stated, “There is no indication that prescribed safe supply is contributing to illicit drug deaths.”
Members will love this one from Ben Perrin, published in The Hill Times:
...no public figure should use real human misery as the backdrop for a political pitch. If he insisted on doing so, how much better it would it have been if he’d stayed a night in the tent city, and talked to the people who live there. That way, he could have told them how he would improve their lives, and perhaps gain a better understanding of their problems. Using them as props to peddle his snake oil was disgraceful.
That is from Ben Perrin, a significant policy adviser under Stephen Harper.
We have things like the Supreme Court of Canada and even top Conservatives and advisers, real people. We have law agencies. We have other jurisdictions and levels of government, like the Province of B.C. Do the Conservatives understand everything that has gone into place in order to make those consumption sites a reality? It is not just that the federal government says it is going to pop some here and there. There is a great deal of effort that is put into these sites, which are located in different places in Canada.
Let there be no doubt, as I started off my comments, that there were 45,000-plus instances where we have actually seen a reverse, when someone was literally dying, and because of their getting medical attention, they were able to reverse that overdose. It has saved thousands of lives, and the Conservative Party wants to get rid of them. That is what they are saying today, then they say there are other aspects they want to invest in. The government is already investing in those. The Government of Canada is working with provinces, municipalities and other stakeholders to ensure that, as much as possible, there is a coordinated approach to dealing with what are very serious issues.
I only wish I had enough time to be able to talk about the impacts, whether they are on the individual who is addicted, the family members, the communities or the many different systems. This is very much a health issue, and it needs to be treated as such. Individuals need to be supported, and this government, with the co-operation of at least some of the opposition parties, will be able to continue to move in that direction.
:
Madam Speaker, I will be splitting my time with the member for . Today, I stand before members to express my deep concerns about Canada's mental health and addiction crisis.
After eight years of the , everything feels broken. Life costs more. Work does not pay. Housing costs have doubled. The Prime Minister divides to control the people. Worst of all, crime and chaos, drugs and disorder rage in our streets. Nowhere is this worse than the opioid overdose crisis that has expanded so dramatically in the last several years.
Many Canadians continue to be repeatedly traumatized by the Liberal government and its failed policies. As a result, we are dealing with a mental health and addiction crisis. Canadians struggling with addiction deserve compassion with access to appropriate treatments and a plan for recovery.
Addiction is a public health issue and Canada’s drug laws must target individuals who prey on Canadians struggling with addictions, more specifically those who engage in trafficking and the sale of illegal drugs. My Conservative colleagues and I oppose removing deterrence measures for those who exploit Canadians struggling with addiction.
Expanding access to treatments and recovery programs should be a health care priority to get help to people struggling with addiction. While the Liberals continue to push their own narrative, there is not even one real definition of “safe supply”. How are dangerous, toxic drugs safe?
The safe supply is continuing to destroy lives. It has led to more addiction, more deaths and more despair. We believe that we must stop taxpayer-funded hard drugs, and instead fund treatment and recovery, and bring home our people drug-free.
Liberal safe-supply policies do nothing to bridge people toward recovery. Instead, people are being trapped in a cycle of addiction. In March of 2020, an article titled “Is All 'Safe Supply' Safe?” was published by the Canadian Society of Addiction Medicine. The Liberal-NDP coalition has given up on Canadians struggling with addiction and has essentially put them straight into palliative care.
The greater societal cost is playing out with this experiment in British Columbia. The referred, in this place, to following proper indicators without saying what they are. I am not sure what those indicators are because according to the Public Health Agency of Canada, since tax-funded drug supply was ramped up in 2020, opioid deaths have only gone up.
In 2021, more than 8,000 people died of opioid overdoses, while fewer than 3,000 people died of overdoses in 2016. In British Columbia alone, yearly drug overdose deaths have increased by 330% between 2015 and 2023.
In addition, just ahead of the seventh anniversary of B.C. declaring a public health emergency, B.C. Emergency Health Services released grim statistics last month. B.C. set records in March, two months ago, for the most overdose calls in one day, the highest 30-day average of overdose calls and the most consecutive days where paramedics attended 100 or more poisonings. Our first responders are overburdened and exhausted.
