How did we go from safe injection sites in Vancouver to handing out hydromorphine pills like it s a PEZ dispenser? In this episode, we talk to Adam Zivo, founder and executive director of the Centre for Responsible Drug Policy, and author of the National Post's Opinions on Opioid Addiction, to calling for crack and fentanyl to be legalized and sold in stores and distributed by compassion clubs?
00:21:15.320They're not asking them because for many of these drug users, they think that using drugs is a human right.
00:21:21.420They think there's nothing wrong with it.
00:21:22.960They think that drugs themselves aren't dangerous.
00:21:25.180It's the criminalization that's dangerous.
00:21:26.760And so they have a lot of cachet with these bureaucrats and they have a lot of cachet with very important institutions in BC.
00:21:35.640And so of course, BC based institutions and public health bureaucracies across Canada are not going to push recovery.
00:21:42.280They're going to push for what these active drug users want, which is like pure drugs and, and fewer restrictions on using drugs.
00:21:50.260It's, this is completely unsurprising at the ground level.
00:21:53.760We have set up our system to produce these kinds of results because we are listening to drug users and imagining that they are the final authority on what we should do with addiction.
00:22:03.180Dr. Sharon Koivu out of London, Ontario, who you and I have both interviewed several times.
00:22:08.140She put it to me this way on a previous episode of the full comment podcast.
00:22:13.160She said the four pillars of drug policy should be treatment, enforcement, prevention, and harm reduction.
00:22:20.040And she said, we've forgotten about the other three and we just focus on harm reduction.
00:22:26.500When we come back, I want to ask you about the issue of decriminalization, because I think that that conversation can go in two ways for us.
00:22:35.460One, we're going to make fun of Bonnie Henry and her insane report, but also I want to ask you about this push to, as you say, they want cleaner drugs.
00:23:35.500And she's a radical when it comes to drug policy.
00:23:38.400Here is part of her recent paper on decriminalization and why it needs to happen in British Columbia.
00:23:48.080Thankfully, the EB government, the NDP government of British Columbia has rejected this.
00:23:52.760But she said that, quote, prohibition in Canada is based on a history of racism, white supremacy, paternalism, colonialism, classism, and human rights violations, end quote.
00:24:06.080So, Adam, which part of that makes sense to you?
00:26:15.260So what they use to justify this argument is they talk about how the implementation of our first drug laws in Canada in the late 20th century,
00:26:25.260sorry, late 19th century and early 20th century was based on racist animus against Chinese immigrants.
00:26:32.060I mean, these immigrants smoked a lot of opium.
00:26:34.620So opium was associated with Chinese people, and therefore the drug was seen as a special moral threat to white society.
00:26:43.880And it was policed much more harshly than other substances like alcohol and tobacco.
00:26:48.760And then when you criminalize opium, you can use that as a legal tool to harass or deport Chinese Canadians.
00:27:07.420So if we're going to talk about Chinese experiences, it would be a great idea for us to recognize the fact that Chinese communities historically and in present day do not like drugs.
00:27:17.600So in the 19th century, you know, under the Qing Empire, China had a huge problem with opioid addiction because the British were selling large amounts of the drug to China to make a lot of good money.
00:27:29.360And so the Qing Empire tried to prohibit the drug as effectively as they could, and eventually they completely banned it and seized any supply that they could find and ended up destroying a lot of European wares.
00:27:42.700And so the British got really pissed off at this, and so they launched not one, but two wars.
00:27:48.920Both of them are known as the Opium Wars, to force China to accept prohibition.
00:27:56.220Sorry, sorry, to accept opium, to end prohibition.
00:27:59.640And so under the harm reduction ideological framework, you would essentially argue that, you know, actually, well, the British sent their anti-racist warships to decolonize China's drug policy.
00:28:20.520So the Opium Wars is commonly marked as the beginning of China's century of humiliation when China was really weak as a result of its defeat to colonial European forces.
