44th Parl. 1st Sess.
May 18, 2023 10:00AM
- May/18/23 11:16:34 a.m.
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Mr. Speaker, first, I would like to note that I will share my speaking time with my passionate, interesting and capable colleague from Longueuil—Saint-Hubert.
Talking about drugs and their repercussions is not an easy topic for me. It is not easy because I quickly become emotional. When I do not want to be emotional, I get into data and statistics, so I distance the heart from the head. It is not easy because there are people from my past who will no longer be in my present or my future. Yes, it is a topic that is important to me. I need to find a middle ground in all this. Clearly, this morning, I did not find it, but it will be fine.
A full picture of the situation is needed to be able to act properly. The purpose of pilot projects is to obtain data, among other things. The opioid crisis is not a partisan issue or an issue that should become partisan. It is not the type of issue where the terms “me” or “my party” can be used. It is the type of issue that requires phrases like: “together, we succeeded”.
I will briefly recap the data reported in the media while adding a few caveats and stating the purpose of pilot projects and safe supply programs.
The date included in the Conservative Party's motion are true. I will not review them all. The opioid crisis kills 20 people per day.
Since 2016, over 34,000 people have died. Almost all the deaths were accidental. These are people who were supplied by the black market with products that those people did not even know contained fentanyl. In 88% of cases, the deaths involved adults aged 20 to 59, people in the prime of life.
Prior to the pandemic, 10 people per day died of an opioid overdose. That increase may be the result of mental health problems that were exacerbated by the distress experienced during the pandemic.
I heard my Conservative colleagues say that the pandemic has passed. Just because the pandemic has passed does not mean the distress has passed. Just because the pandemic has passed does not mean the addiction has passed.
In the media, it was noted that people were taking hydromorphone to sell it and then buy fentanyl on the black market. Are all hydromorphone users doing that? The answer is no. How many are reselling hydromorphone? We still do not know. I hope it will be possible to find out through the pilot projects and the data collected.
The black market exists because people cannot access something legally, no matter what it is. However, on the black market, it is impossible to control either the amount or quality of drug hits. That is the main problem.
People who become addicted leave the health care system, even if they can function day-to-day. These people quietly leave the system because they will not tell their physicians that they have an addiction and need help. It is a minority who will do this. The system needs to reach these people. How can they be reached? It is by seeking them out where they get their supplies.
Since these products are unfortunately addictive, one way to ensure the health of these people is to give them the opportunity to access products that are controlled in quantity and quality. When they come to pick up these products, there are people there who will listen to them, hear them and learn about their struggles, find out where they come from and quietly try to sort things out. It may take a very long time to overcome an addiction. Some never manage to do so.
Unfortunately, the Conservative motion does not mention the services provided by the pilot projects. These include medical care, mental health support, medical support regarding sexually transmitted and blood-borne infections, employment assistance, and housing assistance. These projects have a holistic and broad vision of the needs of people who are addicted. Their addiction did not just happen, all of a sudden. Something happened.
All these activities within the pilot projects and all these interventions must be based on understanding and openness, not judgment or punishment. We have to consider where the person is at. How did they get there? How can we help them? We need to unravel the knots in the addicted person’s mind.
The Conservative motion does not refer to the fact that, so far, participants who are actually involved in these programs have had many beneficial effects, such as improved health, well-being and quality of life; a lower risk of overdose and reduced use of street drugs, which are inherently dangerous; a willingness to deal with health issues related to their situation; having more energy and being more active; and having more time in their lives. These are all important factors. They are more engaged with themselves. Lastly, these people re-engage not only in their own lives, but in their own societies. Will they be cured for life? Maybe or maybe not, but they do get on the path to recovery.
Drug use is a public health and public safety issue. We must keep in mind that there is no single, simple solution. No single department is responsible. It is everyone’s business.
Interventions must be based on evidence-based best practices and seek to protect the health and dignity of individuals. Dignity is one of the most important factors in the process. It is amazing how the behaviour of people with addictions can be affected by the gaze of others. It is amazing how they are affected by their own gaze, when they look in the mirror and see how much they have deteriorated, destroyed from within. They know it.
They need help in dealing with that, in accepting and seeing the best in themselves. They should not be judged, not be ostracized and, above all, not be allowed to return to the black market with its uncontrolled hits.
Quebec has a strategy comprising seven areas for action that intersect with the interdepartmental action plan: information and awareness; overdose prevention and harm reduction; public policy and regulation; vigilance and monitoring; evaluation, research and training; addiction treatment; and pain treatment.
Those seven areas can be broken down into 15 measures that will consolidate and enhance access to naloxone as well as consolidate and expand the offer of substance use services. The goal is to protect people, even from themselves.
By developing safer supply practices, drug hits can be controlled, as I said before, in terms of quantity and quality. Most importantly, stakeholders are opening the door to recovery for people with addictions by giving them access to support services that would be inaccessible without the pilot projects. Is that perfect? No. Services are overwhelmed by the magnitude of the crisis, hence the importance of better and larger health transfers.
In short, the current crisis needs to be taken seriously. We must listen to stakeholders and develop a holistic vision to help people with addictions while cracking down on black market criminals. Above all, we must stop stigmatizing mental illnesses. The Conservative motion is throwing out the baby with the bathwater. I would rather keep the baby and raise it right.
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- May/18/23 11:27:28 a.m.
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Mr. Speaker, when we see someone who appears to be in crisis because they have been using or because they are having mental health issues, we need to see the human being behind that behaviour, not judge them. That is another goal of these pilot projects. That is important.
Sometimes people have hurts and hang-ups that explain the situation they are in now. We need to support them, help them, not judge them.
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- May/18/23 11:29:19 a.m.
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Yes, Mr. Speaker, those services are essential. There are functioning addicts, people who have housing but are at risk of losing it if their addiction gets worse. They need support.
They may be addicted because of pain. That pain, be it physical or psychological, needs to be managed. Sometimes people need help to learn how to manage their pain and live with it. Those services are essential, and better funding is urgently needed.
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- May/18/23 11:30:33 a.m.
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Mr. Speaker, the level of investment over the past few decades has been disappointingly low, but, as I said at the beginning of my speech, at this point, we have to say we have succeeded, we are aware of the problem and we are aware of the solutions.
After all, when we invest in housing, health and mental health, we are investing in the economy, because when these people are adequately housed and their basic needs are met, they manage to make something of themselves and get back into the labour market, or at least into society, to contribute in their own way. These investments are not losses. They make our society more beautiful.
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- May/18/23 12:43:39 p.m.
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Madam Speaker, I will seize on what my colleague just read. I believe it is important to have a holistic and comprehensive view of the situation in order to support people with addictions and help them find a way out, while ensuring that we undercut the black market and resellers.
I would like my colleague's opinion about the importance of investing in mental health and support for people with addictions and making investments to deal with the black market.
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- May/18/23 3:56:16 p.m.
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Mr. Speaker, on the motion that we are debating today, I get the impression that no one is budging from their position.
When I was teaching I used a book as an analogy. If I describe a cover and the person across from me describes the other cover, we will not have the same description. However, in the end, what matters are the pages between those two covers. Here, the objective is to find and implement everything we can to help people who have an addiction, whether that is services, protected sites or safe supply.
I would like my colleague to talk about the importance of health transfers for ensuring adequate service delivery to people who are addicted.
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