Respect for Communities Act

An Act to amend the Controlled Drugs and Substances Act

This bill was last introduced in the 41st Parliament, 2nd Session, which ended in August 2015.

Sponsor

Rona Ambrose  Conservative

Status

This bill has received Royal Assent and is now law.

Summary

This is from the published bill. The Library of Parliament often publishes better independent summaries.

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.

Elsewhere

All sorts of information on this bill is available at LEGISinfo, an excellent resource from the Library of Parliament. You can also read the full text of the bill.

Votes

March 23, 2015 Passed That the Bill be now read a third time and do pass.
March 9, 2015 Passed That Bill C-2, An Act to amend the Controlled Drugs and Substances Act, be concurred in at report stage.
Feb. 26, 2015 Passed That, in relation to Bill C-2, An Act to amend the Controlled Drugs and Substances Act, not more than one further sitting day shall be allotted to the consideration at report stage of the Bill and one sitting day shall be allotted to the consideration at third reading stage of the said Bill; and That, 15 minutes before the expiry of the time provided for Government Orders on the day allotted to the consideration at report stage and on the day allotted to the consideration at third reading stage of the said Bill, any proceedings before the House shall be interrupted, if required for the purpose of this Order, and in turn every question necessary for the disposal of the stage of the Bill then under consideration shall be put forthwith and successively without further debate or amendment.
June 19, 2014 Passed That the Bill be now read a second time and referred to the Standing Committee on Public Safety and National Security.
June 18, 2014 Passed That this question be now put.
June 17, 2014 Passed That, in relation to Bill C-2, An Act to amend the Controlled Drugs and Substances Act, not more than five further hours shall be allotted to the consideration at second reading stage of the Bill; and that, at the expiry of the five hours provided for the consideration at second reading stage of the said Bill, any proceedings before the House shall be interrupted, if required for the purpose of this Order, and, in turn, every question necessary for the disposal of the said stage of the Bill shall be put forthwith and successively, without further debate or amendment.
Nov. 26, 2013 Failed That the motion be amended by deleting all the words after the word “That” and substituting the following: “this house decline to give second reading to Bill C-2, an Act to amend the Controlled Drugs and Substances Act, because it: ( a) fails to reflect the dual purposes of the Controlled Drugs and Substances Act (CDSA) to maintain and promote both public health and public safety; ( b) runs counter to the Supreme Court of Canada's decision in Canada v. PHS Community Services Society, which states that a Minister should generally grant an exemption when there is proof that a supervised injection site will decrease the risk of death and disease, and when there is little or no evidence that it will have a negative impact on public safety; ( c) establishes onerous requirements for applicants that will create unjustified barriers for the establishment of safe injection sites, which are proven to save lives and increase health outcomes; and ( d) further advances the Minister's political tactics to divide communities and use the issue of supervised injection sites for political gain, in place of respecting the advice and opinion of public health experts.”.

Respect for Communities ActGovernment Orders

November 21st, 2013 / 10:55 a.m.
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NDP

Denis Blanchette NDP Louis-Hébert, QC

Mr. Speaker, I have the pleasure today to talk about Bill C-2, An Act to amend the Controlled Drugs and Substances Act. What we are actually discussing is supervised injection sites.

Do we live in a perfect world? In a perfect world, everyone is well educated, everyone lives well, everyone is happy and everything is fine. The reality, however, is that we do not live in a perfect world. Children do not to go to school as much as we would wish, people do not necessarily have the job they want, and in many cases, basic needs are not met. Unfortunately, some people descend into the hell of drug use.

Once that happens, and we find that people are descending into the hell of drug use generation after generation, what do we do? What do we do as a society? The bill compels us to ask that question. As a society, what do we do when the issue arises? How do we respond in a civilized and effective manner? This is important. Everything depends on it.

The bill is a response by the government to a 2011 Supreme Court decision. The court based its decision on fundamental principles of our society, namely the right to life, liberty and security of the person. I am not talking just about those living in the hell of drug use, but also about those who may be exposed to it indirectly or by misfortune. This is where we get to the crux of the issue.

A supervised injection site reduces the risk of death and disease. Public safety must also be taken into account, of course. This cannot be done just anyhow and anywhere. Such things must be regulated. Reducing the number of needle-borne diseases like hepatitis C or HIV, and reducing the number of overdoses, is no small thing. We know that supervised injection sites make results like this possible.

Our deliberations should be based essentially on the public interest. What do we mean by “the public interest”? Some demagogues will say that the NDP is just defending drug users, but that is not the case. The NDP wants to make sure that harm is reduced to a minimum and that as many people as possible can overcome their problems. That is what “the public interest” means. We do not want children and young people falling into that world. If they are caught up in it, we want them to get out as quickly as possible, so that they can make a positive contribution to society.

We cannot think that someone who has succumbed to drug use once or twice will never do anything worthwhile in life. We cannot think that way. We must be able to give such people a chance, so that they have a real opportunity to make something of their lives. The reason they turned to drugs in the first place is that they saw no way out, no opportunity. They did not think they had the resources to achieve some level of happiness.

To get back to supervised injection sites, if we think about it seriously, the concept for such sites is primarily one of a front-line health care service.

Let me explain. To take the Vancouver example: nurses and paramedics supervise activities. People using the injection site are assessed. They can also be treated if things go wrong. Detoxification services are available nearby. It is easier to reach addicts, and offer them a way out. In our society, it is not possible for workers to go into the streets and go up to people one by one and tell them that services are available and they are invited to make use of them. That is not how it works; we do not have the resources to do it. By bringing them into a safe place where they do as little harm to themselves as possible, and where they can then be offered a way out, I believe we are working in the public interest.

I would like to give an example of something that upsets parents. They believe it is unacceptable to find used syringes in the parks in some cities. As parents, we do not like finding traces of drug use scattered about where children may go to play. Nobody wants that. By moving the activity to a site, getting people to do it safely, concentrating our health care resources—which, as we know, are hard-pressed—and optimizing our health care services through this kind of response, I believe we are working in the public interest. We are thus able to offer a better society to many people, both those who are living through the hell of drug use, and people to whom the children should not be exposed unnecessarily. There are enough bad examples in our society. We do not need more, we need fewer.

That is why I fail to understand some aspects of this legislation. The application process for setting up such sites and the increased complexity may discourage more than one community from trying to take responsibility and resolve or at least address the problem. There is no magic remedy, but if we add to the paperwork, the requirements and so on, are we working in the public interest? Is that not, rather, a much more ideological position? Basically, they want to see no evil, they want to be repressive and hope that it solves the problem, but history tells us that such a strategy will never really succeed.

When they tried to prohibit alcohol nearly a century ago, we saw what happened and how people reacted. I do not mean that we have to put up with people injecting just anything, but in this 21st century, we should have 21st-century solutions. We should provide care based on the knowledge we have acquired about how to treat people. First and foremost, the debate should be about the public interest, and I call upon all parliamentarians present to think about the debate on the basis of the public interest.

Respect for Communities ActGovernment Orders

November 21st, 2013 / 10:50 a.m.
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NDP

Linda Duncan NDP Edmonton Strathcona, AB

Mr. Speaker, I would like to thank the hon. member for his speech on Bill C-2. It is very important that all members of the House stand up and be counted on the bill, which essentially is thumbing its nose at the Supreme Court of Canada.