This is with drug decriminalization and so-called safe supply in place. B.C. is apparently also on pace to set a new record for poisoning calls in a year and match its annual record for the most naloxone doses administered to reverse the effects of opioids. Those are the facts.
Recently, a Global News reporter in east Vancouver was able to buy 26 hits for $30, in just 30 minutes, of a dangerous and highly addictive opioid that is distributed in tax-funded drug supply programs. It is flooding our streets with cheap opioids.
A new black market has been created and this is perpetuating the cycle of addiction. It has been reported that physicians are saying this is even leading to a rise in new addictions, particularly among youth and those recovering from addictions. Those are the facts.
These are the results of the Liberal drug policies. These are more lives lost. Our streets are less safe and people are dying. The other day, here in the House of Commons, I was appalled by the shouting and applause that the Liberal and NDP MPs showed as I mentioned the terrible effects of open drug use in parks and playgrounds, which they support. I had to start my question three times because of the disruption. These are policies that harm children’s safety, as people are getting high and leaving syringes and other drug paraphernalia in playgrounds.
Open drug use in parks and playgrounds where children play is unacceptable, and it is evident that the federal Liberal government is not taking public safety seriously.
On this side of the House, we do take this issue very seriously. We recognize the need to approach these issues with compassion. That is why we will continue to advocate for stopping the flood of dangerous drugs on our streets and also advocate for recovery, treatment and rehabilitation.
This is some of what my private member's bill, Bill , the end the revolving door act, sought to do. It sought to create a common-sense framework for the commissioner of Correctional Service Canada to be able to designate all or a part of a federal correctional facility as an addiction treatment facility. If individuals met certain parameters at the time of sentencing, a judge could offer the choice to be sentenced to participate in a mental health assessment and addictions treatment inside a federal penitentiary while they served out their sentence.
Bill was in line with the House of Common’s support for Bill in the previous Parliament to establish a federal framework to reduce recidivism, where healing is the best path toward reducing recidivism in Canada.
I received much positive feedback and support on this bill from across the country, from business groups, from those working in criminal justice and from those working in recovery, like the founder of Freedom's Door. I also received unanimous support through a resolution of the City of Kelowna.
This common-sense legislation was voted down by the Liberal and NDP members. They are not focusing on recovery and treatment and are quite fine with the status quo.
After eight years of Liberal incompetence, Canadians are suffering. I hear from parents in my riding all the time who want their child to access support and rehabilitation. It is heartbreaking the government has given up on some of the most vulnerable in our society and has put them straight into what one could consider perpetual addiction and palliative care.
In B.C., it is unbelievable, due to how open drug use is now rampant and playing out in our communities, that we even need to have a conversation that open drug use should be banned from playgrounds and parks. These drug decriminalization policies have affected neighbourhoods in B.C., as this three-year drug decriminalization experiment is playing out.
Municipal governments across B.C. have been forced to look at how to make their communities more safe for their citizens, and in particular in parks and playgrounds. Municipalities that have either already implemented bylaws, were looking at bylaws and/or have advocated to the provincial government include Kamloops, Kelowna, Sicamous, Campbell River, Nanaimo, Maple Ridge and Prince George, and there may be others.
However, it is not just at the human level that the Liberals refuse to show compassion. The refuses to stand up to the greedy pharmaceutical companies that cynically marketed addictive drugs as pain medication. That is why we in the official opposition are committed to bringing home justice for the victims of addiction.
Our Conservative leader announced months ago a commitment to launching a massive federal lawsuit against big pharma and their consultants, and to joining the active B.C. lawsuit to cover the costs of the epidemic to our border security, courts, the criminal justice system, indigenous programs, lost federal tax revenue and massively expanded treatment programs. The intention with this is the money recovered from this massive lawsuit will fund treatment and recovery programs for people struggling with addiction. It is from big pharma that originally safe supply came from.
The Conservatives are focused on turning hurt into hope by presenting common-sense solutions to address the addictions crisis facing our communities and the revolving door in our justice system. While the Liberal-NDP group has turned its back on society's most vulnerable, the Conservatives will continue to advocate for support, compassion and rehabilitation so we can bring home our family members and fight back against this horrible addiction crisis, which the Liberals have fuelled by their failed policies.
