Bill C-2 (Historical)

Respect for Communities Act

An Act to amend the Controlled Drugs and Substances Act

This enactment amends the Controlled Drugs and Substances Act to, among other things,
(a) create a separate exemption regime for activities involving the use of a controlled substance or precursor that is obtained in a manner not authorized under this Act;
(b) specify the purposes for which an exemption may be granted for those activities; and
(c) set out the information that must be submitted to the Minister of Health before the Minister may consider an application for an exemption in relation to a supervised consumption site.

Respect for Communities Act

[Kevin Lamoureux, Liberal, Winnipeg North, MB]

Mr. Speaker, first let me straighten out one of the facts that I would dispute. If we take a look at health care expenditures today, we are spending more on national health care now than we have ever spent on health care. The reason is because of a health care accord agreement that obligates the government, by law, to continue to increase the financing of health care. It was the Jean Chrétien government that took away the tax point shift in favour of having cash up front, which ultimately saved the long-term health care cash contributions.

The Liberal Party of Canada has led the way in ensuring there would be cash in the purse when it came to distributing money so that we could guarantee to Canadians that they would have a first-class health care system. That is something of which I am very proud.

With regard to a safe site in Winnipeg, I am very much open to ideas that would enable taking drugs and the paraphernalia that comes with it off our community streets and out of our schools. If it could be concentrated through a safe site of some form, I would be open to it. More important, I believe many stakeholders in Winnipeg would also be open to it.

[Nathan Cullen, NDP, Skeena—Bulkley Valley, BC]

Mr. Speaker, I thank my friend from Winnipeg North for his comments and for seeing this effort for what it is.

This is not a health minister who is conducting an effort to make Canada a more healthy place or Canadians healthier people. This is a government that is rolling from one scandal to the next, looking to shore up the base and to fundraise off legislation that comes before Parliament, as if that is all Parliament was good for: some activity for the fundraisers across the way and for a government that has lost its way.

My question is quite specific. If the government is interested in having less crime and improving the health of Canadians, with regard to the one injection site we do have in the country, the current government spent hundreds of thousands of dollars, if not millions of dollars, of taxpayer money to sue all the way to the Supreme Court of Canada. The Supreme Court ruled against the government and its efforts to shut down a health initiative. The one site we have is supported by the police, the local municipalities, and the local voices who live there, knowing that it actually reduces harm. Why then would the Government of Canada, regardless of its political orientation, not be supportive of more of those projects, where they are deemed to fit, and where there is a problem, and where Canadians are asking for them?

When it comes to pipelines and other projects that it wants to push through, the government does not care about local voices. However, when it comes to safe injection sites, suddenly the public has a veto.

I wonder why the double standard exists. We all know why that is; it is ideology coming from the Conservatives.

[Kevin Lamoureux, Liberal, Winnipeg North, MB]

Mr. Speaker, once it is all said and done, we need to look at ways we can enrich our communities through solid social programming. Whether it is in Montreal, Toronto, Winnipeg, Edmonton, Vancouver, Halifax, or even smaller municipalities, there are social needs.

I am not suggesting for a moment that each of these communities needs to have a safe injection site. I am not suggesting that at all. We are saying that, as a national government, there is an obligation to work with different stakeholders in trying to make all of our communities safer and to have a cleaner environment, for our children and for everyone else.

When we are talking about strong social issues, such as heroin, cocaine, and whatever else it might be, a more proactive approach would be a positive thing.

[Lysane Blanchette-Lamothe, NDP, Pierrefonds—Dollard, QC]

Mr. Speaker, I am pleased to speak to the bill, but I think this is a sorry debate. This debate is clearly demonstrating that ideology conflicts with the facts.

Bill C-2 before us would amend the Controlled Drugs and Substances Act, which would prevent groups from setting up supervised injection sites and offering those services across the country.

I would like to talk about this issue in relation to what is currently going on in Quebec. I have here with me a report by the Agence de la santé et des services sociaux de Montréal. Quebec began addressing this issue over 13 years ago. For more than 13 years, health and social services professionals have been working on this, studying the issue, conducting pilot projects and consulting agencies to see how Quebec may or may not want to integrate services such as supervised injection sites. Quebec has been working hard on this and I am sure other parts of the country have as well.

