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 8th, 2013 / 10:05 a.m.


See context

NDP

Françoise Boivin NDP Gatineau, QC

Mr. Speaker, I am pleased to rise in the House to speak to Bill C-2, which was previously introduced as Bill C-65 at the end of the last parliamentary session. However, it was one of the bills that ended up in parliamentary limbo, with the prorogation requested by the Conservative government. It has therefore come back as BillC-2, An Act to amend the Controlled Drugs and Substances Act.

Mr. Speaker, as is my custom as the justice critic for our party—and having been one yourself, I am sure you will understand—I am looking at this bill as a lawyer. I will not claim to be an excellent lawyer, as I have heard the member for Ottawa—Orléans do in the House, but nevertheless I will have nearly 30 years of experience as a lawyer next year.

This very important bill has quite a striking title: An Act to amend the Controlled Drugs and Substances Act. I looked at what it was amending and what it would be changing, because I like to understand what we are trying to do in the House.

The bill basically amends section 56 of the Controlled Drugs and Substances Act, which I will read. That really enlightened me about the problem we have and often go through in the House. Prior to the proposed Bill C-2, section 56 provided the following:

The Minister may, on such terms and conditions as the Minister deems necessary, exempt any person or class of persons or any controlled substance or precursor or any class thereof from the application of all or any of the provisions of this Act or the regulations if, in the opinion of the Minister, the exemption is necessary for a medical or scientific purpose or is otherwise in the public interest.

This short provision seemed relatively clear to me. Everyone in the House agrees that we want to regulate certain drugs and other substances, especially really hard drugs. I therefore wanted to know how the government was amending section 56. I encourage hon. members to read this atrocity. It is truly a legal atrocity. The original provision was five lines long. Now I have lost track of how many pages it is. When I say that it is many pages long, I mean that I could probably spend the next 18 minutes of my speech in the House reading out the changes that this government is trying to make.

In Canada v. PHS Community Services Society, the nine Supreme Court justices rendered a unanimous decision that was a major slap in the face to the government. The Supreme Court told the government that its actions were inappropriate.

This bill is the Conservative government's response to the Supreme Court of Canada. In its ruling, in very plain and clear language, the court said that InSite provides essential services and should remain open under the exemption set out in section 56 of the Controlled Drugs and Substances Act. The court ruled that users were entitled to access InSite's services under the charter and that the delivery of other similar services should also be granted an exemption under that section.

The court therefore provided an unequivocal response to what was happening. There is no denying that this was seen as a victory in Vancouver.

No one wants to provide easy access to drugs. No one wants to tell people to go ahead and shoot up and that we will have a big party and sing Kumbaya. That is not at all the issue. This technique was tested and implemented. It has been shown that supervised injection sites have positive effects and result in fewer overdose-related deaths. These sites have even helped people to overcome their drug addictions.

However, this ideological government decided to simply ignore the lesson given by the Supreme Court in Canada v. PHS Community Services Society—a decision that, I repeat, was rendered by 9 out of 9 judges on September 30, 2011.

I encourage hon. members to read the new version of section 56 that will exist if the House passes this bill. It is an atrocity.

I will spare the House subsections 56(1) and 56(2). Instead, I will focus on subsection 56.1(3). I will not be talking about subsections 56.1(1) and 56.1(2), your honour. Excuse me, Mr. Speaker; I have court on my mind. Perhaps I am psychic, Mr. Speaker, and someday you will be a judge.

Subsection 56.1(3) reads as follows:

56.1(3) The Minister may consider an application for an exemption for a medical purpose under subsection (2) that would allow certain activities to take place at a supervised consumption site [we know what the government is trying to do here] only after the following have been submitted [members will be shocked]:

(a) scientific evidence demonstrating that there is a medical benefit to individual or public health associated with access to activities undertaken at supervised consumption sites [that will be easy enough to demonstrate];

(b) a letter from the provincial minister who is responsible for health in the province in which the site would be located that;

(i) outlines his or her opinion on the proposed activities at the site,

(ii) describes how those activities are integrated within the provincial health care system, and

(iii) provides information about access to drug treatment services, if any, that are available in the province for persons who would use the site;

(c) a letter from the local government of the municipality in which the site would be located that outlines its opinion on the proposed activities at the site, including any concerns with respect to public health or safety;

(d) a description by the applicant of the measures that have been taken or will be taken to address any relevant concerns outlined in the letter referred to in paragraph (c);

Paragraph (e) is about the head of the police force.

I am trying to read quickly because it would take all day to read out what applicants would have to prove in order to be granted an exemption.

56.1(3)(f) a description by the applicant of the proposed measures, if any, to address any relevant concerns outlined in the letter referred to in paragraph (e);

To understand these provisions, anyone seeking to provide a service that the Supreme Court has declared necessary to the health and safety of certain individuals would need legal and addictions experts. Good job.

56.1(3)(i) a description of the potential impacts of the proposed activities at the site on public safety, including the following:

(i) information, if any, on crime and public nuisance in the vicinity of the site and information on crime and public nuisance in the municipalities in which supervised consumption sites are located,

I will skip directly to paragraph (m).