:
Madam Speaker, I have to take a breath and calm down a bit. This debate is a powder keg. People on all sides of the House have incredible feelings toward this.
Our colleague from the Bloc, the member for , spoke passionately about this. Our colleague from Saskatchewan spoke passionately this. My colleague for spoke passionately about this. We all know someone, perhaps very close to us, who has been impacted by this.
However, it is very clear that what is taking place today is not working. It is broken. After eight years of trial and error, the record shows that the government has broken the system, and that should not surprise us. Everything the touches breaks. What he does is divide Canadians. Why does he divide Canadians on issues, whether it is vaccines, or the opioid crisis or other things? Because if we are fighting among each other, we are not focused on his blunders. It is dodge and deflect.
Here are the facts. Since 2016, over 35,000 Canadians have lost their lives because of the opioid crisis. In a crisis of incomprehensible scale, the death toll due to illicit drug overdoses rose 300% in my province of British Columbia during the first three months of 2023. That is 596 lives lost in just three months of this year. That is 596 sons, daughters, mothers, fathers, sisters and brothers. Their dreams and hopes are lost. As parliamentarians, we have failed them. Canadians are suffering, Canadians are dying, and we have done nothing.
What is the real issue we are talking about today? It is the opioid crisis, the fentanyl crisis. This drug seemingly floods through our borders, and we are powerless to stop it. I have stood in the House so many times over the last seven and a half years to talk about the opioid crisis, a crisis that at least on this side of the House all across the way we can agree is a national crisis, but the government fails to declare it so.
Why are we so angry and frustrated? Because the Liberals like to conflate things. We are talking about safe supply. What are they talking about? They are talking about supervised consumption sites. It is so frustrating.
The Liberals made promises on the mental health side of things before getting elected in 2021. They were going to pledge $4.6 billion in a mental health transfer to provinces to help combat mental health and addiction. What happens when they get into government? They renege on that and rethink their promise. This is impacting real people.
In a period of great economic uncertainty, the is spending hundreds of millions of dollars giving out free drugs.
Since 2017, the federal government has spent over $800 million on its failed Canadian drugs and substances strategy, including $100 million in funding for hard-drug supply projects across Canada and an additional $74 million to scale-up these projects over the next five years. That is nearly $1 billion spent on this pilot project.
However, what has this emphasis on safe supply achieved? There are 20 opioid deaths in Canada a day; a 173% increase from where the opioid epidemic began in 2016. Where is the investment on recovery?
The has placed that financial burden purely on the provinces and territories. She said earlier today in her speech that they hope that the provinces will see their way to support recovery and create those beds. They hope.
There are no new treatment centres or beds. While somebody who is addicted to drugs is waiting up to a year or more, they can go to a vending unit and get the drugs that they want. Let us talk about vending units for a second. During the gun debate, the Liberals would have members believe that, through the Conservatives' reckless gun laws and policies, people could go to a vending unit and get guns and ammo. Those are pretty simple terms. That is exactly what this tells Canadians and tells the world.
In fact, the Liberals have created a system where pop-up booths in my province are selling crack, cocaine and other drugs on the street. Health Canada approved an organization to produce and distribute cocaine. That is true. Not only that, but vending units are popping up all across our province where people who are struggling with addictions can go and plunk in their coins and get drugs. However, the drugs they are getting are not strong enough for them, so they peel off the labels and sell the drugs so they can get the money to buy the harder drug that they want, fentanyl.
Fentanyl is 50 to 100 times stronger than morphine. A dose the size of a grain of sand can kill 1,000 people. It is flooding our streets and it is killing our sons, daughters, fathers and mothers and we are doing nothing about it. Why are we frustrated? I heard the Bloc members speak about a dogmatic approach and make comments like that. This is a non-partisan issue for me, but I get frustrated when all we do is stand up here and we pour our hearts out. We want to do better for Canadians.