As my colleagues have previously said in the House, we have this repetition of a policy of the government ignoring the Supreme Court of Canada. We saw it with the Wheat Board, we saw it with endangered species, and now we are seeing it with a critical health matter dealing with people's unfortunate addiction to drugs. What is particularly reprehensible is that, in reading the bill, we see that its clear intent is to prevent the establishment of any further drug injection sites. That runs directly contrary to what Chief Justice Beverley McLachlin said in the Supreme Court ruling, which was:

Where, as here, a supervised injection site will decrease the risk of death and disease, and there is little or no evidence that it will have a negative impact on public safety, the Minister should generally grant an exemption.

I wonder if the hon. member could speak to that and speak to the calibre of intervenors in that Supreme Court case, showing the strong support from the medical establishment in favour of supporting injection sites.

Respect for Communities ActGovernment Orders

November 21st, 2013 / 10:40 a.m.
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NDP

Pierre-Luc Dusseault NDP Sherbrooke, QC

Mr. Speaker, I am pleased to rise today on behalf of Sherbrookers to speak to this very important issue for all Canadians.

Bill C-2 is a thinly veiled attempt by the Conservatives to prevent supervised injection sites from being set up, or continuing their operations. There is currently only one such site in Canada. This is a thinly veiled manoeuvre to oppose this kind of supervised injection site.

Several scientific studies conducted by researchers have demonstrated the benefits of such sites, where people can go and inject drugs safely. Otherwise, they would do it in the streets of our communities.

The Conservative logic in all this is quite impressive and baffling. The Conservatives say that having supervised injection sites would result in more drugs on our streets. However, precisely the opposite is true, and studies have documented and demonstrated that on many occasions.

We of course cite the example of Vancouver East, the only place where a supervised injection site is located. It was ultimately observed that this produced benefits for the entire community. Needles, or everything people use to take drugs, ultimately wind up in supervised locations instead of in parks and public places, where they endanger neighbourhood residents.

You have children, Mr. Speaker. I do not for the moment, but I am sure you would prefer that those needles be left in safe places and disposed of safely rather than have your children walk around in a park or on the street and possibly find dirty needles, with all the danger that entails. You would prefer, as I do, that experienced people dispose of those needles safely. They know how that works and they can also help people who are addicted to certain drugs.

These sites therefore have clear and obvious benefits. It is unfortunate that the government is using this bill to put up all possible barriers to any future establishment of other injection facilities elsewhere in Canada. The obstacles are enormous, with conditions that are just about impossible to meet. To open a facility, 30 requirements must be met.

As I said earlier, the government’s thinly disguised objective with this bill is to stop other facilities from opening and prevent the one that already exists from continuing to operate.

It is sad to see the Conservatives using this for partisan purposes and even in order to raise funds. A few hours after introducing the bill in the House, they sent an email to their members, their supporters and the people on their email lists to tell them that the Conservatives would be protecting communities better, and then they asked for money from their supporters, with Bill C-2.

It is very obvious that they are using this issue to collect funds. They want to paint themselves as the great defenders of safety in our communities, while all the studies are showing exactly the opposite: that it is safer to have supervised injection sites.

In addition, it is important to mention that 80% of the people in Vancouver East support the supervised injection site. The Conservatives are saying that the whole community is in danger, that the people are against it, that it cannot be left open and that it must be closed as quickly as possible, while 80% of the people in Vancouver East are in favour of this supervised injection site. I do not understand why the Conservatives are saying that the centre is dangerous, it has to be closed, and people do not like it and do not want it in their backyard, when 80% of the people in the neighbourhood involved are in favour of it.

The other element that really surprises me is the fact that the Conservatives are going against a Supreme Court decision, which was handed down following a number of other legal proceedings. All the courts, from the British Columbia Supreme Court to the Supreme Court of Canada, came to the same conclusion, despite the opposition of the Conservatives and the government. All the courts have always been in favour of these facilities and have always recognized the rights of the people using them. Section 7 of the charter states that:

Everyone has the right to life, liberty and security of the person and the right not to be deprived thereof except in accordance with the principles of fundamental justice.

The government tried to defend its position before the various levels of court. Finally, the Supreme Court rendered its decision saying that the infringement at stake is serious; it threatens the health, indeed the lives, of the claimants and others like them.

The Supreme Court itself—the highest court in the country—supports our position that people have the right to have access to these sites in order to protect their own charter-guaranteed rights.

The Conservatives are acting as though nothing has happened and doing the opposite of what the Supreme Court asked them to do. I am rather surprised to see a government respond to a court decision in that way. Since the decision did not go their way, the Conservatives decided to pass legislation that goes against the Supreme Court's decision.

It is rare for a government to behave in such a manner, and it is unfortunate that the Conservatives are thumbing their noses at courts that are recognized as being impartial. No one has ever questioned that. As legislators, it is an affront to the justice system for the Conservatives to try to defend a position in court and then go against the court's decision when it does not go their way. It is unfortunate to see this happening.

There is a lot of talk about public health and safety. It is often said that supervised injection sites strike a balance between public health and public safety. The court also recognized that. These sites strike a certain balance between the two poles because both are equally important.

It has been shown that supervised injection sites can enhance public safety by getting illicit substances off our streets and putting them in safe and supervised locations. These substances have not been legalized; their injection is merely supervised.

What is more, in most cases, the people who come to these sites are referred to community resources that can help them to overcome their addictions. This approach ensures that there is a good balance between public health and public safety, which is something that the NDP will always support. We are therefore going to oppose Bill C-2.

Respect for Communities ActGovernment Orders

November 21st, 2013 / 10:35 a.m.
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NDP

Niki Ashton NDP Churchill, MB

Mr. Speaker, I would correct my colleague. I never referenced philosophical issues. I referenced science, evidence, and facts. It may be difficult for the other side to understand, as I understand that there is a difficulty grasping these concepts on that side of the House.

I think I, along with my colleagues, have been pretty clear in indicating that the issue here is the barriers that would be set up. InSite, and other communities that would like to start a similar program, would face a process that is so onerous it would be challenging for them to put it together.

They clearly already do a lot of work to get all the permits and follow all the rules. There is no question about that. However, Bill C-2 is attempting to make this such a difficult task that organizations like InSite would not have the capacity to do what needs to be done.

If the Conservative government truly cared about making a difference when it comes to harm reduction and getting heroin out of our neighbourhoods, as they put it, or crack cocaine—although some people they know seem to be quite connected to that substance—maybe they would talk to the medical practitioners about what needs to be done.

Supporting InSite, supporting harm reduction programs, is where it is at. Let us listen to the professionals and the people living in the communities who want this to happen. Let us support them instead of standing in their way.

Respect for Communities ActGovernment Orders

November 21st, 2013 / 10:25 a.m.
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NDP

Niki Ashton NDP Churchill, MB

Mr. Speaker, it is truly an honour to stand in the House and follow my colleagues in speaking on such an important issue and one that relates to the piece of legislation that we have before us, Bill C-2, an act to amend the Controlled Drugs and Substances Act.