56.1(3)(m) relevant information, including trends, if any, on the number of deaths, if any, due to overdose—in relation to activities that would take place at the site—that have occurred in the vicinity of the site and in the municipality in which the site would be located;

(n) official reports, if any, relevant to the establishment of a supervised consumption site, including any coroner’s reports;

I will not discuss paragraphs (o) and (p). I will skip to paragraph (q).

56.1(3)(q) a financing plan that demonstrates the feasibility and sustainability of operating the site;

Now I will go on to paragraph (t). I am skipping some points because they are all more things that have to be proven to the minister.

56.1(3)(t) information on any public health emergency in the vicinity of the site or in the municipality in which the site would be located...

Previously, section 56 read as follows:

56. The Minister may, on such terms and conditions as the Minister deems necessary, exempt any person or class of persons or any controlled substance or precursor or any class thereof from the application of all or any of the provisions of this Act or the regulations if, in the opinion of the Minister, the exemption is necessary for a medical or scientific purpose or is otherwise in the public interest.

I would like to go back to subsection 56.1(3). I will spare you the rest of the bill. I am at paragraph (y).

56.1(3)(y) if any of the persons referred to in paragraph (w) has ordinarily resided in a country other than Canada in the 10 years before the day on which the application is made, a document issued by a police force of that country stating whether in that period that person

(i) was convicted...

Now I will go to paragraph 56.1(4)(a):

56.1(4)(a) evidence, if any, of any variation in crime rates in the vicinity of the site during the period beginning on the day on which the first exemption was granted under subsection (2) in relation to the site and ending on the day on which the application is submitted; and

(b) evidence, if any, of any impacts of the activities at the site on individual or public health during that period.

This goes on for pages and pages. If the government just wanted to say that it does not want any supervised injection sites, it could have simply said so, instead of having us read all this legal gibberish that will not even pass the necessary legal tests, especially considering the Supreme Court's decision in Canada v. PHS Community Services Society. That decision, I repeat, was like a big slap in the face to the Conservative government: nine to zero. The court told the government that what it was doing was wrong and that it was jeopardizing public safety. Yet, this government professes to champion public safety. It engages in all these little schemes that seem to please its militant supporters. It is sending all the wrong messages regarding the benefits this bill will have.

Reading this bill sends the message that as soon as it passes and comes into effect, in some big cities like Vancouver, for instance, which already has a program that works very well, Canadians will be in danger, much more so than before this legislation. Big cities like Ottawa are taking part in this debate. It is a divisive issue. This government really likes to pit people against one another and especially to run fundraising campaigns. That is what really turned me off about this bill, when I saw the government had used this bill to do some fundraising.

Since I am an opposition member, I am sure people will say that I am pro-terrorist and pro-pedophile, and I will probably be pro-drugs in a few minutes. There will probably be a statement by some member based who listened to my speech and who will say that I am encouraging people to inject hard drugs, which is absolutely not true.

I trust the specialists and the scientists who tell us that this approach is effective and that we must not let people use drugs in our neighbourhoods or in the woods where children can find dirty needles on the ground and prick themselves with them. That can cause all kinds of problems. This situation needs to be controlled in some way, so that we can deal with the serious problem of drug addiction and try to refer these people to services that can help them get out of the hell of drug addiction that no one wishes on anyone.

This government is introducing this bill and it will be challenged again. I guess a decision of nine to zero is not enough for this government. We are going to have to say again and again that what the government is doing will cause serious problems for our public safety. What the government is doing is not fair, and it is certainly not a smart move in terms of public health. No matter which way we look at it, it seems incredibly obvious to me that this is a bad decision.

I repeat: the Conservatives need to read. We are always being told by our opponents across the way that we do not read. On the contrary, we read. In fact, this may be the difference between us: we do not read only the notes prepared by the Prime Minister’s Office. We read our own documents and those that are put forward in the House. We read the bills as they are presented, and we cannot believe it.

The Conservatives claim that these sites encourage people to take drugs and that this is something we must not do, but that is not the goal of supervised injection facilities. What they are meant to do is remove drug addicts or people with problems from public areas that might be frequented by children.

Yesterday, I went to speak to young university students about political life. I went along Sparks Street—I am sure everyone here is familiar with it—and there was a young man lying on the ground. Another person came along and I listened to their conversation.

It was a social worker who went to see this young man. Nobody was paying any attention to him and he was lying on the ground. The social worker went to see him and asked if he was all right. He began talking to him.

In our society, there are people dealing with all kinds of problems. We cannot simply ignore them all and act as if they do not exist. They exist, and we must take care of them, and take care of them the right way.

In its ruling on Canada v. PHS Community Services Society, handed down on September 30, 2011, the Supreme Court said that this was a safe approach to dealing with this issue. I repeat that the decision was made by nine judges to zero. This means it was not a majority decision; it was a unanimous decision. No less than public safety and public health are at stake.