In 2000, at the request of the department of health and social services, Quebec formed a cocaine addicts intervention committee. The committee's mandate was to come up with strategies to improve the quality of life of cocaine addicts. One year later, the committee recommended setting up a pilot project. As you can see, these consultations started quite some time ago.

In 2003, the same department mandated the Agence de la santé et des services sociaux de Montréal to conduct a feasibility study for setting up injection sites. The advisory committee made two proposals: first, a pilot project to create a drop-in centre and social integration services for injection drug users; and, second, consider adding a supervised injection site to existing services.

Experiments and consultations followed. It would be a shame if all this work of the past 13 years became increasingly difficult or was even tossed aside because of a bill that came out of nowhere and is based on Conservative ideology.

Institutions such as the Institut national de santé publique du Québec or the Coalition réduction des méfaits, which is made up of 32 community organizations, are involved in the process. The process takes into account expert opinions and what is happening in Quebec and the City of Montreal.

This is not a situation where you can barge in and do something on an impulse or because it is what a voter base is suggesting. This is serious. Here is how it works: there is a consultation and pilot projects are set up. That is a very important step. I think the Conservatives' approach should be modelled on this sort of process, which takes facts and expert opinions into account, shows compassion and reflects the differences in the communities affected.

This very important step could become obsolete, meaning that it could end up being pointless. The Conservatives' bill is undermining 13 years of consultations and meaningful work. It is unfortunate, and it is not something we should accept.

Le Devoir recently published an article about the reaction of stakeholders in Quebec to Bill C-2. I would like to share a quote from the article:

Cactus Montréal and public health director Dr. Richard Massé are concerned that their jobs will become more difficult. [Dr. Massé wondered] how much of a say minority groups will have in this bill. These services save lives. It is too early to say what will happen, but this appears to create some significant barriers, even though the Supreme Court clearly said that not providing these services was a violation of human rights.

Those involved in the process are concerned and are wondering whether this will make their jobs harder, and understandably so.

I am only naming those ones. However, all the experts who appeared before the committee spoke against this bill. There is no reason to believe that this bill would be beneficial for people's health. It is completely ironic that the Minister of Health would defend such a bill. Indeed, the Minister of Justice should be rising to defend his tough on crime agenda.

Frankly, the connection between Bill C-2 and health is not trivial; it is actually significant. For that reason we should vote against Bill C-2. If we really care about the health of Canadians, then, well, this bill is just plain wrong.

There is a supervised injection site in Vancouver and it is obviously effective. The evidence is there. There has been a 35% decrease in overdose deaths in Vancouver since this site opened. Furthermore, InSite has been shown to decrease crime, communicable disease infection rates and relapse rates for drug users.

This is what I am talking about. If we truly care about the health of Canadians, we must understand that this bill does not make any sense in terms of improving people's health. If the government really wants to help people stay healthy, it will make resources available to respond to their needs and to prevent crime, death and disease. It is high time we trusted the experts working on the ground when they speak in favour of or against such a bill.

I would like to draw the members' attention to a very concrete example involving another bill that I considered. This bill had a nice title and promised to fight elder abuse. In fact, it made only a small amendment to the Criminal Code, which might result in harsher sentences for crimes of elder abuse, although that is not a given. The NDP voted in favour of this bill and supported it.

However, we have to really look at the facts here. Temporary committees were created as part of the federal parliamentary process, and an all-party committee proposed some possible solutions, saying that intervention and prevention programs were needed to combat elder abuse. That is what we need to focus on if we really want to combat elder abuse. The bill was supposed to address elder abuse, and yet it made only one small amendment that would not really change anything in order to address this issue.

The same thing is happening here. An issue has been put on the table. However, if we really want to improve people's health, that is not the right direction to take.

I would like to talk about AJOI, an organization created on the West Island in Montreal to help at-risk street youth. First of all, people did not think that problem existed on the West Island. It took a long time for street youth at risk of becoming involved in crime to have access to this service. The project was created thanks to exceptional stakeholders, like Mr. Langevin, who believed in such projects. A number of stakeholders are now involved in the centre, which is well known in the community. This is the kind of project that really helps people.