First of all, I would like to indicate, as my colleagues have done, that we in the NDP oppose the bill. Essentially Bill C-2 is a thinly veiled effort to stop supervised injection sites from operating, a direct defiance of a Supreme Court ruling on these sites. The legislation sets out a lengthy and arduous list of criteria that supervised injection sites would need to meet before the minister would grant them an exemption under the Controlled Drugs and Substances Act. These criteria would make it much harder for organizations to open safe injection sites in Canada.

I am proud to be part of a party that has long advocated for safe injection sites and a party that has indicated that we need to find ways to be able to support people who have fallen through the cracks, who suffer with addiction, who are keen to get out of the trap that so many face and who need help to do so.

The NDP believes that decisions about programs that may benefit public health must be based on facts and not ideology. In 2011, the Supreme Court of Canada ruled that InSite provided life-saving services and should remain open with a section 56 exemption from the Controlled Drugs and Substances Act.

The court ruled that it was within InSite users' charter rights to access the service and that similar services should also be allowed to operate with an exemption. Over 30 peer-reviewed studies published in journals such as The New England Journal of Medicine, The Lancet, the British Medical Journal and others have described the beneficial impact of InSite.

Furthermore, studies on over 70 safe injection sites in Europe and Australia have shown similar benefits. InSite is one of the greatest public health achievements in our country. We in the NDP believe that it and similarly beneficial sites should be allowed to operate under proper supervision.

That is why we are so concerned to see Bill C-2 in front of us here today. This is a bill that is fundamentally based on ideology and is not based on evidence. It is certainly not based on what we are hearing from people in the medical profession who are saying that InSite and other operations like it are extremely important in being able to lead to harm reduction, to save lives, to get people on the right path to heal from their addictions, and to integrate back into their communities and into a life of dignity.

Bill C-2 is a deeply flawed bill based on an anti-drug ideology and false fears for public safety. This is another attempt to rally the Conservative base, as evidenced by the fundraising drive entitled “keep heroin out of our backyards” that started hours after Bill C-2 was introduced in Parliament. However, the bill, which would make it almost impossible to open safe injection sites, will actually put heroin back into our neighbourhoods.

Another reason we find the bill extremely problematic is that Bill C-2 directly defies the 2011 Supreme Court ruling, which called on the minister to consider exemptions for safe injection sites based on a balance between public health and safety. It called on the minister to consider all the evidence on the benefits of safe injection sites rather than setting out a lengthy list of principles by which to apply judgments.

We in the NDP believe that any further legislation on supervised injection sites should respect the spirit of the Supreme Court's decision, which is not the case with this bill. The NDP believes that harm reduction programs, including safe injection sites, should be granted exemptions based on evidence of their ability to improve a community's health and preserve human life, not ideology.

There is currently only one operational supervised injection site in Canada, InSite, which is located in Vancouver. Since it opened, Vancouver has seen a 35% decrease in overdose deaths. Furthermore, InSite has been shown to decrease crime, communicable disease infection rates, and relapse rates for drug users.

InSite, as many people will know, opened as part of a public health plan by the Vancouver Coastal Health authority and its community partners following a twelvefold increase in overdose deaths in Vancouver between 1987 and 1993. At the time, the Vancouver area was also seeing drastic increases in communicable diseases among injection drug users, including hepatitis A, B, and C and HIV/AIDS.

InSite was originally granted an exemption in 2003 to operate under the Controlled Drugs and Substances Act for medical and scientific purposes, to both provide services and to research the effectiveness of supervised injection facilities. Section 56 of the current Controlled Drugs and Substances Act grants the minister authority to approve operations utilizing drugs for medical, scientific, or law enforcement purposes. In 2007, the OnSite detox centre was added to the site.

The InSite organization and the work that happens on the Vancouver east side is something that leads to better lives, not only for people who suffer from addiction but also for the broader community. I want to read into the record what people who support InSite and harm reduction measures based on medical evidence have said.

Pivot Legal Society, the HIV/AIDS Legal Network, and the Canadian Drug Policy Coalition issued a statement on Bill C-2. It was a statement first made when Bill C-65 was introduced. They said:

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....

It is unethical, unconstitutional and damaging to both public health and the public purse to block access to supervised consumption services...

The Canadian Medical Association and the Canadian Nurses Association have both criticized the government for bringing forward Bill C-2. The Canadian Medical Association said:

Supervised injection programs are an important harm reduction strategy. Harm reduction is a central pillar in a comprehensive public health approach to disease prevention and health promotion.

Let us move on to other practitioners in the health care field. The Canadian Nurses Association said:

Evidence demonstrates that supervised injection sites and other harm reduction programs bring critical health and social services to vulnerable populations—especially those experiencing poverty, mental illness and homelessness. A government truly committed to public health and safety would work to enhance access to prevention and treatment services—instead of building more barriers.

Based on the validation of these positions we have heard from people who are involved in the medical field, based on people who work and live in Vancouver's east side, and based on the figures that overdoses have decreased by 35%, the evidence is clear. There is a great deal indicating that the government is going down the wrong path.

What is especially disconcerting is that the government is willing to ignore and disrespect a decision by the Supreme Court of Canada that has ruled on this very issue. I wish I could say that this was shocking, but the government has shown great disregard for the work of the Supreme Court, certainly when it comes to areas that, ideologically, the government does not see eye to eye on. It is deeply disconcerting and problematic for a lot of people who are tuning in, whether to this debate or to Parliament, frankly, every day to see a government that was elected to represent the best interests of Canadians make decisions that are not based on evidence, science, or respect for the Supreme Court, the highest court of our country. It bases them on ideology and fearmongering.

I think of the people in my constituency who suffer from addiction, who are in a cycle of poverty, unemployment, and living in third world conditions, in many cases. They are unable to access help, because the same federal government has cut funding for important healing programs, including the Aboriginal Healing Foundation and other initiatives that helped people in my part of the country. I think of the many people across Canada who are increasingly struggling as the cost of living goes up, as employment leaves their regions, as they struggle to make do with what little they have. Often they are vulnerable to some of these same cycles of addiction and violence. I think of the fact that the government has a chance to act by retracting Bill C-2 and standing with us on the opposition side for harm reduction and healthier, better lives for people and communities across this country.

Respect for Communities ActGovernment Orders

November 21st, 2013 / 10:10 a.m.
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NDP

Annick Papillon NDP Québec, QC

Mr. Speaker, I rise today to speak to Bill C-2, An Act to amend the Controlled Drugs and Substances Act.

I cannot talk about Bill C-2 without making a reference to Bill C-65, the former bill introduced at the close of the last session of Parliament, which, need I remind the House, ended when the Conservatives prorogued Parliament. All of the bills left on the table when the last session ended needed to be reintroduced and renumbered. That is why we find ourselves now completing the task at hand.

I might as well say it upfront: Bill C-2 is a thinly veiled attempt to put an end to supervised injection sites. This proposed legislation goes directly against the Supreme Court’s 2011 decision that called on the minister to consider exemptions for supervised injection sites, in an effort to reconcile health and public safety considerations.