00:28:31.540And Chinese nationalists to this day, you know, they hate opium.
00:28:36.560They hate drug prohibition because they associate it with colonial domination.
00:28:42.520So for them, drug liberalization is the colonial thing, not prohibition.
00:28:48.080And when you look at Chinese-Canadian and Chinese-American communities, they are the ones calling for more prohibition.
00:28:57.860In San Francisco, there's been this huge course correction because, I mean, the city is a petri dish for liberalization policies.
00:29:04.560And now they're trying to pivot back to the center.
00:29:06.600And it's Chinese-Americans who are pushing for that.
00:29:09.360In Vancouver, Chinese-Canadians are the main political force who are pushing for stricter drug laws.
00:29:15.260They were instrumental in the election of the ABC party in the 2022 municipal election.
00:29:21.160ABC really, really reined in a lot of these overly indulgent drug policies.
00:29:26.860So if they're going to say that prohibition is racism, I guess, you know, Chinese-Canadians are really raging white supremacists somehow.
00:29:36.180Well, I'm not going to try and make sense of their logic.
00:29:40.720I'm not sure that there is logic behind this.
00:29:47.460As we said earlier, you know, you accept these proposals based on a premise and then the premise turns out to be wrong.
00:29:55.160You should be turning around and reevaluating.
00:29:58.260Decriminalization is something that the British Columbia government asked the Trudeau government in Ottawa to allow, and they did.
00:30:06.700And it was supposed to be a three-year pilot project.
00:30:30.960The Ontario Medical Officer of Health wants it to go forward.
00:30:34.200We saw the other day that the briefing document for Yara Sachs, the federal minister in charge of mental health and addictions, it was a discussion about national decriminalization.
00:30:48.420They really wanted to work with any jurisdiction that was open to this idea to decriminalize.
00:30:54.460When I've criticized this, and I've seen this happen to you as well, online, the people who back this, because I don't think they back it because they have looked at the evidence.
00:31:05.560I think they back it because they wear a certain team's political jersey.
00:31:10.660And so they just, you know, they're on side with that.
00:31:13.760So I can't question this issue because I'm a good liberal or what have you.
00:31:19.440But the decriminalization, what they end up saying is that you're confusing it with legalization.
00:31:28.420Well, decriminalization and legalization have the same effect for the average user.
00:31:33.980There is nothing police can do about a guy sitting in a subway or in a children's playground smoking a crack pipe or shooting heroin.
00:31:44.200Parents were horrified to see that sort of thing happening in British Columbia.
00:31:47.900Yeah, they would call the police and say, can you move this guy?
00:31:50.940And the police said, no, no, we can't.
00:31:55.660Yeah, I think they're missing the point, right?
00:31:57.040When they say that decriminalization is not legalization, because as you've pointed out, it has the same functional effect for any regular citizen, right?
00:32:08.880Whether you decriminalize or whether you legalize, you're still going to have an issue with people openly using drugs in public spaces that should be shared amongst the entire public and yet are in many ways now dominated by drug users because no one else wants to go around someone.
00:32:23.000Sorry, be near someone who is erratic because they are smoking meth or they are withdrawing from fentanyl.
00:32:31.720The idea is that, well, it's just decriminalized for the user who would have their own personal supply.
00:32:41.380And so, you know, if you're Pablo Escobar with a pile of cocaine, you can still get arrested, but, you know, you're just going to have like a small dime bag on you.
00:32:50.260The BC proposal, the one trying to overthrow the colonialism and white supremacy, I believe they said you could be carrying up to a 30-day personal supply.
00:33:11.380But like, once again, we really have to focus on the fact that this report is poorly argued and is not evidence-based.
00:33:18.420So many of its recommendations are absolutely insane.
00:33:21.500I mean, Henry's report argued for drug legalization under the logic that this would lead to quality assurance, much like with any other commodity.