Supreme Court rulings cannot be challenged. I appreciate that the government does not seem to be showing much respect when I see the mess that it made with the latest appointment to the Supreme Court. Nonetheless, there is a limit to how much disrespect can be shown for another pillar of our democracy.

The government is responding to the unanimous ruling by the Supreme Court in 2011 with Bill C-2. This is absolutely appalling. It is disrespectful of our duties and obligations as legislators in the House.

I will stand proudly and vote against this bill, and I will support my colleague’s amendment. I commend the member for Vancouver East on her remarkable work on this issue, along with all my colleagues from British Columbia.

It is also an issue that is starting to make headlines in Ottawa. When Bill C-2 is passed, I will not be able to guarantee the people in my riding that they will be any safer in the streets.

In conclusion, in addition to the fact that this bill amends section 56, which was very clear, the most appalling thing about this bill is that it is going to be called the Respect for Communities Act. This is Conservative grandstanding at its best. Unbelievable.

I read section 56 and then I read the amendment that goes on forever. No one will be able to meet these criteria. Then I looked at the title and I could not believe my eyes. Then I listened to the speech by my colleague from Vancouver East, who said that they had raised funds on the backs of people with serious problems in our society. You cannot get any cheaper than that.

The House resumed from November 4 consideration of the motion that Bill C-2, An Act to amend the Controlled Drugs and Substances Act, be read the second time and referred to a committee, and of the amendment.

Business of the HouseOral Questions

November 7th, 2013 / 3:05 p.m.


See context

York—Simcoe Ontario

Conservative

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

Mr. Speaker, this afternoon we will finish debating today’s motion from the New Democrats.

Tomorrow, we will resume the second reading debate on Bill C-2, the Respect for Communities Act.

After Remembrance Day and a week of work in our constituencies, we will return here with a continued focus on protecting Canadians.

On Monday, November 18, I expect we will continue debating Bill C-2. If MPs discuss that bill with their constituents, I expect they will endorse the bill, which gives communities input on decisions on drug injection facilities that could have a real impact on those communities.

Before question period on Tuesday, we will resume the second reading debate on Bill C-3, safeguarding Canada's seas and skies act. Following question period, we will take up Bill C-5, offshore health and safety act at second reading.

On Wednesday, the House will start debating Bill C-11, priority hiring for injured veterans act, which the Minister of National Defence introduced this morning on behalf of the Minister of Veterans Affairs. This is a bill that both honours those who serve and advances employment opportunities for the disabled. It is a very fitting bill to be introduced this week, Veterans' Week, and I hope that all hon. members will join together in passing this bill quickly at second reading so it can be reviewed at committee and ultimately become the law of this land.

Finally, the hon. member for Papineau had a chance earlier this week to put forward a fresh new idea for governing Canada, any idea in fact, but he did not. However, do not worry, the Liberals are going to get another chance to give us an idea, some policy idea other than simply the legalization of marijuana, just one new idea. We might suggest an idea on continuing Canada's economic leadership. That will be on Thursday, November 21, which shall be the fourth allotted day set aside for a Liberal opposition day.

Randall Garrison NDP Esquimalt—Juan de Fuca, BC

Thank you very much, Mr. Chair.

Thank you, Mr. Potter, for being with us again.

My first question is about how the work we're doing in this study potentially relates to the strategy. As I think all members are aware, because of prorogation we were set back by a month, so we have not actually completed our report and were unable to have it fit in before your recommendations go to the ministers' meeting.

At this point, I guess, here's my question. When we do get the report...? Again, we're probably going to have another delay, because Bill C-2, instead of going to the health committee, is going to be referred to this committee, and legislation takes precedence, so we'll be set back even further.

I'm concerned about how the work we've invested in this study can be most effectively communicated to you at Public Safety to be considered as part of the strategy that's being developed.

Respect for Communities ActGovernment Orders

November 4th, 2013 / 1:45 p.m.


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Liberal

Hedy Fry Liberal Vancouver Centre, BC

Mr. Speaker, I will say from the start that there is no argument. We are unequivocally opposed to Bill C-2 as there is no reason for the bill. What the bill seeks to do is deny a high-risk group of patients access to proven life-saving health care services. That is what it will do. That alone is unconscionable.

We are looking at a bill that is trying to refute all of the evidence that has been gathered with regard to safe consumption sites, which is what InSite in Vancouver is. It is the only one in Canada.

However, I would like the House to know that there are 90 safe consumption sites around the world, in Switzerland, the Netherlands, Germany, Spain, Luxembourg, Norway, Denmark and Australia. Switzerland introduced safe injection sites in 1986 as a public health harm reduction model. Since 1986, the evidence has been mounting and clearly shows that safe injection sites achieve exactly what they are meant to achieve. They reduce patient harm and decrease the number of patient deaths. They decrease the number of new cases of diseases such as HIV-AIDS, hepatitis C, as well as many other diseases transmitted through needles. Therefore, health and the reduction of morbidity were two things.