I would like to take a moment to talk about the only supervised injection site in Canada. It is located in Vancouver’s Downtown Eastside. I do not know if my colleagues have ever been there, but it is certainly a neighbourhood where truly disturbing things happen. Everyone deserves to know what I am talking about.

InSite was set up as part of a public health initiative launched by the City of Vancouver and its community partners, after the number of overdose-related deaths in Vancouver increased twelvefold between 1987 and 1993. It took many years to get the InSite centre up and running, and each stage of the process was closely scrutinized, both locally and nationally.

The supervised injection site has the support not only of the Vancouver police, something which is by no means insignificant, but also of local businesses, the chamber of commerce and municipal politicians. The project has been the focus of over 30 scientific reports and studies that have described the benefits of InSite. These findings have been peer-reviewed and published in journals such as the New England Journal of Medicine and the British Medical Journal. Studies of over 70 analogous supervised injection sites in Europe and Australia have recognized similar benefits.

When InSite opened in 2003, it secured an exemption under the Controlled Drugs and Substances Act for activities with medical and scientific applications. It is worth noting that since then, InSite has had a positive impact. It helps save lives, minimizes the risk of accidental overdoses and above all, makes the neighbourhood safer for everyone.

However, in 2008, the exemption granted to InSite under the law was set to expire. The Conservative government rejected InSite’s application for renewal. The debate went all the way to the Supreme Court, which held that InSite was a key stakeholder in the health field. In its ruling, the court called upon the minister to consider all of the probative elements of the matter, bearing in mind the benefits of supervised injection sites, rather than set out a lengthy list of principles on which to base conclusions.

I would like to quote a critically important excerpt from the Supreme Court of Canada’s decision, since the bill now before us is supposedly based on this ruling. Here is what the Supreme Court had to say in its decision:

On future applications, the Minister must exercise that discretion within the constraints imposed by the law and the Charter, aiming to strike the appropriate balance between achieving public health and public safety. In accordance with the Charter, the Minister must consider whether denying an exemption would cause deprivations of life and security of the person that are not in accordance with the principles of fundamental justice. Where...a supervised injection site will decrease the risk of death and disease, and there is little or no evidence that it will have a negative impact on public safety, the Minister should generally grant an exemption.

That is what the Supreme Court stated. In my opinion, this ruling is quite clear.

In my riding of Québec, I have had the opportunity to meet several times with stakeholders and volunteers, including those from Point de repères, a community organization that I would like to commend. The organization's mission consists of health promotion, prevention and the delivery of care and services, especially for people dealing with addiction. It is important to understand this difference: an organization like Point de repères does not encourage drug use, but, rather, it advocates a harm reduction approach. As the Point de repères website indicates:

The harm reduction approach is a community-based approach to health that focuses on helping people with addictions develop ways to mitigate the negative consequences of their behaviour, rather than on eliminating the use of psychotropic drugs.

I think it is important to understand the fine points of this often sensitive subject. Again, as explained on the Point de repères website:

Drug use has a significant impact on both the user and the community. Often, lack of knowledge, misconceptions and prejudices about people who use drugs lead to a series of inappropriate actions that cause additional harm to the user and the community.

I had the opportunity to watch a documentary entitled “Pas de piquerie dans mon quartier” about people's resistance to safe injection sites in their neighbourhood. The documentary shed light on the addiction issue in a city like Quebec City, for example.

The documentary's introduction, which unfortunately reflects the glaring truth, states that “the war on drugs often turned into a war on drug users. It is a bit like the war on poverty—we have to be careful not to turn it into a war on the poor”.

Why is the government so lacking in objectivity when it comes to this very sensitive issue? Why are the Conservatives refusing to recognize the facts laid out before them? The NDP believes that decisions about programs that could enhance public health should be based on facts, not ideological stances. We are not alone in thinking that. According to the Canadian Medical Association:

Supervised injection programs are an important harm reduction strategy. Harm reduction is a central pillar in a comprehensive public health approach to disease prevention and health promotion.

For its part, the Canadian Nurses Association said:

Evidence demonstrates that supervised injection sites and other harm reduction programs bring critical health and social services to vulnerable populations—especially those experiencing poverty, mental illness and homelessness.

A government that truly cared about public health and public safety would do everything in its power to improve access to prevention and treatment services, not create more barriers. Evidence has shown that supervised injection sites reduce the risk of contracting and spreading blood-borne diseases, such as HIV and hepatitis C, and the number of overdose-related deaths. Evidence has also shown that they do not adversely affect public safety. In some cases, they actually promote it by reducing injection drug use in public, reducing the amount of violence associated with that activity, and reducing the waste associated with drug use.

Supervised injection sites strike a balance between public health and public safety goals. They also connect people who urgently need help with the health services they need, such as primary health care and addiction treatment.

The NDP believes that any new legislation about supervised injection sites must honour the spirit of the Supreme Court decision, which this bill does not do. As my colleague from Vancouver East has said, Bill C-2 contains as many criteria as there are letters in the alphabet, and those 26 criteria are so restrictive and biased that they are practically impossible to comply with.

Offshore Health and Safety ActGovernment Orders

November 19th, 2013 / 3:55 p.m.
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NDP

Lysane Blanchette-Lamothe NDP Pierrefonds—Dollard, QC

Mr. Speaker, I thank the hon. member for her speech.

She stressed how much leadership Nova Scotia has provided in this area and the degree to which the province has had to wait for the federal government before seeing any action.

As she mentioned yesterday, when we were debating Bill C-2, in Quebec, we have seen experts, groups and provincial institutions conducting studies and pilot projects like InSite. They are afraid that, because of the federal legislation on the table, their 10 years of research and effort will be completely sabotaged by Bill C-2. It is an interesting parallel.

In her speech, the hon. member spoke about recommendation 29, which is not addressed at all in Bill C-5. However, in his report, the Hon. Robert Wells wrote that, in his view, it was the most important recommendation.

Do we know why the Conservatives are tabling a bill today that does not address recommendation 29, which seemed to be so important? If we do not know, we have a serious problem, because it is something we ought to be able to understand.

Offshore Health and Safety ActGovernment Orders

November 19th, 2013 / 3:55 p.m.
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NDP

Megan Leslie NDP Halifax, NS

Mr. Speaker, I would like to thank the hon. member for his question. Our constituencies share the same sea. The constituencies may be in two different provinces, but the Atlantic brings them together.

In terms of collaboration, it is interesting to note that the Conservative government really is the crime-and-punishment party in the House. The government does not consult people on the ground at all.

For example, on Bill C-2, safe injection sites, I do not recall any collaboration or any consultation happening with the people who were on the front lines who would actually understand how this kind of legislation would play out.

In the last session of Parliament, we saw more crime and punishment legislation that purported to be standing up for victims, but with no consultations with groups that represented victims and offenders and with groups that worked to try to achieve justice in our communities. It is the heavy hammer of the law. Conservatives are not being collaborative.

It did take 14 years for this bill to come forward, but as I said, the ideas and the solutions were there. When we collaborate, we are stronger because we can take those ideas, those solutions that other people may have, and work on them together. However, the government refuses to do that kind of collaboration.

