Pubdate: Fri, 30 May 2008 Source: Red Deer Advocate (CN AB) Copyright: 2008 Red Deer Advocate Contact: http://www.reddeeradvocate.com/ Details: http://www.mapinc.org/media/2492 Author: Joe McLaughlin, Advocate managing editor Bookmark: http://www.mapinc.org/find?142 (Supervised Injection Sites) COURAGEOUS RULING ON DRUG-INJECTION It's no surprise that the federal government will appeal a court ruling that allows a safe drug-injection site in Vancouver to stay open even if its operating permit is not renewed by the end of this month. Stephen Harper's government has never been fond of Insite, a Liberal government initiative, and has only let it stay open with temporary permits. Letting junkies freely shoot up in a health centre goes against its hardline law-and-order agenda. But whether or not it agreed with this week's decision by British Columbia's highest court, the prime minister's decision to refer that ruling to the Supreme Court of Canada is the right thing to do. Unless and until that happens, Insite will remain a lonely, precarious beacon of hope for drug addicts and compassionate people who want to help them. But if the Supreme Court of Canada agrees with the courageous ruling of B.C. Supreme Court Justice Ian Pitfield, venues similar to Insite will be free to spring up across the country. Lives will be saved. Broken people will get a better chance to become whole again. A favourable Supreme Court ruling will stop the legal debate - if not the broader societal debate - just as it did in sanctioning gay marriage. There's no doubt that Insite works to keep people alive and gives them a chance to put their lives on a healthier footing. Insite does not give drugs to junkies. It offers them a chance to shoot up safely with clean needles under the supervision of a nurse. That's a hard concept for a lot of people to accept. The traditional view has been that addicts are weak-willed people of dubious moral character and the best thing to do is put them in jail and keep them there. Much of that is untrue. The war on drugs was lost long ago. It has created a multi-billion dollar enterprise for criminal organizations who prey on the vulnerable. Drug crimes chew up massive police and court resources in every city and town across Canada. Drug use is a health issue that leads to crime issues. It's time for a new model - harm reduction - to be given a chance. Since Insite opened in 2003, it has supervised more than a million drug injections, and more than 1,000 drug overdoses without a fatality. Without it, some people assuredly would be dead today. Without it, other people would be infected with dread diseases. People who come to Insite get compassion and offers of help. Some of them take up those offers. Some of them get clean and healthy and go on to lead productive lives. Attempts to kick an addiction are rarely short or direct. Most people fail repeatedly before they succeed, but referrals to the kind of counselling and other services that Insite offers unquestionably improves and saves lives. Every dollar spend at Insite is estimated to save $4 in other costs. While harm reduction is a new concept in most parts of Canada, in Vancouver it is steadily winning converts. Many police officers who work the beat on Vancouver's downtown east side support it. Many people who live in that area say their streets are safer since Insite opened. Mayor Sam Sullivan hailed this week's court ruling as a great day for Vancouver. Insite does not just help save the lives of addicts who shoot up there. It reduces the spread of diseases like hepatitis and AIDS, whose costs are becoming an increasing drain on Canada's health system. Health care was at the heart of Judge Pitfield's court ruling on Tuesday. He gave the federal government one year to change the Controlled Drug and Substance Act becaue it appears to interfere with medical treatment. It's popular to say that addiction is the result of a choice but "an understanding of the nature and circumstances which result in addiction must lead to an opposite conclusion," he wrote. Society does not treat addiction to alcohol or tobacco in the same manner as narcotics, he added. It does not condemn them. More importantly, it does not deprive them of a range of health services, Judge Pitfield noted. "Management of the harm in these cases is accepted as a community responsibility," Judge Pitfield wrote, adding that there's no reason to view use of narcotics differently. "I cannot agree with Canada's submission that an addict must feed his addiction in an unsafe environment when a safe environment that may lead to rehabilitation is the alternative." Can the Supreme Court of Canada see things differently? Let's hope not. - --- MAP posted-by: Larry Seguin