Switzerland, since 1986, and the other countries in Europe that have done this also show a reduction in public harm. There is order as well as less criminal activity. For example, the number of break-ins to get money to buy drugs was reduced. This has been proven since 1986. It is not something that someone just dragged up last year and decided this was what they wanted to do because they thought it was a good idea. This has been proven. It is because of that kind of evidence, in 90 sites around the world, that we in British Columbia decided to have a clinical trial. We did not just look at it and say we would do it. It was done by way of a clinical trial.

I want members to know that I was there when this began. I want to give credit to Philip Owen, the mayor of Vancouver, who was sick and tired of what was happening in his city with the number of deaths and the increase in break-ins, petty crimes and muggings that went on just to feed a habit. He decided to go to Europe to see what was going on there. We used to have something called a city caucus at the time wherein government and non-government members of Parliament, the provincial legislature and city councils came together to discuss problems that were common to the city of Vancouver. When this topic came up he said, “We have to work together”.

I was designated the minister responsible for the Downtown Eastside at the time by Mr. Chrétien. We had the NDP minister for communities who was designated to be in charge of that file, and we had the mayor. Together, the three levels of government did extensive public consultation with community groups, the police, the RCMP and businesses in that area in order to form the Vancouver agreement in 2000. One part of the Vancouver agreement dealt with this particular public nuisance at the time, in terms of crime and public health problems.

We are not talking about criminal activity alone. Rather, we are talking about addiction. An addiction is a chronic and relapsing health condition best served and treated by evidence-based public health care. That is what this is all about. Since 1986, 90 safe injection sites in many countries around the world had given us the evidence that prompted us to suggest in the 2000 Vancouver agreement that this is what would happen.

I came back to the federal government and brought this forward. There was a great deal of agreement around the table. The evidence was compelling. Then there was an election. When we came back in 2003, the federal government, through section 56 of the Controlled Drugs and Substances Act, agreed to a pilot project run by the University of British Columbia and clinicians in the area, who were experts from the B.C. Centre for Excellence in HIV/AIDS.

As I said, evidence was at the heart of what we were doing. We did not want to translate things from Australia and Europe into Canada. We did not know if that was going to work, so we said “let us do our own pilot project”. It was funded and put together, and the pilot project proved without a doubt that InSite not only saved lives, but reduced mortality and reduced the spread of HIV-AIDS and hepatitis C. InSite also increased people's desire and ability to get help. They were a very high-risk group of users, people who never went to doctors and did not want to go to nurses or any kind of institution. It was found that these people sought detox. It was found that they wanted to be helped.

We replicated everything that was shown in Europe and Australia. In other words, we found that it worked in British Columbia, without a doubt. It is not only that. It is not just the British Columbia study that we are talking about. What happened was that peer scientific groups around the world checked the evidence from InSite. They looked at it, they analyzed it and they all agreed that it was authentic.

I just want to give the House a little background about the reality of this problem. In 1988, there were 39 deaths due to overdose from intravenous drug use in Canada. In 1993, there were 357. I know that some people may decide that those 357 deaths were okay because they happened to be drug users, people who were the most vulnerable because they lived on the streets, or because they committed petty crime. That must have been okay in some people's minds. It was not okay in the minds of the federal government of the day, the provincial government of the day in British Columbia, the municipal government of the day in British Columbia or the Vancouver Police.

It is interesting to note that of those overdose deaths, 50% of them occurred in Vancouver. British Columbia actually only carried about 14% of the population, yet 50% of those deaths were in British Columbia, most notably in Vancouver. In 1997, as a result of the escalating death rate and escalating disease, the chief public health officer of Vancouver, John Blatherwick, decided to call a public health emergency in the city of Vancouver.

I just wanted to talk about HIV for a second. I wanted to paint a picture of what was then and why people felt it was essential to move forward on this issue. In 1989, there were 120 new cases out of 100,000 in Canada. After InSite, in Vancouver alone, this had dropped to 31. In the rest of Canada, the number of new cases remained the same.

That is evidence, folks. We do not have to be a scientist to figure out that this is evidence, when we look at the number of deaths that were brought down and when we look at the number of diseases such as HIV-AIDS that were actually prevented in this area.

I am talking about what we saw and what happened as a result of InSite. InSite was so successful that within a year a half, the people who were running InSite formed a facility above it, called OnSite, where 25 beds were there for immediate detox. If anyone here knows about addictions, they know that when someone wants to quit or they feel moved to quit, if they do not get in somewhere then and there, they go right back to drugs in two days' time. This is the truth about people who are addicted. OnSite was there so we could say “right on, up you go”. That is what has been shown with this.

If anyone in the House can stand up and say that this is not an important piece of evidence in terms of deaths, morbidity and the spread of HIV-AIDS, and if anyone thinks it is funny and hilarious that people should die and that no one should care, and that this was not an absolutely essential thing to do, given that the chief public health officer felt that it was an emergency, then that person is callous. I am hearing laughter on the opposite side of the House. I do not think that this is funny at all. I had many patients who were addicts. Their lives were ruined. I have seen those people begin to have hope and begin to live new lives again.