Furthermore, the Centre Bienvenue provides supervised apartments for people with intellectual disabilities. That centre had to fight to exist. The neighbours did not want it in their community because they said it would increase crime and reduce property values. Ultimately, after speaking with and consulting their neighbours, the Centre Bienvenue officials convinced them and informed them of the reality of the situation. Thanks to that work in the community, people now have such a centre to turn to.

Here is what the Conservatives should do: instead of responding to people's fears and spreading false information, they should educate people about the benefits of supervised injection sites and forge ahead by reassuring Canadians. That would be the right thing to do for Canadians.

[Guy Caron, NDP, Rimouski-Neigette—Témiscouata—Les Basques, QC]

Mr. Speaker, I have heard many arguments, including those of my colleague. What strikes me is the extremely narrow-minded view that the Conservative members and their government have on this issue. No one in the House wants to encourage drug use, but we cannot ignore reality. People with drug addiction issues are better off when they are surrounded by the centre's staff rather than being forced into back alleys. I would like to hear my colleague's thoughts on the huge gap between the Conservative government's position and that of both the opposition members and medical experts, who are concerned about the bill and who are saying that these types of centres need to exist if we want to truly tackle the problem.

[Lysane Blanchette-Lamothe, NDP, Pierrefonds—Dollard, QC]

Mr. Speaker, I would like to thank my colleague for his question.

When the Conservatives ask us to support Bill C-2 in order to keep heroin out of our back yards, it shows just how out of touch with reality they really are. Safe injection sites do not bring heroin into your neighbourhood. This is not a question of wanting to keep heroin out of our neighbourhoods, but of how it can be controlled. Do we want people on the street, unsupervised, without access to help or services? Or do we want them supervised, with access to services?

They are there anyway. They are not going to disappear. The problems are not going to disappear. We need to ask ourselves how we can offer services in order to address the problem. Minimum sentences are not always the answer. They do not reduce crime. We know that. There is proof from around the world. Intervention and prevention are what truly fight crime and improve quality of life.

[Steven Fletcher, Conservative, Charleswood—St. James—Assiniboia, MB]

Mr. Speaker, it strikes me that these supervised injection sites make the people involved almost complicit in the drug addiction. Why not have these people pursue other methods of rehab? There are other ways to get off the drug addiction. We need to be aggressive with those methods.

Saying that it is okay to inject oneself at any time is sending the wrong message. They would have to do it 100% of the time for it to reduce the harm. I would be very surprised if drug users actually use the facility 100% of the time.

[Lysane Blanchette-Lamothe, NDP, Pierrefonds—Dollard, QC]

Mr. Speaker, I want to thank the hon. member for sharing his opinions and concerns with us. We can indeed share our opinions in the House of Commons.

However, I wonder how the hon. member's opinion stacks up against that of all the doctors, all the associations and all the community groups, the people involved in the everyday aspects of this issue. I am not claiming to be better than him. My opinion is probably as good as any other, but we are not debating opinions here. We have facts. The fact is that these sites reduce drug use, crime and the spread of disease. Let us stop fearmongering, as the hon. member does when he says he fears this or gets the impression that. Let us listen to our experts. I would like to ask my colleague what he is saying to Quebec, which has made serious efforts together with health experts and stakeholders to deal with this for the past 13 years. Can his opinion or fears throw away 13 years of work or sabotage those efforts?

I think we need to ask questions in the right order and start looking at the facts and respecting the work that has been done by the communities, the provinces and health services agencies.

[Guy Caron, NDP, Rimouski-Neigette—Témiscouata—Les Basques, QC]

Mr. Speaker, it is no secret: the Conservatives' Bill C-2 is the product of this government's opposition to the decision by the Supreme Court, which found that the government should uphold the exemption that allows Vancouver's supervised injection site, InSite, to remain open.

InSite is North America's first and only legal supervised injection site. It seems obvious that despite the many people speaking in favour of opening at least three more sites elsewhere in Canada—in Toronto and Ottawa in particular—Bill C-2 is simply meant to create obstacles for anyone wishing to undertake such initiatives.

