British Columbia91Ƶs former chief coroner says she91Ƶs disappointed by the province91Ƶs overhaul of its program that provides prescription alternatives to toxic street drugs, a shift she says 91Ƶfeels like a really impulsive political decision.91Ƶ
Lisa Lapointe said the move to a 91Ƶwitnessed-only91Ƶ model in which people are supervised while consuming their prescription drugs appeared to ignore scientific evidence.
91Ƶ(Driving) people away from the illicit black market by providing them access to a regulated supply of the drug that they91Ƶre dependent on keeps people safe,91Ƶ said Lapointe, who retired from the chief coroner91Ƶs post in February 2024.
91ƵIt91Ƶs really disturbing that our politicians who we rely on to keep us safe are more likely to respond to ideological arguments than science.91Ƶ
Health Minister Josie Osborne announced the change on Wednesday, saying it was aimed at preventing the diversion of take-home prescription opioids onto the street.
The issue of opioid diversion from the prescribed alternatives program, also known as safer supply, has dogged the NDP government of Premier David Eby.
Last March, both the RCMP91Ƶs commanding officer in B.C. and then-solicitor general Mike Farnworth said there was no evidence of 91Ƶwidespread91Ƶ diversion.
But this month, a leaked Health Ministry briefing for police said a 91Ƶsignificant portion91Ƶ of opioids prescribed in B.C. were being diverted.
Opposition leader John Rustad of the B.C. Conservatives portrayed the policy shift as a 91Ƶmajor policy victory91Ƶ for his party.
91ƵEby91Ƶs NDP has caved on one of Eby91Ƶs signature policy proposals and made a major about-face on their failed radical left-wing safe supply policy,91Ƶ he said on social media.
Lapointe said she had 91Ƶso many questions91Ƶ about the information on which B.C. officials based their decision to overhaul the program.
91ƵWhat harms have we seen? If diversion is happening on the scale that allegedly it has been, why? You know, who91Ƶs looking at the pharmacy and the pharmacists and that91Ƶs the job of the College of Pharmacists,91Ƶ she said in an interview.
91ƵIf widespread diversion is happening, is it because people aren91Ƶt getting the drug they need, and are these actually diverted prescribed medications? Or is this Dilaudid that91Ƶs been manufactured by organized crime to look like prescribed medications?91Ƶ she said, referring to the brand name for hydromorphone, a commonly prescribed safer-supply drug.
Lapointe 91Ƶ who sometimes clashed with the government over drug policy and presented a report in 2023 that recommended expanding safer supply to people without prescriptions 91Ƶ said the province should share the evidence behind the witnessed-consumption-only strategy.
91ƵIf they feel confident in their finding, then release the data.91Ƶ
Lapointe said the change would curtail access to prescription alternatives, making it 91Ƶreally onerous,91Ƶ especially for those who require multiple doses each day.
DJ Larkin, executive director of the Canadian Drug Policy Coalition based at Simon Fraser University, agreed and said people cannot go to a health provider91Ƶs office potentially multiple times each day in order to access prescription alternatives.
91ƵTaken at face value, if this program is now to require people to attend every dose, it means the program will effectively disappear,91Ƶ Larkin said in an interview Thursday.
91ƵIf you live in the Northern Health Region, the idea of travelling for daily dispensing and witness dispensing is impossible.91Ƶ
Larkin said the new policy was 91Ƶbased on politics and not on evidence.91Ƶ
Leslie McBain with the advocacy group Moms Stop the Harm said she was 91Ƶblindsided91Ƶ by what she also called a political move.
She said people who have stabilized their lives by participating in the program were being 91Ƶput in an ugly position.91Ƶ
91ƵInstead of going to the pharmacy four times a day or three times a day to be witnessed, they will just go back to the black market, which is much easier, and then there will be more toxic overdoses and more fatalities,91Ƶ she said.
B.C.91Ƶs new policy reflects recent recommendations by Addiction Medicine Canada, a group of addictions clinicians, who urged the province to adopt a supervised model.
Group member Dr. Robert Cooper, an addictions doctor and family physician in Toronto, said last month that 91Ƶwidespread91Ƶ anecdotal reports alleging inappropriate use of prescribed opiates required such a policy shift.
91ƵThe concern here is where the programs are giving medications to patients who 91Ƶ are either using them inappropriately, so injecting or crushing and snorting and/or selling (them) or giving them to others, and using the proceeds to buy fentanyl.91Ƶ
But Larkin said diversion has been happening for as long as prescriptions have existed, and it91Ƶs important to look at why it may be occurring in B.C.
91ƵOne answer is the drug supply is really scary for people right now, and so diversion to friends and family can be a way to keep loved ones safe by sharing your prescription with someone else,91Ƶ Larkin said.
Dr. Ryan Herriot, an addictions medicine doctor and family physician on Vancouver Island, said he worried about politicization of care for those with substance-use disorders.
91ƵI91Ƶm not saying this government would do that, but I worry that they are, maybe unbeknownst themselves, they91Ƶre actually making it easier for someone else in the future to further politicize other areas of medicine,91Ƶ said Herriot, who is a member of the group Doctors for Safer Drug Policy.
Angie Gaddy, spokeswoman for the BC Pharmacy Association, said in an email the group was waiting for more details but 91Ƶwe do support the government91Ƶs decision as an element in addressing the diversion of prescribed alternatives.91Ƶ
More than 16,000 people have died in B.C. since the toxic drug crisis was declared a public health emergency in April 2016.
91Ƶ With files from Darryl Greer in Vancouver
Brenna Owen, The Canadian Press