00:33:33.340So she basically said that, look, you know, when you have a regulated supply of clothing, of children's toys, of groceries, you have quality control.
00:33:42.860And we should legalize the manufacturer and retail of drugs so you can have quality control there.
00:33:49.500And that's insane because when you legalize a commodity, you increase its supply on the market.
00:33:56.960And that's totally fine if we're talking about groceries or teddy bears.
00:34:01.180But when it comes to highly addictive, dangerous drugs like meth and fentanyl, there is a serious cost there, right?
00:34:09.620Because when drugs are more available, when they're cheaper, then people use them more and then they get addicted.
00:34:16.660Henry's report conspicuously ignored that fact and tried to pretend that drugs are not inherently dangerous.
00:34:25.800It's only if they're contaminated or illegal when they're dangerous.
00:34:29.360But I'm sorry, even if a drug is legally prescribed, even if it is uncontaminated, it is dangerous.
00:34:36.600Because pharmaceutical opioids, which are quote-unquote safe, which are illegal and uncontaminated, are dangerous.
00:34:43.600If I took a bunch of dillies, I could die.
00:34:48.320I take a handful of dillies, I can overdose.
00:34:51.080Just because it's so-called safe supply doesn't mean you can't die.
00:34:54.440Well, I mean, the whole reason why we have an opioid crisis to begin with is because of overprescribing of legal pharmaceutical opioids.
00:35:00.680I mean, it's the OxyContin crisis of the late 90s and 2000s.
00:35:03.480We didn't have a huge opioid crisis before then.
00:35:08.160And then Purdue Pharma, an American pharmaceutical company, aggressively marketed its new opioid, OxyContin, and said it was safe.
00:35:18.140And basically bribed doctors to prescribe as much of it as possible and changed prescribing practices so that opioid prescribing became a really normal thing.
00:36:26.340I mean, so Purdue is the manufacturer of Dilaudid, which is the brand version of hydromorphone.
00:36:31.480And for some reason, safer supply programs very strongly prefer Dilaudid over generic hydromorphone, even though Dilaudid is 7% more expensive.
00:36:41.680So, I think there are a lot of big question marks there.
00:36:44.440Why is it that these safer supply programs are really fixated on buying a Purdue product?
00:36:50.440I think that that's something that is worth investigating.
00:36:54.280When I was looking at one of the announcements for safer supply by the Trudeau government, and I think it was made out in BC with David Eby, the BC government had been the lead in suing Purdue.
00:37:05.580And they go from suing them to contracting them.
00:37:12.180I don't think that they are contracting Purdue directly.
00:37:18.140You know, indirectly, Purdue is making a lot of money off safe.
00:37:21.600Well, I mean, Purdue is making a lot of money directly off safer supply.
00:37:25.080So, yes, indirectly, the government is sending this money to them, which is very concerning.
00:37:30.520And I am aware of the fact that at least in one province, and this is a bit of a scoop, Purdue is lobbying high-level government officials for safer supply or expanding safer supply, which raises a lot of question marks here.
00:37:58.440Oh, God, if you I've got a lot of FOIs to file.
00:38:01.600So, you know, I've got a lead, but I don't have the documents just yet.
00:38:04.300So, let's talk before we go to safe supply fully, actually, let's talk about my contention earlier that we're moving towards a system where they just want us to provide the drugs because they keep saying it's the toxic drug supply.
00:38:20.520That leads to you've got to decriminalize.
00:38:36.960And I know the term slippery slope can be questionable sometimes, but I think in this case it very much is.
00:38:43.360And I think that there has been a clear goal for many of these harm reduction advocates to end their project with legalization.
00:38:51.060So, when you have something like safe supply, people who have been following this conversation closely know that this is not about getting people to recovery.
00:38:58.660This is a stepping stone to legalization.
00:39:02.260And Bonnie Henry's report made that abundantly clear, right?
00:39:06.940She was talking about non-prescribed safe supply, which was essentially just drug legalization.