Even the Canadian Medical Association said in its press release that it “is deeply concerned that the proposed legislation may be creating unnecessary obstacles and burdens that could ultimately deter creation of more injection sites”.

The Supreme Court, medical community experts and street workers all agree that this type of approach “is a central pillar in a comprehensive public health approach to disease prevention and health promotion”.

In its decision, the Supreme Court ruled that the evidence indicated that a supervised injection site will decrease the risk of death and disease, and where there is little or no evidence that it will have a negative impact on public safety, the minister should generally grant an exemption.

The Conservatives have managed to inflate statistics on crime, repeat offenders and abortion, and are simply continuing to impose their political and moral agenda and ignoring all the evidence and trends before them.

These situations show the problems associated with cuts to statistical and psychosocial studies, the collection and analysis of information and the social sciences in general. This results in decisions being made solely on the basis of beliefs and prejudices, not facts.

A number of groups believe that this bill is irresponsible. The Canadian HIV/AIDS Legal Network and the Canadian Drug Policy Coalition issued a joint news release, and had this to say about Bill C-2:

The bill is an irresponsible initiative that ignores both the extensive evidence that such health services are needed and effective, and the human rights of Canadians with addictions. In essence, the bill seeks to create multiple additional hurdles that providers of health services must overcome.

The bill imposes about twenty conditions that must be met in order to obtain an exemption under the Controlled Drugs and Substances Act, especially with respect to the consultation of experts and groups. Proponents of the project would be solely responsible for fulfilling the requirements for consultations with government and community stakeholders.

The irony is that when InSite was being established in 2003, the Mayor of Vancouver claimed the following:

[It] was launched after extensive dialogue in the local area, and with thorough city-wide debate, and its programming continues to be shaped with ongoing input from nearby residents, businesses, and service organizations.

This bill is based entirely on bad faith and stereotypes and has been promoted through a fearmongering campaign. The very day the previous bill, Bill C-65, was introduced, the government began a shock advertising campaign entitled “Keep heroin out of our backyards”. The campaign speaks out against supervised injection sites in utter disregard for all the scientific arguments, statistics and research that managed to convince every judge who sits on the highest court in the country.

On the campaign site, it reads:

Yet, as I write this, special interests are trying to open up these supervised drug consumption sites in cities and towns across Canada—over the objections of local residents and law enforcement....Add your name if you demand a say before a supervised drug consumption site is opened close to your family.

The government did a good job of scaring people.

This campaign was strongly criticized by organizations including the Canadian Drug Policy Coalition, which felt that the Conservatives' initiative was clearly:

...an attempt to stir up opposition to these life-saving services and to the people who use these services.

The coalition also criticized the language used in the campaign, which directly targets families by calling into question the safety of their loved ones.

That is irresponsible and dishonest. InSite is not located in a residential neighbourhood right next door to an elementary school. It is located in one of the poorest and most violent neighbourhoods in Canada, Vancouver's Downtown Eastside.

Many experts testified in committee about the benefits this centre has brought into the lives of those who use it and the positive impact it has had on their environment. I would like to quote Ahmed Bayoumi, a doctor and researcher who continues to fight for the establishment of other supervised injection sites. He had this to say about InSite:

[InSite] has been associated with a reduction in public injecting, no increase in drug-related loitering or drug dealing, no changes in crime rates, no evidence of increased relapse among people who had stopped injecting drugs, and decreased fatal overdose in neighbourhoods near Insite. Among people who used the facility, there was an observed increased rate of referrals for drug treatment and a decreased rate of sharing of injection equipment.

Needless to say, there was no shortage of reactions when this bill was introduced, and those reactions were not really complimentary to the government.

Let us begin with the Supreme Court, which in its September 29, 2011 ruling basically accused the government of acting in an arbitrary manner and overestimating the risk associated with these types of facilities as compared to the positive effects they can have. According to the Supreme Court:

According to the Supreme Court, applying the Controlled Drugs and Substances Act to InSite was:

...arbitrary, undermining the very purposes of the CDSA, which include public health and safety. It is also grossly disproportionate: the potential denial of health services and the correlative increase in the risk of death and disease to injection drug users outweigh any benefit that might be derived from maintaining an absolute prohibition on possession of illegal drugs on Insite’s premises.