In the last budget bill, Bill C-38, in spring 2012, we actually tried to make amendments correcting spelling. It is not that hard to admit that maybe something was spelled wrong and accept an amendment. We are all better for it when we collaborate. Conservatives do not have exclusive jurisdiction on good ideas. In fact, it would be the opposite. Let us correct the spelling, but that is not their modus operandi. They do not want to work with people.

Business of SupplyPoints of OrderOral Questions

November 19th, 2013 / 3 p.m.
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York—Simcoe Ontario

Conservative

Peter Van Loan ConservativeLeader of the Government in the House of Commons

Mr. Speaker, Bill C-2 gives communities real and meaningful input on decisions on drug injection facilities that can have a serious impact on those communities. In my November 7 Thursday statement, I had hoped that after hearing from their constituents last week, the New Democrats would end their filibuster of the bill, but that did not happen.

It is important that this key bill make progress this fall. Therefore, we will continue debating that bill on Thursday. That means that Tuesday, November 26, will now be the fourth allotted day.

Respect for Communities ActGovernment Orders

November 18th, 2013 / 6:20 p.m.
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NDP

Don Davies NDP Vancouver Kingsway, BC

Mr. Speaker, it is a privilege to stand in the House today to speak to this issue. It is a very important one, not only for the people of our country but in particular for the community that I represent in Vancouver Kingsway, and in Vancouver.

In many ways, the bill before us causes us to think about two things. The first is about the proper and appropriate way to make public policy in this chamber for the people of this country. Second, of course, is the specific issue of the proper policy approach to supervised injection sites. In summary, there has been a lot of talk on this, but in its essence Bill C-2 represents an attempt by the government members to make it very difficult to open up a supervised injection site in this country. We presently have one supervised injection site in Canada, and that operates in my hometown of Vancouver.

I want to start by sharing with the members in this House, and Canadians, some of the realities of what we are dealing with.

Again, I come from Vancouver. It is a port city, and it has one of the highest rates of heroin addiction in the country.

Let me tell members what Vancouver looked like before InSite was opened. I had people coming to my office asking me as a member of Parliament to do something about needles that were found in the alleys behind their houses where their children were playing. I have had parents and teachers come to me to tell me that they had to do a walkabout of their schools in the morning to pick up used needles in their schoolyards.

We had an epidemic of heroin overdose deaths in Vancouver, where for a period of time there were deaths from overdoses almost weekly. I have had business people, particularly in Chinatown where a lot of the drug market is in Vancouver, who complained to me that their customers were being chased away by the prospect of seeing heroin addicts openly shooting heroin outside the doors of their stores and in the alleys, never mind the ambulances and police sirens that inevitably come when people have had overdoses.

That is what Vancouver looked like before InSite opened.

I want to talk about facts, because we will put facts before this debate. Between 1987 and 1993, the rate of overdose deaths in Vancouver increased from 16 deaths per year to 200 deaths per year. The rate of overdose deaths in east Vancouver dropped by 35% after InSite opened in 2003.

Over one year, more than 2,171 referrals were made for InSite users to addiction counselling or other support services.Those who use InSite services at least once a week are 1.7 times more likely to enrol in a detox program than those who visit infrequently.

Commencing one year after Insite opened, there was a significant drop in the number of discarded syringes, injection-related litter, and people injecting in the streets. Injection drug users who use InSite are 70% less likely to share needles. Reducing needle sharing has been listed as an international best practice in the reduction of the spread of HIV/AIDS and hepatitis.

InSite users are more likely to seek medical care through the site. This means fewer trips to the emergency room, an improvement in health outcomes, and a savings in taxpayer dollars.

Over 30 peer-reviewed studies published in journals, such as the New England Journal of Medicine, The Lancet, and the British Medical Journal, the most respected medical journals in the world, have described the beneficial impacts of InSite. Conversely, multiple studies have looked for the negative impacts of InSite, but none of have come up with evidence demonstrating that it harms the community.

Safe injection sites operate in 70 cities and six European countries and Australia. A study by the European Monitoring Centre for Drugs and Drug Addiction in 2004 showed that supervised injection sites reach out to vulnerable groups. They are accepted by communities, help improve the health status of the users, and they reduce high-risk behaviour, overdose deaths, and drug use in open spaces.

Illicit drug use is an issue that all of us in this chamber regard as a problem. People from all parties across the country would like to look for strategies whereby we can assist people who are addicted to drugs get off the drugs. We share that goal.

The issue really is this. Where we have drug use, what is the appropriate way to achieve that goal? I am here to tell the House that in Vancouver, if members drive with me down to Hastings and Main Street any day of the week, at any time of day, they will see hundreds of people in the streets who are drug addicts. The question is not whether or not they will use drugs. The question is whether or not we will provide them with a safe, clean place where they can do drugs under the supervision of a nurse, where if they overdose or have a problem, they can get medical care, and most importantly, where if by any grace of God they want to access treatment, they have someone there.

Alternatively, we can ignore this and we can continue to let those people purchase and use their drugs in alleys and public spaces or in front of businesses in Vancouver with no medical attention, where they are sharing needles, spreading disease, harming business, costing taxpayers money and dying.

That is the reality of the debate before us. What we have here is an issue of science and evidence-based policy-making versus a moral, ideological one. We have a question of public policy where we ask whether we want to try to make it easier to provide these kinds of health services to Canadians or whether we want to set up roadblocks, as the bill would.

The bill would set up a set of criteria that would make it almost impossible for Canada to open a second supervised injection site. That is harmful for public policy. It is bad for the health of Canadians. It is bad for taxpayers. It is bad for business. I implore every member of the House to put science before ideology and stop the bill from going forward.

Respect for Communities ActGovernment Orders

November 18th, 2013 / 6:05 p.m.
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NDP

Philip Toone NDP Gaspésie—Îles-de-la-Madeleine, QC

Mr. Speaker, I am pleased to rise today to present my views on Bill C-2. I believe this bill should be rejected.

This bill is bad for human rights. It will put the lives of many Canadians at risk. Furthermore, it flies in the face of the Supreme Court ruling that stipulates, based on the Canadian Charter of Rights and Freedoms, that people have a right to medical services and to the security of the person. This bill seems to take us in the complete opposite direction.

Many members will recall when InSite first opened in Vancouver over 10 years ago. It was granted an exemption from the law in order to be able to offer addicts access to a service that they could not have otherwise received. This service means that people do not have to put their lives at risk, as it allows them to inject their drugs in a clean, safe place where medical services are available. It also provides the possibility of more involved medical services. Basically, it can open the door to detox services for some addicts.

The spirit of this bill does not seem to promote injection sites in Canada. On the contrary, it creates 26 conditions that must be met or they will be rejected. Canada currently has one site, InSite in Vancouver. There is talk of opening a site in Montreal, perhaps one in Toronto and one in Victoria. Other municipalities would like to do the same. I can say that in my riding of Gaspésie—Îles-de-la-Madeleine, officials are seriously considering the possibility of having open sites available to addicts. In my riding, people could benefit from having a site that is closer to home, in Montreal for example, instead of having to go all the way to Vancouver to obtain the services that are available to the people of that region.