This is evidence. This is what a government is supposed to do: care about all of its citizens, not just the ones it likes.

This is not something I stand to say because I happen to have been the minister for the Downtown Eastside and the minister for the Vancouver agreement. What I am saying is that across the country we know that many municipalities want to have safe injection sites because they have the problem. They have seen the evidence. The evidence was agreed upon by international peers. Scientific communities around the world agreed upon this. This is going on. There are 90 safe injection sites around the world.

I am repeating this because this is not some little pitch that the government is trying to stop. It is denying people the right to life. All of those 395 people who died of a drug overdose in that year. I think most of us believe that their lives were worth saving and the lives of subsequent people are worth saving. When the number of drug overdose deaths went down so dramatically after InSite, this is something that the government should be considering.

The government fought InSite on moral grounds, on ideological grounds, but certainly not on evidence because it did not have a leg to stand on if it looked at the evidence. The evidence was compelling, but the government did not look at it. It had an idea that this was morally wrong, all these people were shooting up heroin and we were letting them shoot up, and all this kind of judgmental attitude toward citizens of Canada who are vulnerable. They are vulnerable. They are in need of help by the government. They are in need of a good, solid public health response to addiction.

I want to say this is our public health, yet the bill brought in by the Minister of Health is going to be sent to the public safety committee, not the health committee. We see that the whole issue of public safety was served, not only here but in the 90 safe injection sites in countries of the world. This showed the most important thing, which was that law order and order prevailed. The number of petty crimes went down. The number of people shooting up in the streets went down. The number of people who were begging and being a public nuisance went down. Law and order was served. This is an important piece, as well, if all the government thinks about is law and order and not about people and not about compassion and not about public health.

The government spent millions of dollars taking this case through the courts. When the British Columbia courts agreed that this should happen, that this is evidence-based and the evidence is compelling, and when the Supreme Court of British Columbia agreed that the evidence was compelling, the government took it straight to the Supreme Court of Canada. The Supreme Court of Canada said the evidence that it listened to was compelling and said that while the federal government had it in its power to deny access, in fact, it was something that it should not do because ethically this would deny section 7 of the charter, which is the right to life, liberty and security of the person. If a person going to die and something would help him or her, that is security of the person. That is life. This is a government that likes to talk about caring about life, but it does not care about certain lives. Some lives are not worth it, as far as the government is concerned.

Now, the government is building a case beyond what the Supreme Court asked. The Supreme Court said, yes, we should consult. This is not consultation; this is legislation. Consultation is to go around and talk. When we started InSite in Vancouver, the city, the province, the federal government, the police and the communities all agreed to do so. Sixty-five per cent of people, at the time, supported InSite in Vancouver because they saw the harm that was being done.

Finally, before I finish, my colleague in the NDP brought forward a motion that the bill be not brought to second reading. I want to say that I support that motion because the bill is not in the best interests of public health and it is not in the best interests of the most vulnerable Canadians.

Respect for Communities ActGovernment Orders

November 4th, 2013 / 1:10 p.m.


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NDP

Alexandre Boulerice NDP Rosemont—La Petite-Patrie, QC

Mr. Speaker, first I want to inform you that I will be sharing my time with the exuberant, energetic member for Newton—North Delta.

This issue affects us all, but perhaps more particularly those of us who are lucky enough to be parents. I live in a fairly densely populated urban area, where our children ride around on their bikes and play with their friends in the sandboxes in the park or with neighbours in the lane behind our house. One of our fears as parents is that they might get their hands on drugs or on needles, which could prick them and give them very serious diseases.

As a community and as a government, how can we act to ensure that our streets, lanes and parks are safe for us all and for our children, who are not always very well informed about these kinds of dangers?

A place like InSite in Vancouver is a good example of how we can work together to enhance public safety while improving public health. The two are not mutually exclusive. They go together.

I much prefer to have someone inject drugs in a safe place rather than an unsafe place where there a risk of violence and a risk that objects may be left behind that can potentially harm our children.

One might think the idea of a centre where people can get help in injecting drugs is counterintuitive. Why help someone who injects an illegal drug that endangers his or her health? It is counterintuitive if the question is put that way.

However, sometimes in life, after in-depth studies and scientific tests are conducted, or after the facts are checked, what seems counterintuitive just may work. There are some fairly simple examples of that. A metal boat, for example, is counterintuitive because metal sinks, and yet it works. Another completely counterintuitive notion is that the earth is round, because everyone might initially think it is flat. However, that is not true; it is round.

The most important thing when it comes to public health is that we rely on facts, studies and evidence. That is also true of supervised injection sites, like InSite in Vancouver, which other municipalities would like to set up to combat substance abuse and addiction and enhance public safety.

Over 30 studies published in major scientific journals such as the New England Journal of Medicine, The Lancet and the British Medical Journal, describe the benefits of a centre like InSite in Vancouver. Furthermore, other studies show the positive impact of more than 70 supervised injection facilities across Europe and Australia.

