Pubdate: Wed, 17 Feb 2010 Source: Record, The (CN BC) Copyright: 2010 Lower Mainland Publishing Group Inc. Contact: http://www.royalcityrecord.com/ Details: http://www.mapinc.org/media/1654 Author: Keith Baldrey HARPER SHOULD ANSWER QUESTIONS Prime Minister Stephen Harper dropped by the provincial legislature last week for a feel-good speech about B.C. and the Winter Olympics, but he didn't stop to take any questions from anyone. That's too bad, as his aversion to having anything to do with the media (other than an occasional wave to the television cameras) means he's able to duck some pressing issues. I certainly had a question or two of my own. I wasn't planning to spend gobs of time talking about the irony (or, some say, hypocrisy) of him addressing a provincial legislature after he prorogued his own federal house. And I wasn't particularly interested in grilling him over his government's economic plan, its problems in Afghanistan or even potential election timing. But I did have a question or two about one of his government's dumbest moves in recent days that have a direct bearing on this province. That would be the Conservative government's decision to appeal to the Supreme Court of Canada a B.C. Court of Appeal ruling that Vancouver's Downtown Eastside safe injection site (Insite) is a legal operation and should be allowed to remain open. Harper has already lost two key court challenges on this. In trying yet again to get the courts to follow his ideologically based prejudice, critics say he has abandoned common sense, strong legal analysis and sound public policy. There is no question Insite is a controversial facility. The idea that governments and the health-care system implicitly inject themselves into an illegal activity - consumption of banned drugs - strikes many as wrong. But those who oppose the existence of Insite - where addicts are given a secure place to take drugs, such as heroin, with sterile needles - conveniently ignore a larger truth that underscores the need for places such as Insite. That would be the fact that our whole approach to illegal drugs - the so-called "war on drugs" - has been a complete, abject failure. To stick to the conventional method of dealing with drug addiction (i.e. prosecute addicts and do everything possible to deny them access to drugs) is a head-in-the-sand approach that is not only wrong but also dangerous. Addicts are sick people. Simply telling them to stop taking drugs is a useless approach. Some will engage in criminal activity, such as robbery, to find ways to pay for their drugs. As well, drug addiction is an illness and a medical condition. Not treating it as such - at the very least, ensuring addicts access to safe conditions when it comes to consuming the drugs their bodies now need - invites compounding the threat of an already potentially dangerous situation. Serious diseases such as HIV and hepatitis C can result from dirty needle use, and that threatens non-addicts (to say nothing of the fact that it adds even more costs to our already too-expensive health-care system). Renowned medical experts such as Dr. Gabor Mate (a staff physician at Insite), the province's chief medical health officer, Dr. Perry Kendall, and many others all agree that, from a medical and health standpoint, Insite makes complete sense. Even the B.C. Liberal government, a supposedly right-wing regime, supports Insite's continued existence. These positions are all rooted in evidence-based analysis. For example, the number of drug overdose deaths has declined remarkably, and so has drug-related crime in Insite's neighbourhood. Yet the Harper government continues to cling to the out-dated and unworkable notion that simply cracking down on addicts and "forcing" them to drop their habits is the best approach. This is an example of the occasional ideological extremism that critics of his government fear will come with increased regularity should it ever hold a majority position in government. Holding power in a minority Parliament provides significant checks on Harper's power to go too far in any particular position. He must pick his way carefully. Will we see other ideology-based changes to health policy should the Tories ever win a majority? Why cling to the failed policies of the past? Why not shed your ideological blinkers and embrace a proven success story such as Insite? All good questions, and all ones I would love to have posed to him when he was in Victoria. But he simply wasn't interested in talking to anyone. - --- MAP posted-by: Keith Brilhart