InSite helps addicts not to risk their lives. I want to mention some facts that the government may have forgotten when it drafted the bill. In one year, 2,171 InSite users were referred to substance abuse counselling. That is a significant number. All these people will have access to a service they otherwise would probably not benefit from. This is about eliminating or reducing the number of people shooting up on the streets. The Conservatives would have us believe that initiatives such as InSite and other supervised injection sites could make our communities less safe, but we are saying just the opposite. These sites make communities even safer. In Vancouver, the benefits of InSite are clear: fewer people are on the streets and more are benefiting from medical services to treat their addictions. This is really the best and most effective way to make our communities safer.

In Bill C-2, the government proposes 26 conditions. The process is very cumbersome and onerous. Those interested in opening a supervised injection site are asked to meet 26 conditions in a relatively short time. However, even if these 26 conditions are met, the minister is still under no obligation to issue a licence for a supervised injection site. He or she may do so, but there is no obligation.

So, people must meet 26 conditions in a relatively short time. It is very difficult for them to meet all these requirements. However, even if they manage to fulfill these 26 conditions, the minister is under no obligation to issue a licence.

Moreover, the minister has no deadline to meet. She can take all the time in the world to issue a licence if she decides to extend the deadline.

These are very onerous conditions. If I were cynical, I would say that this is to avoid having to deliver a licence and authorize the opening of a supervised injection site. The police chief must also agree, as well as city council and the provincial minister of health. These authorities will not simply give their approval because they are asked to do so. They have responsibilities and requirements. They must respect their own process and they only have 90 days to do so.

If someone manages to meet the 26 conditions, the minister may deliver a licence. This is no way to respect those who work in this area. Moreover, it certainly does not promote the establishment of a new injection site in Canada. I think it ignores the will of the Supreme Court, which ruled unanimously that InSite in Vancouver should remain open. It cannot be closed.

Let us take a look back and remember that in Attorney General of Canada, et al. v. PHS Community Services Society, et al. the Supreme Court did not rule that public safety was the priority, but that the right to health and life was the basis for its decision.

Bill C-2 seems to express the opposite. The bill is immensely concerned with public safety, but makes no mention of the right to life. That is the aspect of the bill I find most surprising. It totally ignores the fact that the root of the debates on the bill is that the Supreme Court ruled that a person has the right to life and must have access to medical services. The bill would have Canadians believe that detoxification centres, such as the InSite supervised injection site, are a public safety issue.

According to the government, if the bill passes at second reading, it will be referred to the Standing Committee on Public Safety and National Security and not to the Standing Committee on Health. I do not understand what motivates a government that does not believe in a basic principle like the right to life that everyone has.

Public safety is important, but the facts have shown that a supervised injection site ensures public safety, since people are not in the streets and public parks, where our children play, are needle free. We want safety for everyone. The InSite location in Vancouver is proof that we can do it, that we have the capacity for it and that we must do it. It is a way of respecting people and respect is a Canadian value that is important to all of us. What is more, this is consistent with the Supreme Court ruling and does not ignore it or instill fear in the public. Some might think that a place like InSite increases risk, but the opposite is true.

I want to point out that we have seen the benefits of InSite time and again. For example, injection drug users who use InSite are 78% less likely to share needles. That is a public health issue. A centre such as InSite has tremendous benefits. It helps prevent emergency room visits, which are very expensive. We want to avoid situations in which people have to use costly emergency medical services. We want these people to have the use of a very inexpensive service that also benefits public safety and public health.

Respect for Communities ActGovernment Orders

November 18th, 2013 / 5:50 p.m.
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NDP

Robert Chisholm NDP Dartmouth—Cole Harbour, NS

Mr. Speaker, I am pleased to speak for a few moments to Bill C-2. I have listened to my colleagues most of the day, and they have presented some very personal explanations and descriptions of why the government needs to rethink Bill C-2.

Bill C-2 deals with a public health issue. We believe that decisions about programs that may benefit public health must be based on fact. That is at the heart of this issue. All Canadians, regardless, must have the opportunity to gain the benefit of those programs.

This all stems from a program called InSite. It was opened as part of a public health plan by the Vancouver Coastal Health Authority and its community partners following a 12-fold increase in overdose death in Vancouver between 1987 and 1993. As a result of the efforts of this site, there was a 35% decrease in overdose deaths. Furthermore, InSite has been shown to decrease crime, communicable diseases, infection rates, and relapse rates for drug users.

In 2008, the government began to take action to close InSite. It took action in British Columbia. The minister of health at that time denied InSite's application to renew an exemption that existed under section 56. The B.C. Supreme Court ruled that InSite should be granted a new extension. The federal government then took it to the B.C. Court of Appeal, which ruled again that InSite should remain open. In 2011, the Supreme Court of Canada ruled that the minister's decision to close InSite violated its patrons' charter rights and that the minister's decision was “arbitrary, undermining the very purposes of the Controlled Drugs and Substances Act”, which includes public health and safety.

The decision by the Supreme Court hinges on section 7 of the charter, which says that everyone has the right to life, liberty and security of the person and the right not to be deprived thereof, except in accordance with the principles of fundamental justice.

The court found that section 56 exemptions must be granted where they decreased the risk of death and disease and there was little or no evidence that it would have a negative impact on public safety.

I have heard members opposite say that if we poll our community and our community decides that it does not want to have that facility, then why should it have to have it there? The Supreme Court of Canada actually dealt with that question by saying that the government was not able to show that it undermined public safety and, in some instances, had proven to promote it.

We have heard members talk about the problems that result in the injection of drugs in areas that are not safe, with contaminated needles on the ground in parks and with people being exposed to those kinds of health risks. It reduces those health and safety hazards, reduces public drug injections, reduces violence associated with drugs, and reduces drug-related litter.

This is key. Safe injection sites, therefore, strike the balance between public health and public safety. They connect people in dire need of assistance to needed health services such as primary care and addiction treatment.

The point here is this. How do we deliver the services that Canadians need to make them safe? How do we ensure that our communities are safe and healthy? We need to base that not only on facts but on the understanding that every Canadian, every human being in this country, has the right to live life and to liberty and to have access to life-saving drugs and programs.

In relation to further exemptions for additional programs, this is what the Supreme Court said. It directed the following:

...the Minister must exercise that discretion within the constraints imposed by the law and the Charter, aiming to strike the appropriate balance between achieving public health and public safety. In accordance with the Charter, the Minister must consider whether denying an exemption would cause deprivations of life and security of the person that are not in accordance with the principles of fundamental justice. Where, as here, [referring to InSite] a supervised injection site will decrease the risk of death and disease, and there is little or no evidence that it will have a negative impact on public safety, the Minister should generally grant an exemption.

What we have in Bill C-2 is something completely different. It ignores the direction that was provided by the Supreme Court of Canada. It has been cited by my colleague, who knows much of the constitutional law in this country. Bill C-2 will probably be deemed unconstitutional, which does not seem to bother members opposite. The point is that it not only flies in the face of the recommendations of the direction provided by the Supreme Court decision but goes against the spirit, I would suggest, of what makes us Canadian, what makes us special in the world in our ability to be generous and humane and to show compassion to our sisters and brothers regardless of their circumstances.