Why not look at the positive experiences, such as the fact that these sites really help people, that they reduce the number of needles on the streets, that they decrease violence and that they reduce the number of deaths from drug overdose?

This is an important debate because people’s lives are at stake. In Vancouver, before InSite was set up, there was a 12-fold increase in the number of people who died from a drug overdose between 1987 and 1993. Twelve! Dozens of people died because of their drug addiction. Since InSite opened, the number of people who died from a drug overdose has dropped by 35%. The facts are clear. Injection facilities can save lives.

Unfortunately, in order to satisfy their electoral base, with a purely ideological perspective based on fear and prejudice, the Conservatives are trying to lock these successful experiments up so tightly that no other municipality in Canada will be able to set up this type of proven facility.

We have clearly seen the lengths they will go to to please some of their electorate. Just a few hours after introducing Bill C-2, the Conservative Party launched a campaign called “Keep heroin out of our backyards”, which made people believe that stopping the establishment of a supervised injection facility would improve public safety, while in fact the exact opposite is true.

It is a shame that they are trying to score points in the polls by using an issue that affects public health and people’s lives. Furthermore, the Conservatives’ position in Bill C-2 goes against a 2011 Supreme Court ruling. This is not exactly insignificant. The Supreme Court ordered the minister to consider granting exemptions for supervised injection facilities in order to strike a balance between public health and public safety. In our view, the Conservatives should respect the spirit of this ruling and move in the direction shown by the Supreme Court.

I would like to quote from a few documents. In 2011, the Supreme Court ruled that the minister’s decision to shut down InSite was a violation of its clients’ charter rights, that the decision was arbitrary and that it undermined the purpose of the law, which includes public health and safety.

The Supreme Court based its decision 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 Supreme Court said the following:

The infringement at stake is serious; it threatens the health, indeed the lives, of the claimants and others like them. The grave consequences that might result from a lapse in the current constitutional exemption for Insite cannot be ignored. These claimants would be cast back into the application process they have tried and failed at, and made to await the Minister’s decision based on a reconsideration of the same facts.

We need to protect those who suffer from addiction and direct them to programs that can help them get off drugs. There are undeniable facts, and I want to mention some of them because it is important to rely on facts, not fear.

In one year, InSite referred 2,171 hard drug users to addiction counselling and other support services. That is more than 2,000 people who were referred through a process to help them escape their situation and their misery.

People who use InSite's services at least once a week are almost twice as likely to enter a detox program as those who visit the centre rarely or not at all. Visiting the centre therefore encourages people to seek the help of health care professionals in resolving their situation.

Just one year after InSite opened in Vancouver, there was also a substantial decline in the quantity of needles and drug-related waste discarded by people injecting drugs on the street.

Why would anyone want to prevent other municipalities in Quebec and Canada from adopting this tool, which has proven itself here in Canada and in Europe and Australia? Why indeed, except in an unfortunate attempt to please a certain Conservative electorate that, in wanting to do the right thing, is preventing us from moving forward?

We are all opposed to the use of hard drugs, but it is important to understand that we must support and help these people, not adopt a solely repressive vision. That vision will not help us improve public health or make our streets and laneways safer.

I would emphasize that the NDP is not the only group that has adopted this view. Most nurses' and physicians' associations support our position: here we have something that has proven itself, something that saves lives and improves public health and safety.

I therefore call on the Conservative Party to take off its blinkers, look at the facts, read the studies and amend Bill C-2 so that we can live in safer communities.

Respect for Communities ActGovernment Orders

November 4th, 2013 / 1 p.m.


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NDP

Hélène LeBlanc NDP LaSalle—Émard, QC

Mr. Speaker, I am going to surprise you: Bill C-2, An Act to amend the Controlled Drugs and Substances Act, is not in the interests of public safety.

Despite the assertions of the hon. Minister of Health, if we take a close look at this bill, we can see that it aims to prevent supervised injection facilities from functioning. The health minister wants to tighten the criteria for injection facilities in Canada.

However, according to the new rules, those who wish to open an injection facility must first give consideration to the opinions of local community groups and police services and obtain support from municipal and provincial authorities.

With their so-called democratic consultations, the Conservatives say they are worried about the welfare of their fellow Canadians, without giving any consideration to opinions expressed by the people most directly involved. The people who are addicted to drugs and other substances belong to Canadian society just as much as anyone else. We are not only talking about places where drug addicts are going to inject heroin and use other illegal drugs, but safe and hygienic places where they can do so under medical supervision.

That is what InSite in Vancouver has been trying to do for the past 10 years. It is a safe, health-focused place where people inject drugs and connect to health care services to treat disease and infection. They also have access to addiction counselling and treatment, as well as housing and community supports.

Under the leadership of the Vancouver Coastal Health Authority, InSite is striving to decrease the adverse health, social and economic consequences of illicit drug use. With Bill C-2, the government is limiting the beneficial actions of such supervised injection sites, which work to integrate people with addictions into society.

