How Canada turned itself into a fentanyl playground
Episode Stats
Words per Minute
152.92961
Summary
In this episode, I speak with Marshall Smith, former Chief of Staff to Alberta Premier Daniel Smith, about the fentanyl crisis in his home province of Alberta. We talk about how to deal with the problem, and how to solve it in our own communities.
Transcript
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Fentanyl, it is a word, it is an issue that is front and centre right now,
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the occupant of the White House in Washington, D.C.
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But fentanyl has been a problem in Canada for a long time.
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In fact, you look at any major city, even smaller cities,
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the crime that you see, the homelessness that you see,
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the homeless encampments, all of this is related in one way or another to fentanyl,
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a drug that started showing up in a big way around 2016,
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More than 49,000 people have died of overdoses from this drug.
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and today we're going to be talking about how we deal with fentanyl within Canada.
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Trump has highlighted the issue, he's gotten us talking about it,
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but how do we solve the problem in our own country for our own people?
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Marshall Smith is the former Chief of Staff to Alberta Premier Daniel Smith.
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He's also someone who dealt with addiction himself and turned his life around.
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The Alberta model, which doesn't include giving addicts free opioids,
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has been focused on addiction treatment, on full recovery,
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But this is about more than just addiction treatment.
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How do we get the government, wherever we live, working properly for us?
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That's why I wanted to reach out to Marshall Smith.
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Why did it take Donald Trump talking about fentanyl on the Canadian border
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to get us to realize how bad of a problem this is in Canada?
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but within our own communities, this has been a devastating crisis.
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and I appreciate the opportunity to talk about this.
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I think that often, just like with addiction itself,
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it takes some sort of catalyzing event to spur on change,
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in and around the pressure that Canada is now under
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to deal with the fentanyl and addiction crisis.
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And I think that the answer to your direct question is,
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Is it, A, it's the nature of the addicted system.
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It will continue unabated until something acts on it
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that is very powerful to make it change its course.
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We have not had the type of leadership on this file in Canada,
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with, of course, I would say the exception of Alberta,
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That's not to say, and I want to be really clear about this,
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that's not to say that people aren't doing anything about it.
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It's not to say that there aren't pockets of good work.
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premiers across the country don't rank this as a top priority for them.
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I just think that many of them don't know how to lead
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in an environment of making this kind of change.
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You look at something like the opioid deaths in British Columbia,
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and just because they're always off the top of my head,
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I look at the coroner's office numbers monthly.
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there were, I believe the number is 374 opioid deaths in 2014.
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And then that's when fentanyl really kicks in as the preferred opioid.
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Last year, well, there was a big drop to only 2,253.
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And it slowly started to move out to the other provinces as well.
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This is something that we should have been dealing with
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in terms of trying to get a handle on this drug
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The only acceptable path was give them more drugs.
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that I wanted to talk to leaders in the country
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But I think the first conversation that we need to have
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there's a couple of things that they do, right?
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They say this is a cross-government initiative.
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observing the Ford government closely here in Ontario,
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but also looking at what other governments have done,
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not due to any policy of the provincial government.
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They closed 10 of them near schools and daycares,
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several of them are transferring into what's called heart hubs,
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you have to have a serious governance mechanism