I have talked about our legacy in mental health and addictions time and again in this House. What do members want their legacy to be when they leave this House? I know I want my legacy to be that I made a difference each and every day in the mental health and well-being of Canadians and that I have used my time here so that we can save lives. I believe hope is always possible. I believe recovery is possible. I do not believe in giving up on someone by just handing them another drug. The Liberals are saying “Are we not keeping them alive?” We are perpetuating their addiction.
My brother was shot twice in June 2021 with a shotgun. We would think that would knock him straight, but that addiction is so strong. Two days later, he was back on the streets. My brother-in-law was killed by an overdose. A player I coached, Chad Staley from the Prince George Spruce Kings, got his tooth knocked out in a hockey game. One of his co-players thought he was giving him oxycodone to help with the pain. Chad was at home with his family, took this pill and was dead within an hour.
That is why we are angry. We are doing nothing.
We will bring hope to these families. We will bring our families home, safe, sound and healthy.
:
Madam Speaker, I am splitting my time with the member for Richmond Centre.
I am pleased to speak in the House once again on the opioid epidemic in Canada, an issue that has long been close to me personally both as a northern public health physician and as Yukon's former chief medical officer of health. I always appreciate the opportunity to bring the issue to Parliament, so I appreciate the efforts of the official opposition, although I cannot agree with the motion itself at hand. It is blatantly ignoring the recommendations made by health and social service professionals, law enforcement leaders and both national and international best practices.
I know how busy the hon. Leader of the Opposition has been of late and perhaps the hon. leader has not found the time in his schedule to review the most up-to-date data on best practices to respond to the opioid crisis. We know he has had trouble with scheduling of late, but I am happy to take some time to give him a bit more information on the subject matter.
Let us start with the beginning of this motion. Yes, Canada, we are in the midst of a devastating toxic drug crisis and one that hits my territory of the Yukon particularly hard. In Yukon we are struggling with the highest per capita rate of toxic drug-related deaths in Canada. While the loss of any life is keenly felt around them in smaller and remote communities, when not only one person but sometimes two or more are succumbing at once, it hits all of us in a way that is difficult to describe. Yukon's chief coroner reported 25 deaths last year attributed to toxic substances. On a per capita basis, this is worse than B.C. About two-thirds identified as first nations, so they are greatly overrepresented in these tragic figures. Our government did introduce a substance use and addiction strategy in 2017 and we have invested heavily in it, including in harm reduction, which was excluded in the drug strategy of the previous Conservative government, in which the hon. member served as a minister.
The approach our government has taken to the crisis is much more comprehensive and multi-faceted than simply handing out legal drugs. The approach has been to support all pillars of the response: prevention; harm reduction, including safe supply; treatment; and enforcement. A multiplex approach like this is far more effective at saving lives than simply locking up people up. Treatment is one important part of the solution but not the entire solution.
While a comprehensive approach includes harm reduction, including safe supply, it also focuses on education, access to life-saving treatments such as naloxone, and reducing stigma. It is connected to investments made in culturally appropriate treatment and prevention programs across multiple government departments, including working with public safety to ensure border services and law enforcement to identify and detect toxic drugs illegally before they get onto our streets. Is it enough? No, clearly not, not while we continue to lose 20 Canadians per day from toxic drug overdoses.
Let me be clear. Canadians are dying from a market awash in illegal drugs. Safe supply is not causing deaths. Safe supply is part of a life-saving treatment. Data from coroners in both B.C. and Ontario have found no link between prescribed hydromorphone and drug-related overdose deaths. The opposition leader's story on a link appears to be entirely speculative and we know that this speculative tendency is often within his purview.
What safe supply, as one of the many responses to the crisis, achieves is for those people who use, diverting use of the drugs from the unregulated street supply and thereby reducing overdose risk. What else is achieved? Here are many benefits, according to a recent review: improved control for that person over drug use so that they can control their dosing, avoid withdrawal symptoms and manage pain; lower costs for health care; better engagement in retention and health care programs and housing; improved physical and mental health; fewer emergency department visits and hospitalizations; decrease in infections and complications; improvements in social well-being and, guess what, decline in health care costs. It all works, but we need to scale up the efforts along with all of the other pillars to match the scale of this epidemic.