Let us recall once again that this debate went as far as the Supreme Court, which decided that InSite was a very important health facility. I would like to quote a key excerpt from the Supreme Court's decision, since the bill that is before us today is supposedly based on that decision. Here is what the Supreme Court of Canada had to say:

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.

The court therefore ruled that InSite should remain open under the exemption set out in section 56 of the Controlled Drugs and Substances Act. It is important that all new legislation pertaining to these sites take into account the Supreme Court of Canada's decisions. These findings indicate that supervised injection sites reduce the harm associated with the use of illicit drugs. They must therefore be subject to exemptions. Given this solid evidence, why are the Conservatives still refusing to take into account the facts that have been presented? The bill reduces the possibility that such sites will be set up by requiring the submission of a great deal of evidence and many documents related to the financial viability of the site, the need for it in the community and its potential impact on public safety.

Bill C-2 jeopardizes the public safety it claims to defend. Supervised injection sites reduce the presence of used needles in public places and reduce the spread of disease simply because they are medical facilities supervised by trained personnel.

The argument made by the Minister of Health is therefore invalid and once again constitutes a false pretence to hide the real motive: to strengthen a Conservative ideology by ostracizing a certain segment of the population.

I would like to strengthen this argument. The Canadian HIV/AIDS Legal Network, the Canadian Drug Policy Coalition, and Pivot Legal Society criticize the bill's negative impacts. A statement published in June when the government tabled Bill C-65 mentioned that this is “a bill that aims to make it even more difficult for health authorities and community agencies to offer supervised drug consumption services, such as Vancouver’s Insite, to Canadians who are among those most at risk of HIV infection and fatal overdose”.

The official opposition considers the government's initiative 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 “Keep heroin out of our backyards” fundraising drive that started hours after Bill C-2 was introduced in Parliament, but by endangering supervised sites, this bill will actually put heroin back in our neighbourhoods. This is why this bill has been described by the Canadian Drug Policy Coalition as “...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”.

The evidence has demonstrated that safe injection sites effectively reduce the risk of contracting and spreading blood-borne diseases, such as HIV and hepatitis C, and death from overdose. It has also been shown that they do not undermine public safety and in some instances have proven to promote it by reducing public drug-injecting, reducing violence associated to it, and reducing drug-related litter.

Safe injection sites, therefore, strike the balance between public health and public safety. The government and all members of the House have a public responsibility to see Canadians with drug addiction problems as citizens in need of medical treatment, not as criminals. We have the responsibility to offer them assistance, primary health services, and addiction treatment.

There is evidence that allows us to say that supervised injection sites have promoted entry into treatment for drug dependence. One study published in 2006 mentioned that those who use InSite services at least once a week were 1.7 times more likely to enrol in a detox program than those who visited infrequently, and in 2010, 5,268 people were referred by InSite to other social and health services. The vast majority of them were for detox and drug dependence treatment.

As the Canadian Medical Association stated:

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.

Lastly, supervised injection sites could cause problems for some people because along with these sites come people with substance abuse problems and drug addictions. However, seeing the issue from only that one angle would be misinformation, pure and simple.

I presented a number of points that the government needs to take into account before amending any legislation dealing with supervised injection sites. For all of the reasons I mentioned, the official opposition opposes Bill C-2, which is designed to put an end to centres that not only help a certain segment of the population both medically and socially, but also protect communities.

Respect for Communities ActGovernment Orders

November 4th, 2013 / 12:45 p.m.


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NDP

Élaine Michaud NDP Portneuf—Jacques-Cartier, QC

Mr. Speaker, before I start my presentation, I would like to say that I will be sharing my time with my colleague from LaSalle—Émard.

I am very proud to rise in the House today to oppose Bill C-2 and to support the very important amendment presented by my colleague from Vancouver East. I would like to thank and congratulate her, first for presenting this amendment, and also for the work she does in representing her constituents in the riding of Vancouver East. We have seen in this chamber that she cares about all her constituents, whether they are the most vulnerable or from different walks of life. My colleague knows very well what is at stake with Bill C-2 because, in her riding, there is a major problem when it comes to people living with addictions. Unlike the health minister of this and former governments, she has visited InSite. She does a good job, and I would like to congratulate her.

To be frank, I am disappointed to have to speak to Bill C-2 today. We should not have to deal with such a bill, particularly given the very clear decision rendered by the Supreme Court in 2011. Supervised injection sites, such as InSite in Vancouver, are an important way to guarantee better public health and safety, and the closure of such sites would be detrimental to those who benefit from these services.

Unfortunately, we are dealing with a new and fairly underhanded attempt by the Conservative government to violate the Supreme Court's 2011 decision. The government is trying to meet its objective of closing InSite in Vancouver, and to make it impossible to open any new sites.

Before I became an MP, I earned a bachelor's degree in psychology from Université Laval. During my studies, I spent some time learning about addictions, including alcohol and drug addictions. Today, the harm reduction approach is scientifically recognized, and many of that approach's techniques are currently being used by the scientific and medical community. They produce proven results.