If we determine, as has been determined in the case of InSite, that in fact this program saves lives, reduces crime and ensures that the public is safer, then these are the types of programs that we need to make available to people. Some have suggested that New Democrats do not care about addictions, that we just want to make sure people get the opportunity to shoot up. We want to make sure that Canadians are made safe and healthy. This is the safe part and the healthy part is the supervision. Now we have to make sure that the government opposite backs up its words about commitment to addiction to ensure there is follow-up, that there are beds in detox programs and other addiction-related programs, and that there is the support to allow people, when they are ready and able, to kick whatever their addiction is, to turn their lives around and to be more healthy for themselves, their families and communities.

This is fundamental. It is a fundamental principle that has been outlined by the Supreme Court of Canada, and the government is ignoring it. Bill C-2 flies in the face of this principle. The government is going to be told again, as it was in 2008 by the Supreme Court, the B.C. Supreme Court, and the B.C. appeal court, and again in 2011 by the Supreme Court of Canada, that it is on the wrong track, pitting one type of Canadian against another type of Canadian.

We are all Canadians. The Supreme Court will protect that to ensure that this kind of discrimination is not allowed to happen.

Respect for Communities ActGovernment Orders

November 18th, 2013 / 5:50 p.m.
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NDP

Rosane Doré Lefebvre NDP Alfred-Pellan, QC

Mr. Speaker, I would like to thank the member for Marc-Aurèle-Fortin. It is always a pleasure to work with him. We represent the same populations in Laval. He knows full well the issues that we are facing with urban sprawl and with the drug abuse we witness in our area and in public spaces.

He touched on an important issue. We are using this debate to try and find a solution. It is a broad debate. Addiction is a very serious problem. My colleagues from Marc-Aurèle-Fortin, Esquimalt—Juan de Fuca and Drummond, along with all of my NDP colleagues who spoke before me and gave passionate speeches about Bill C-2, are trying, as I am, to prove that we need to trust science and the stakeholders involved. We need to listen to experts who have tried to drive home the point that forcing sites such as InSite to close, keeping other cities from having safe injection sites, keeping those sites from functioning, keeping experts from doing their work is really—and I do not know what word to use that would be parliamentary—a serious mistake.

Respect for Communities ActGovernment Orders

November 18th, 2013 / 5:35 p.m.
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NDP

Rosane Doré Lefebvre NDP Alfred-Pellan, QC

Mr. Speaker, I am very pleased to rise today to speak to Bill C-2, which was introduced by the Conservative government. I would like to start by saying that, like all my NDP colleagues in the House, I will vote against Bill C-2.

My speech will primarily rely on a very informative document that includes many scientific studies. It was authored by Richard Lessard and Carole Morissette in 2011 and concerns a request from the Montreal metropolitan area to establish a supervised injection site. The document is entitled “Toward supervised injection services - Report of a feasibility study on the implementation of regional supervised injection services in Montréal.” This document is very interesting. It discusses, among other things, what is happening in the world. More than 80 countries around the world have supervised injection sites. They are funded sometimes by the proceeds of crime that have been seized by the government and sometimes directly by the government itself. This document is therefore very interesting.

I would like to quote from this paper, as follows:

Supervised injection services (SIS) are medical and nursing services provided in response to addiction, which is a disease

Indeed the dual objective of a supervised injection site is:

...to help prevent diseases and deaths among people who inject drugs and reduce social inequalities in health that affect one of society's most vulnerable groups.

This really sums up why issues related to supervised injection sites used to be addressed by the Standing Committee on Health and why they are still presented by the Minister of Health. However, for some reason that is completely unknown to me, this bill will be referred to the Standing Committee on Public Safety and National Security. The Conservatives need to give us a little more information in that regard, because all the answers they give us have more to do with health, and that is the minister in charge of this file.

I would like to point out the documented benefits of a service such as a supervised injection site. In addition to InSite, whose results formed the basis of the Supreme Court ruling, there are over 90 supervised injections sites around the world, including in several European countries as well as Australia.

Although there is a wide range of models, it is generally recognized that the service offers the following benefits: it reaches the most marginalized, high-risk people; it helps prevent overdoses and related deaths; it acts as a protective factor by providing sterile injection equipment and a safe place to inject and teaching safer injection practices, thereby helping to reduce the HIV and hepatitis C epidemics; it does not promote initiation into injection, as some members opposite claim; it helps stabilize the health status of users by providing other services such as HIV and hepatitis C screening, vaccination, primary care and referral to detox, addiction treatment and substitution programs; it relieves pressure on emergency services including ambulance transportation and hospitals by promoting on-site overdose management; lastly, it alleviates the negative impacts on public order by reducing drug use in public places as well as associated nuisances such as discarded syringes; it does not increase drug-related crime.

That has been the case at more than 90 supervised injection sites around the world. Members opposite should not try to make us feel afraid and believe certain things.

I represent a rather unique area, the Island of Laval in the Montreal Urban Community. There is a lot of urban sprawl. Montreal is very urban; Laval, which is right next door, is becoming quite urban. In the past few years, the subway from the Island of Montreal has reached our area. There are several poor neighbourhoods along the Rivière-des-Prairies and they are very close to the Island of Montreal.

One can just as easily travel from Laval to Montreal. According to Laval's public health agency, approximately 4,000 people inject drugs on Île Jésus in Laval. That is a lot of people.

At the time, it was thought that people were shooting up in the privacy of their homes. Over the years, this has changed mainly because of urban sprawl. People shoot up in public places on the Island of Laval.

I decided to consult various community organizations in Laval that have experience with supervised injections, among other things. I contacted outreach groups including TRIL, Travail de rue de l'île de Laval, and Sida-Vie Laval, which have done a lot of work in this area.

I would like to quote one of these two organizations in my speech. I recently spoke to Sida-Vie Laval. This organization agrees with the New Democrats and is strongly opposed to Bill C-2. I would like to read from an email the organization sent me yesterday:

...the impact on the health of the people who visit these centres reduces the risk of transmitting HIV and/or [hepatitis C], having another person there lowers the risk of overdose and/or cotton fever.... [W]e know that over the medium and long terms, people improve their quality of life and decrease or stop drug use. Furthermore, injection sites provide a safe and healthy place for people to inject, in the presence of doctors, nurses and qualified professionals. Drug users often become isolated and surround themselves with people who have a negative influence on them. The supervised injection site helps users take the first step towards reintegrating into society by learning to trust the professionals supporting them and to trust the health care network.

I think the organization touched on a very important aspect of supervised injection sites. The people who visit these facilities do not simply go for injections. There are nurses, doctors and other community workers there. They may go the first time for an injection and then leave, but they will return. Each time they have to see a nurse and a social worker. They will start to build relationships with these people. As they slowly build trust with these community workers, they will be able to find a way out. This is an extremely important resource for getting people off the street, getting them back on the job market and helping them reintegrate into society.

People may be aware that I am the NDP deputy critic for public safety. Public safety on our streets is extremely important to me.

I would like to point out that the Montreal police force has been quite involved in the study to set up a supervised injection site in Montreal. It is prepared to work hand in hand with all medical and community stakeholders to ensure that these locations are safe. The police force stands behind the stakeholders, the NDP, and medical services when it comes to the need for a supervised injection site and agrees that the government must not put up any obstacles for cities that want to have such a site.