During this debate and others, there is also far too little consideration of the urgency that we need to apply to prevention. What does that mean? That means equipping our children, our youth, our citizens to avoid dangerous, risk-taking and addictive behaviours, not by saying no to drugs but by starting life with quality early child care and parental support; avenues for organized physical activity and recreations throughout life; cultural connection and mental support at all transition points in life. In this vein, our government's investment in quality early learning and child care is transformational and, when combined with other aspects of prevention, will have an enduring impact.
Now some words about decriminalization. I was proud last year to support the hon. member for 's Bill , which called for a national drug strategy and called for Canada to move toward decriminalization. That bill did not pass, but I still support its intent.
The other day, the hon. Leader of the Opposition referenced the Portuguese model quite favourably, and he is quite right. Portugal's drug-related deaths have been below the EU average since 2001, and there are many other markers of success. It is a model, but its success hinges upon the decriminalization of simple possession of drugs, non-mandatory access to treatment and harm reduction.
I am wondering if the Leader of the Opposition endorses, through his fondness for the Portuguese model, its central tenets of decriminalization of personal possession and substance use; harm reduction, including opioid substitution; and needle exchanges. I would suggest that the answer is no. Decriminalization is another one of those concepts that members of the opposition want to weaponize and use to make it seem like those who support decriminalization want to let criminals run amok, but that simplistic reasoning is not the case.
Portugal pursued decriminalization in the early 2000s. Illegal drugs in Portugal are still confiscated, and possession still results in penalties such as fines, community services or recommended intervention, but penalties for simple possession are redirected from the criminal justice system to district-level panels to determine the best course forward for the individuals. There are 30 countries around the world that have adopted aspects of decriminalization, including Australia and Chile, in addition to Portugal.
Public health experts have long called for fundamentally changing our approach from the criminal justice approach. The Canadian Association of Chiefs of Police noted in 2020 that evidence from around the world suggests that our current criminal justice approach to substance use could be enhanced using health care diversion approaches proven to be effective.
I wonder if the Canadian Association of Chiefs of Police are among the hon. Leader of the Opposition's “pie-in-the-sky theorists” or purveyors of the “misery industry”. I think parents, children and first responders who have witnessed loved ones and patients die of toxic drugs before their eyes might have another opinion.
I know there are Conservative Canadians who do get it. For example, I refer my colleagues to the fact check Ben Perrin has been doing on the Leader of the Opposition's motion this morning. Mr. Perrin is a lawyer and a UBC law professor who was an adviser on justice-related issues to former prime minister Harper. Over the past number of years, he has written extensively about why and how his position on decriminalization has changed. As Perrin notes, in a 2022 article in the Calgary Herald, “There isn’t any evidence to back Kenney and [the Leader of the Opposition]'s 'war on drugs' policies. Their ideologically driven crusade is cruel, costly, ineffective and deadly.”
Under a system of decriminalization, those who are using can get help, and under safe supply, drug users are at least using substances less likely to lead to death. This also offers a chance for intervention when they are ready and better health outcomes.
Let us not go back to the 1980s and the days of “just say no”, which sounds so simple and tempting. The war on drugs, a gauntlet which, with this motion, the Leader of the Opposition wants to take up again, has long been lost, and we need to look at evidence, not emotion and rhetoric, to address it.
Some months ago, in the health committee, I brought forward a motion to study the opioid epidemic in Canada, specifically responses to it including B.C.'s trial focused on decriminalization. I hope to see the study move forward in the fall. Perhaps bringing together some of the evidence in one place will help adjust the hearts and minds of those across the aisle on this issue.
The hon. members opposite know that they are misleading Canadians by trying to connect the government's policies to the toxic drug crisis. This approach is frankly shameful. I suggest that, in the interest of defending the lives and families of Canadians, the opposition party seriously reconsider its ill-founded approach.
As devastating as the toxic drug crisis is, there is another issue at play here and that is the dismissing of evidence and scientific analysis when the evidence is not convenient. Our job as politicians is to make decisions based on what the evidence, and its ever-evolving journey, is telling us and to adapt our decisions when the evidence changes. If we are changing science on a political whim, then we are heading into a dangerous world.
We have seen the shuttering of science under a previous Conservative regime. Especially in an age when false information is so cheap, we must not let that happen again.