Along the same lines, Dr. Bayoumi had this to say about Bill C-2:

...sets up barriers and puts in place opaque mechanisms that could lead to narrow perspectives dominating the decision. It is a step backwards for informed health policy decision making.

In a press release issued in response to Bill C-2, which was Bill C-65 at the time, the Canadian Medical Association stated that this bill:

...is founded upon ideology that seeks to hinder initiatives to mitigate the very real challenges and great personal harm caused by drug abuse.

In fact, even Vancouver's Mayor Robertson defended the centre, saying he considers it a key resource and part of any good public health policy. He concluded his press release by saying:

Especially in light of the Supreme Court’s affirmation of the program’s proven ability to prevent overdose deaths and the spread of disease, I am strongly opposed to any legislative or regulatory changes which would impede Insite’s successful operations.

In the way it has managed this issue, the Conservative government has demonstrated its utter contempt for the Supreme Court, which had to act as a counterbalance to the government's ideological policies.

The Conservatives never hesitate to lower the standard of debate around real arguments in order to spew rhetoric or propose strategies simply to achieve their own ends.

This is not only appalling, but unworthy of someone who is supposed to carry the responsibilities of the Minister of Health.

This government is ignoring the Supreme Court's clear, unanimous decision by introducing a bill that distorts the nature of the rationale given by the judges.

Using our role as legislators in this way is unacceptable and proves only one thing: the Conservatives will do anything to achieve their own ends.

In his book on the Prime Minister and his model of governance, author Christian Nadeau said something that rang very true and still holds true today: the Prime Minister is giving himself four years to:

...overhaul the country's institutions so that the Conservatives have the maximum possible room to manoeuvre in terms of citizens’ rights and security, freedom of conscience and social justice...

When we are dealing with supervised injection sites, we should be listening to and supporting the experts and the people on the front lines, the people who work with drug addicts every day. We should take their advice.

The government has no scientific studies to back its claims. Sites like these are not there to encourage drug use. Far from it. It has been proven that these kinds of sites can help decrease drug use and addiction. If we keep these people underground, how will street outreach workers and health care experts be able to help the addicts who want help?

These kinds of sites bring addicts out of hiding so that we can make contact with them, provide support and eventually help them rebuild their lives.

I urge the government to rethink its approach. I urge them to withdraw Bill C-2 because the official opposition will clearly be voting against this bill at all stages.

In my opinion, this bill will do some very serious damage to the fight against drug addiction.

[Lysane Blanchette-Lamothe, NDP, Pierrefonds—Dollard, QC]

Mr. Speaker, I thank my colleague for his well-informed speech. He must have named more than 10 stakeholders, individuals, associations and groups in this area that are opposed to this bill. That shows just how outraged experts are about Bill C-2 and the government's plan.

I would like to know what my colleague thinks about property values, which a parliamentary secretary mentioned during this debate. She is concerned that opening a supervised injection site will lower property values in the surrounding neighbourhood. I understand that. However, I think that that reasoning would lead us to close all prisons, all assisted living facilities, and so on. Do we want to stop providing all services that could bother the neighbours? Should we not try to combat these kinds of prejudices to reach some kind of social consensus so that we can provide these services?

[Guy Caron, NDP, Rimouski-Neigette—Témiscouata—Les Basques, QC]

Mr. Speaker, that quote from the parliamentary secretary in question was quite unfortunate. This issue should not be political or even economic, as she presented it—it is a public health issue. The mayor of Vancouver, Mr. Robertson, is well aware of this problem in his city, in his community. He is smart enough to see that sites like InSite, for example, are there to reduce risks not just for users, but also for the community. Driving drug users into hiding does not make communities safer.

