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adam zivo: b.c. dodges a bullet by rejecting 'safe supply' of all hard drugs

report from dr. bonnie henry recommended all illicit drugs be made readily available and sold without prescription

b.c. dodges a bullet by rejecting 'safe supply' of all hard drugs
last week's report from dr. bonnie henry, seen in a file photo from january 2023, recommended that b.c. legalize illicit drugs and make them available through a "safer supply" program that wouldn't require medical prescriptions. nick procaylo / postmedia news
thank god the b.c. government has rejected the latest reckless proposals from safer-supply advocate dr. bonnie henry.

in a new report released thursday, henry, the provincial health officer, recommended that b.c. legalize drugs through a “non-medical” model of “safer supply” wherein substances like fentanyl, crystal meth and cocaine could be obtained without prescription. the province’s ndp government immediately dismissed the idea — which was praiseworthy, because henry’s report was unscientific and irresponsible.

according to henry, the “main driver” of canada’s overdose crisis is “a prohibitionist approach to drugs that has produced a highly toxic unregulated drug supply.” if all addictive substances could be manufactured and purchased legally, in a regulated manner that would assure their quality, then countless lives could be saved, she reasons.
but there is almost no evidence to back up these claims. the report itself acknowledges that there is “little published information” on full-scale drug legalization and that existing research only explores “potential approaches” (a.k.a.: this research is theoretical).
faced with an evidentiary void, the report relied on conjecture, specious arguments and misrepresentations. for example, henry’s team compared the legal sale of hard drugs to the sale of toys, groceries, clothing and marijuana. you wouldn’t want your children to play with counterfeit figurines that could have lead in them, so why criminalize drugs and force users to access illegally manufactured substances? drug legalization “simply follows the same quality control and consumer safety protections that are in place for other products,” argued the report.

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but hard drugs aren’t interchangeable with other commodities. people don’t abandon their homes and sell copper wire to get their next fix of fruit salad. legalizing a commodity generally increases its market supply, and while this has few downsides when retailing teddy bears, addictive substances like crystal meth are a different matter.

decades of research show that when drugs are more abundant and accessible, use and addiction increases. to ignore this reality would be grossly negligent. yet henry’s team ignored how the widespread, legal availability of “safe” pharmaceutical narcotics caused north america’s current opioid epidemic ; in the entire almost-100-page report, the oxycontin crisis was mentioned only obliquely in one sentence.

the report further claimed that drug prohibition was “based on a history of racism, white supremacy, paternalism, colonialism, classicism and human rights violations.” to justify this claim, the authors leaned into the fact that canada’s original prohibition laws, dating back to the early 20th century, were motivated by a fear of chinese immigrants who used opium.

sure, dozens of indigenous reserves across canada have independently banned alcohol and drugs —  most community leaders oppose drug legalization and some even refer to safer supply as “pharmaceutical colonialism” —  but apparently we must ignore them. that is just their internalized racism speaking. similarly, should we pretend that strict drug prohibition doesn’t exist in shariah law and the justice systems of many contemporary asian states?

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confronted by oceans of white supremacy and moved by the “discrimination” allegedly experienced by drug users, henry has determined that expanding “safer supply” is the only way to go. but there’s a problem: canada’s current “medicalized” system requires drug users to obtain a prescription for their taxpayer-funded addictive substances. this restricts legal access to hard drugs, imposes “surveillance” upon users and — hold your gasps —  implies that habitual use of these drugs is a medical problem, rather than a legitimate lifestyle choice.

the report thus favoured “non-medical safer supply” wherein “gatekeepers” (physicians and nurse practitioners) would be removed from the equation. if most health-care professionals refuse to prescribe safer supply (because they believe it is reckless ), then they must simply be gotten rid of, it seems.

henry’s team explored a variety of ways this could work. would “compassion clubs” be allowed to buy hard drugs to distribute among their members? or should meth, cocaine, heroin and fentanyl be sold in privately-owned or government-run stores, as is already done with alcohol or marijuana? henry has repeatedly advocated for the latter model, so one can guess where her preferences lie.

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the report also attempted to justify the “non-medical” model by citing the alleged successes of canada’s existing safer supply programs. but not only is such an extrapolation logically unsupportable, the inconvenient truth is that no reliable evidence of success actually exists.

henry referenced a 2024 study published in the british medical journal that followed 5,882 b.c. drug users for 18 months and found that those who received safer supply drugs were 61 per cent to 91 per cent less likely to die the following week. however, seven physicians who reviewed the study found that its underlying data actually suggested that safer supply had no statistically significant impact on deaths. harm-reduction researchers had simply cherry-picked their data (i.e. fixated on one-week outcomes while ignoring longer-term measures, which is highly unusual) to create a mirage of success.

most of the other studies cited by henry relied on self-reported surveys and interviews with safer supply clients. this kind of low-quality research , which amounts to glorified customer testimonials, would not be acceptable in most health-care settings. similarly, henry claimed that the decades of research supporting opioid agonist therapy (i.e. methadone and suboxone) also showed that safer supply works — yet addiction physicians say these are totally different interventions with non-transferable evidence bases.

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just this february, henry was forced to admit in a report that safer supply is “not fully evidence-based.” now she is putting glitter on junk science and engaging in mental gymnastics to advocate for the program’s radical and unprecedented expansion.

over the past year, it has become painfully obvious that the opioids currently being distributed through safer supply are being widely diverted to the black market , where they are flooding communities, enriching gangs and fuelling new addictions among adults and youth . predictably, henry glossed over these issues and omitted any reference to organized crime.

she repeatedly claimed that “non-medical safer supply” would be provided responsibly, with “guardrails” in place to prevent diversion. but it is hard to take this seriously when her report claimed it is “paramount” that active drug users, addicted or not, take a leadership role in developing and implementing the experiment. perhaps not incidentally, the report also explicitly stated that any medical monitoring of safer supply — such as urine tests and witnessed consumption —  should be removed for the sake of “reducing barriers.” these measures are among the few tools available to prevent or track diversion, but they apparently cause “discomfort” among drug users.

so as i said, thank god that the b.c. government rejected this insane report. but if premier david eby truly opposes drug legalization, why does henry, who has pushed this agenda for years , still have a job? it should not escape our notice that there is a provincial election coming in october, and that eby rolled back other radical drug policies — such as the unrestricted consumption of illicit drugs in hospitals — only after his party had fallen in the polls. if his government is re-elected, what will happen with henry’s recommendations then?

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national post
adam zivo is director of the centre for responsible drug policy.
adam zivo
adam zivo

adam zivo is a freelance writer and weekly columnist at national post. he is best known for his coverage of the war in ukraine, as well as for founding and directing loveisloveislove, a canadian lgbtq advocacy campaign. zivo’s work has appeared in the washington examiner, jerusalem post, ottawa citizen, the diplomat, xtra magazine, lgbtq nation, in magazine, quillette, and the daily hive, among other publications.

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