Pubdate: Wed, 07 May 2008 Source: Record, The (CN BC) Copyright: 2008 Lower Mainland Publishing Group Inc. Contact: http://www.royalcityrecord.com/ Details: http://www.mapinc.org/media/1654 Author: Keith Baldrey Bookmark: http://www.mapinc.org/find?142 (Supervised Injection Sites) TAKE IDEOLOGY OUT OF DECISIONS The clock is ticking on the future of one of Canada's most important and unique attempts to deal with drug addiction, and perhaps that's a good thing. It may very well be good that the federal government is sending signals it will soon no longer support Vancouver's supervised injection facility (Insite). Getting Ottawa out of the picture may actually create some certainty and stability for the controversial facility in Vancouver's notorious Downtown Eastside.(That's because Health Minister George Abbott has said the province supports the facility remaining open, which suggests the B.C. government is willing to operate it itself should the feds decide to bail on the controversy. Insite, which opened its doors in 2003, has been allowed to exist because the federal government has granted it an exemption from the country's narcotic laws (illegal drugs, notably heroin, are allowed to be on the premises, thus necessitating the need for an exemption from prosecution). But the current exemption expires on June 30. A host of supporters of Insite have pooled efforts to keep the facility open - including a court challenge currently being heard - and goodness knows they're pushing a big rock up a steep hill when it comes to dealing with the federal government. It's clear the whole philosophical and medical underpinning of Insite - - which recognizes that drug addiction is primarily a health issue, not a criminal one - makes the Harper government very uneasy. I've written before about the completely ineffective war on drugs that stresses enforcement and prohibition. Despite that ongoing failure, ideological conservatives and right-wingers still cling to the notion that simply catching drug addicts and throwing them in jail solves the problem.(Their approach is, of course, wrong, and there is very little positive evidence to back up their assertions that they're on the right track. Still, the Harper gang has left enough clues that they prefer to keep the ideological blinkers firmly in place. The fact that Insite's effectiveness has been cited in 20 articles in leading peer-review publications such as Lancet and The New England Journal of Medicine seems to matter little. The fact that studies by the Vancouver Coastal Health Authority and noted criminologist Neil Boyd from Simon Fraser University (released just this week) show numerous benefits arising from Insite's existence (fewer drug overdoses, reduced transmission of HIV/Hep C viruses, more public order in the area, and a 40 per cent treatment rate for drug users) seem to matter little. The fact that B.C. provincial health officer Perry Kendall, one of the world's most credible authorities on harm reduction, is a passionate advocate of Insite, seems to matter little. Instead, opponents of Insite are reduced to relying on a couple of Vancouver police officers who don't like the fact the facility exists (although more than a thousand ex-U.S. drug police officers think the whole approach to fighting drugs has been a dismal failure, and are supporting some kind of end to prohibition). And opponents are left quoting from a single, dubious study that suggests the experiment has been a failure. But when one looks further, it turns out the study's author is the research director of the Drug Prevention Network of Canada, a prohibition group led by former Conservative MP Randy White. For the federal government to give greater weight to such a flawed, questionable report (done, by the way, for a non-scientific anti-drug organization) over such esteemed and credible sources as the Lancet, the New England Journal of Medicine and Dr. Kendall would be a travesty. But then again, maybe that would be a good thing. If we can get rid of ideological, moralistic attitudes shaping our approach to dealing with drug addiction, then maybe we can make some progress on that bleak landscape. So a word to Ottawa: hand this facility over to the B.C. government. Let it continue its operations and good work.(Keep your ideological prejudices to yourselves. This province, and particularly the people who literally need Insite to stay alive, would be all the better for it. Keith Baldrey is chief political reporter for Global B.C. - --- MAP posted-by: Larry Seguin