I do not necessarily want to talk about property values, because that has absolutely nothing to do with this debate. What is needed right now is to reduce the harm caused by drug use, to reach people where they are, to give them a place where they can feel safe, and to perhaps help those who are desperately trying to turn their lives around and who need this type of assistance. That is the approach we should take to studying this problem, rather than considering it from an economic perspective focused on property values or making it into a political issue, as the Conservative government is doing with its advertising campaign.

[Steven Fletcher, Conservative, Charleswood—St. James—Assiniboia, MB]

Mr. Speaker, I would like to comment on the previous member's comments about property values. I am sure she did not mean to say that people with disabilities living in neighbourhoods would reduce property values. It may have been the translation. I am sure it was. I know she would not say something like that.

With regard to harm reduction, we have seen that there is a strong demand from people across the country who do not want this to happen, particularly in their neighbourhoods. The opposition complains about Conservatives fundraising on the issue. If people did not care, they would not send their money to support the government bringing in the legislation to stop these kinds of heroin dens being created. People do not want this type of help for addicts. They want different kinds of help for addicts.

[Guy Caron, NDP, Rimouski-Neigette—Témiscouata—Les Basques, QC]

I find that unfortunate. The language used by the Conservative Party in its advertising is not intended to calm fears, but rather to exacerbate them. It is obvious that drug issue is still taboo in our society. People are instinctively afraid of the issue and afraid to address it. The government should be in a position to understand the actual risks to the community and use the facts and statistics pertinent to this issue. These sites in no way jeopardize the communities where they operate. Rather, they are set up in the communities and neighbourhoods that need them the most.

Clearly, the firearms registry was not enough for the Conservative government. It lost that fundraising tool, and therefore needs to find others. The government now wants to turn this very serious problem into a political issue to make it easier to find funding.

The findings are clear, especially those of doctors and street workers: supervised injection sites, as they are known, reduce risks not only for drug users, but also for the communities and areas where they are located.

[Mike Sullivan, NDP, York South—Weston, ON]

Mr. Speaker, I am pleased to rise today to speak to the bill, which was formerly Bill C-65 and is now Bill C-2.

The bill is on something about respect for communities, but that is not really what is going on here. It is an attempt to undermine a Supreme Court decision by putting in rules and regulations, which the Supreme Court has asked the government to do, that would make it virtually impossible to actually abide by the Supreme Court decision, which says that these places should be permitted to exist.

Once again, we have a government that ignores facts, statistics, and evidence. This is a government, do not forget, that wanted to eliminate evidence by closing down such things as the long form census and the Experimental Lakes Area. The Conservatives do want there to be evidence. They do not want Canadians to know what they are up to by there being evidence of what might happen.

We have a government that acts, time and again, in opposition to evidence-based decision-making. It acts in opposition to science-based decision-making. It acts in opposition to decision-making that is for the public good. Instead, its actions seem to be knee-jerk reactions that give the Conservatives opportunities to raise money to get elected and to continue this practice of doing things that are not in the interest of the public.

This is yet another example of an action by a government that is attempting to raise alarm bells for citizens about what might or might not happen in their neighbourhoods.

So far, only three communities I am aware of have actually asked for the authority the bill would grant, albeit without going through some pretty steep hoops. They are Toronto, Vancouver, and Ottawa.

My riding is in Toronto, in one of the most disadvantaged neighbourhoods in Ontario. It is against that context that I want to talk about why it is the NDP believes that the bill is completely wrong-headed. In fact, the bill would be defying the Supreme Court ruling.

The Supreme Court ruling directed the government to come up with mechanisms to allow these things to happen. Instead, we are getting a bill that would make it well-nigh impossible for a community, a public health agency, doctors, and respected members of a community to actually put in place a safe injection site where public harm and harm to individuals would be reduced.

If the Conservatives are opposed to reducing harm, why are they in government? The whole point of us being here is to try to reduce harm. However, the bill would actually increase it in places where we should be trying to reduce it.

The government has taken its cue, based on the questions I have been hearing so far today, from the notion that people do not want one of those things in their neighbourhood. Well, I walk in the park in my neighbourhood. It is a big, beautiful park on the banks of the Humber River, and there are needles in that park from drug users who have not had a safe place to inject, and therefore they litter the ground. One cannot walk safely in my little park, because there is no place for harm reduction in my neighbourhood. There is no harm reduction place where people can go to inject the drugs safely.