It is very important to provide a location for using drugs and disposing of syringes away from the public eye. Supervised injection sites have had positive or neutral effects in terms of reducing the nuisances associated with public injection drug use.

Cites with supervised injection sites do not seem to have experienced an increase in crime or crime displacement.

There are many points I wanted to address, including the positive impact on violence against women, comments by correctional services officers, and the fact that the bill is before the Standing Committee on Public Safety and National Security instead of the Standing Committee on Health.

Most of all, I would like to mention that the closure of sites like Canada's InSite makes our communities less safe. Ever since I was little, whenever I go to Montreal I look at the ground when I walk in the parks and on city lawns because I have found used needles on the ground.

Now that I am the mother of a little girl, I can assure my colleagues that as long as the Conservatives' policy does not change I will not be taking my daughter to play in Montreal's parks and if I have to walk on the grass in Montreal's parks, I will be looking at the ground and holding my daughter in my arms.

Respect for Communities ActGovernment Orders

November 18th, 2013 / 5:05 p.m.
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NDP

Mylène Freeman NDP Argenteuil—Papineau—Mirabel, QC

Mr. Speaker, unfortunately, this bill is another example of how completely out of touch the Conservatives are with the real world.

In 2011, the Supreme Court of Canada ruled that InSite was providing essential services and that it must remain open in accordance with an exemption under section 56 of the Controlled Drugs and Substances Act. The Court ruled that the charter authorized users to access InSite's services and that an exemption should be granted to authorize similar sites to open.

The Conservatives are disregarding this ruling. At the end of the day, this shows that they have no respect for the separation of powers or for legal authority. They have no respect for any authority other than their own and this is made clear in Bill C-2, which goes completely against the Supreme Court's 2011 ruling.

The ruling called on the minister to consider exemptions for supervised injection sites, in order to address public health and safety issues. This ruling invited the minister to consider all the aspects in light of the benefits of having supervised injections sites, rather than provide him with a list of principles upon which to base his decisions.

As usual, the Conservatives are showing no respect for a legal process that has demonstrated how important a place like InSite can be. Apparently, as I said, they do not understand the importance of the principle of separation of powers. Worse yet, they are deliberately disregarding the Supreme Court's ruling.

To add insult to injury, in addition to their lack of respect for court rulings, the Conservatives are implementing measures that illustrate their lack of empathy, and I would go so far as to say their lack of humanity. They are tough on crime when it comes to Canadians, but soft on crime when it comes to their friends. It does not make sense. The benefits in terms of harm reduction are known and proven. Ignoring these facts is nothing more than ideology.

Since this morning, the Conservatives have been focusing on their personal opinion, but, unfortunately, they have not stood up to defend their bill.

Perhaps we need to go over the facts again. I know that many of my NDP colleagues have done so, but I will go over the facts again because it is important to show how disconnected Bill C-2 is from fact.

More than 30 peer-reviewed studies published in journals such as the New England Journal of Medicine, The Lancet and the British Medical Journal have described the benefits of InSite. Studies of more than 70 supervised injection sites in Europe and Australia have reported similar benefits. InSite is one of the biggest public health success stories in Canada.

The number of overdose deaths has dropped by 35% in Vancouver since InSite opened. That is a very significant statistic. It has also been proven that InSite has reduced crime, the rate of communicable disease infection and relapse rates for drug users. Once again, these are very significant statistics.

The Supreme Court established that InSite and other supervised injection sites must be granted a section 56 exemption because opening such sites:

...will decrease the risk of death and disease, and there is little or no evidence that it will have a negative impact on public safety...

I am not the only one to talk about these statistics. In fact, the Supreme Court of Canada said that it was well established that a facility like InSite reduces overdose deaths and crime.

The evidence showed that supervised injection sites effectively reduced the risk of contracting and spreading blood-borne diseases such as HIV and hepatitis C. Once again, there are fewer fatal overdoses. It was also shown that InSite does not jeopardize public safety. On the contrary, it improves public safety by reducing injections in public, related refuse and violence associated with drug use.

As my colleague from Montmagny—L'Islet—Kamouraska—Rivière-du-Loup mentioned, where he lived before, there was refuse and he really did not want his children to see it. A place like InSite prevents that type of situation.

A 2004 study by the European Monitoring Centre for Drugs and Drug Addiction indicated that supervised injection sites reach out to vulnerable groups and are accepted by communities. In addition, they also improve the health of their users and reduce high-risk behaviour. Furthermore, they reduce fatal overdoses and the consumption of drugs in public places.

That is some compelling evidence in support of supervised injection sites like InSite. However, the Conservatives have opposed this and have launched a campaign based on fearmongering and misinformation. This is nothing new. They deny the facts, disregard any opinions that contradict their own and resort to fearmongering to obscure the debate. A bill like this makes it clear that the Conservatives would rather abandon people instead of trying to rehabilitate them.

Their many justice bills—or should I call them injustice bills—all follow the same model: they ostracize, isolate and divide people. Instead of trying to address the root issue, the Conservatives tackle symptoms without ever looking for the source of the problem. Throwing people in jail without helping them reintegrate into society does not solve the problem. It simply makes things worse, since these people do not have access to what they need to reintegrate.

The Conservatives show the same lack of understanding with every problem they tackle, whether it is poverty, illness, crime or addiction. They revel in state violence instead of trying to address it. It sure makes for some good fundraising campaigns.

That is the driving force behind this bill. Instead of trying to fix a very important problem, the Conservatives are promoting a cold and violent ideology with their fearmongering, their concrete action against prevention and their disdain for justice.

In the winter of 2012, I had the opportunity to visit the Downtown Eastside neighbourhood and the surrounding area. I met with people from organizations that support people from the neighbourhood, such as women's groups like the WISH Drop-In Centre Society or the Downtown Eastside Women's Centre. These people are on the front lines and understand the reality, unlike the Conservatives, who refuse to face the facts, whether we are talking about the legal system, statistics, their own department or even the consensus of the scientific community. They ignore it all.

A number of my colleagues mentioned that earlier in this debate. The Conservatives are entitled to their own opinion. However, they need to look at facts and statistics—at reality—when they are introducing bills and governing a country. The Conservatives are showing their inability to manage the most basic government duties and their inability to govern. There is no shortage of evidence of that.

Before I finish, I would like to share some more statistics. In one year, 2,171 InSite users were referred to addictions counselling and other support services. Thanks to InSite, those people were able to get back on track. Individuals who used InSite at least weekly were 1.7 times more likely to enrol in a detox program than those who rarely visited the centre.

There has been a dramatic drop in the number of discarded needles, the amount of discarded injection paraphernalia and the number of people injecting drugs in the street.

All of those things are extremely important to remember. They prove that InSite is successful.

The NDP feels that any new legislation concerning safe injection sites must respect the spirit of the Supreme Court decision. That is not the case with this bill. I will be opposing it. The NDP believes that harm reduction programs, including safe injection sites, should be granted exemptions based on their proven ability to improve the health of a community and preserve human life. This should not be based on ideology.