An addiction is recognized by medical authorities, the public, insurance companies, and even the reputable sources of disability recognition as, in fact, a disability, not a crime. It is not something to be looked down upon. We need to find ways to help individuals who have addictions.

One way to help these individuals, which has been successfully promoted in Vancouver, is a safe injection site. It is a place where it has been found that harm is reduced for the public, both the individuals who are addicted and the public at large, by providing them with a place they can go to safely inject themselves with what we otherwise understand are dangerous drugs.

We would all love it if these things did not exist, but they do exist. They exist in a manner in which the outcome of the use of these drugs in unsupervised ways, in unsafe ways, has led to significant increases in other diseases, such as HIV and hepatitis C. Who is going to look after those individuals when those diseases get the better of them? Those diseases will eventually get the better of those individuals, and it is the public, not the individuals themselves, that will pay for their health care.

We are dealing with a government that is preaching about the government having to watch every penny. Here is a situation in which the taxpayer, which Conservatives claim to be on the side of, will end up paying more because of this shortsighted bill. The taxpayer will have to look after the individuals who eventually come to hospitals and medical facilities as a result of diseases we could have prevented and limited had we been dealing with them in a more proactive way early on, when these individuals started to inject themselves unsafely.

We should be doing more to try to deal with the addictions themselves. As we have seen in the press very recently, in a big and public way, addictions are a real problem for individuals in my city. One of the first things that happens to addicts is that they deny it. They do not have a problem.

I was a union representative for many years, and many were the individuals who claimed they had no problem. Some we were able to help. Some got treatment. Others did not, and unfortunately, they became a burden to the health system first, and then, in some cases, they passed away. Those individuals were a burden on society, not because they were not able to get the help they needed but because they denied that they had that problem in the first place.

The same is going to be true of individuals who are seeking help at the safe injection sites. Some of them do not believe they have a problem. How are we going to convince them to get help unless we lead them to the help? That is part of what the safe injection sites do. They provide a safe place where addicts can get counselling and where they can get attention from nurses and doctors. They can therefore be exposed to the help to get them free from their addictions.

That kind of thing is being asked for by the City of Toronto as part of its request to the federal government. In fact, the City of Toronto will be speaking on this matter when the bill goes to committee, because it has recommended that the Board of Health make a submission to the federal government to register its opposition to Bill C-65. This is a recommendation from the medical officer of health of Toronto, by the way. It will also recommend the development of a more feasible CDSA exemption application process for supervised injection services, in consultation with relevant provincial public health, public safety, and community stakeholders, including people who use drugs.

The Board of Health urges the provincial government to fund the integration of supervised injection services on a pilot basis, but they cannot do that if the federal government will not give its permission. That is what we are up against. We are up against a government that, as evidenced by the questions I have been hearing so far, is fundamentally opposed to the existence of these things anywhere. It has put into the bill such blockades or walls to get over that it will be virtually impossible for any of the cities in our country to create a supervised injection site with permission from the government.

[François Lapointe, NDP, Montmagny—L'Islet—Kamouraska—Rivière-du-Loup, QC]

Mr. Speaker, I want to thank my colleague for his speech, which was well thought out and not blinded by ideological arguments, like those made by the people across the way. Once again, this is a public health issue.

There is one aspect that I can relate to. I used to have the pleasure of doing business in neighbourhoods such as Mile End in Montreal and in very densely populated neighbourhoods on the Island of Montreal. I remember that there were some parks that were designed for young children. The parks had slides and teeter-totters. However, on days when I was in the neighbourhood, I could not leave my son, who may have been five at the time, alone and unsupervised barely three feet away from me because far too often there were needles near the bushes or play structures. That is the real problem. That is what is prompting community groups and entire neighbourhoods, including doctors and police officers, to come together and say that it would be better if they geared their approach to the people who are struggling with the misfortune of being hard drug users.

It is rather hypocritical of this government to not want see this reality. I would like my colleague to say a few words about this completely hypocritical aspect of refusing to see the truth and listen to the facts.