InSite in Vancouver is a very practical and effective application of the harm reduction approach, which was unfortunately rejected by the Conservatives in 2007 when they reviewed the national drug strategy. They decided to simply do away with the harm reduction approach, despite scientific evidence and conclusive data showing how effective it is. As someone with a degree in psychology and expertise in that area, I am extremely disappointed to see the Conservatives ignoring proven scientific studies that show the importance and the effectiveness of supervised injection sites such as InSite.

If the bill is passed as it exists today, there will be a long and tedious list of criteria that new supervised injection sites will have to meet in order for the minister to grant them an exemption under the Controlled Drugs and Substances Act. These criteria will make it extremely difficult to open new supervised injection sites, even though there is a demand for them. Other municipalities in the country are considering setting up such sites to help people with addictions—people who deserve our support and compassion—and to give them access to the resources they need to overcome their addictions. These resources are offered at InSite when people make use of those services.

In fact, more than 30 studies, some of which were reviewed by peers in the scientific community, were published in renowned, highly esteemed journals. I am talking about The New England Journal of Medicine and the British Medical Journal. We should not disregard these authoritative sources, which have described at length the benefits of supervised injection sites, more specifically, the benefits of InSite in Vancouver, the only supervised injection site in Canada at this time.

Studies have also looked at the more than 70 similar supervised injection sites in Europe and Australia. Those studies show similar results. They were able to prove that the supervised injections sites are a major breakthrough in terms of public health, that they provide important benefits and must continue to exist in order to provide their services under appropriate supervision.

The most ironic thing I have heard so far in the Conservatives' comments is that to them, closing supervised injection centres, which help people with addictions and give addicts a safe place to use the substances they need, is a way of protecting children and families. The Conservatives are suggesting closing these sites and sending addicts back into the streets instead of giving them an enclosed space that would be out of sight from children and mothers who are going shopping or running errands.

We will end up in the same situation Vancouver was in at the end of the 1980s and early 1990s. At the time, between 1987 and 1993, the number of deaths by heroin overdose went from 16 a year to 200 a year. However, with the arrival of InSite, the overdose death rate was reduced by 35%. That is significant because they also managed to reduce the waste that comes from drug use, including the problem of used needles. In addition to reducing waste, they also managed to reduce the spread of disease among those who inject drugs. Having fewer people share needles means fewer cases of hepatitis A, B and C and of HIV-AIDS.

To put this in economic terms the Conservatives will understand, this is a way to significantly lower our health care costs. However, last week I heard one of the parliamentary secretaries tell us that our emergency rooms offered the best care available to treat these people.

I had the opportunity to attend meetings of the Standing Committee on Public Safety and National Security for a few weeks last session. We were looking at how to reduce demand for police and health care services in order to save money on public safety, while still maintaining the most effective public services possible.

One thing we heard from many police chiefs from across the country was that police forces, social services and health care services should work together to avoid revolving door situations, in which people end up on the street, then back in the ER, then back on the street, and so on. That is a huge burden on our health care system and costs taxpayers a lot of money, considering that health care is available in the community and can truly help people living with addictions.

I think it is completely ridiculous that the Conservatives are once again trying to circumvent a Supreme Court decision to guarantee public safety and security for Canadians, not only those living with addictions, but also the Canadian families who may have to deal with problems involving addicts.

One way to improve the quality of life in our communities is to offer appropriate services to people living with addictions, and that is what centres like InSite do.

Mere hours after introducing the bill, the Conservatives launched a fundraising campaign among party members, encouraging them to keep heroin out of their backyards. That is misleading.

Members joined this campaign and perhaps even donated to the Conservatives thinking, somewhat naively, that this bill was intended to enhance public safety. However, the Conservatives failed to tell them that, as a result, people living with addictions would have to go back out on the street to inject themselves rather than using the InSite services. When people use these services, they are often referred to detox centres and manage to finally attain the lifestyle of abstinence that the Conservatives would like them to have. However, the Conservatives are now closing the door in their faces and asking them to fend for themselves and to go back out on the streets in full view of the children, families and mothers doing their grocery shopping.

This bill makes no sense at all. This is indisputable evidence of the backward nature of the Conservatives' anti-drug program. They are willing to completely discard an evidence-based approach that has been proven to reduce harm, for the sole purpose of pleasing their base. I find this really disappointing.

I again thank my colleague for the amendment she proposed. A bill like this should never go to second reading.

Respect for Communities ActGovernment Orders

November 4th, 2013 / 12:40 p.m.


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NDP

Djaouida Sellah NDP Saint-Bruno—Saint-Hubert, QC

Mr. Speaker, I listened carefully to the speech by my colleague opposite who said that the NDP does not support this bill as it pertains to regulating drug use.

The NDP finds that Bill C-2 flies in the face of the 2011 Supreme Court ruling. The NDP believes that harm reduction programs, including supervised injection sites, must be based on evidence that they will improve public health and save lives, not on ideology.

We are talking about supervised sites, sites that will prevent the spread of infectious diseases such as hepatitis A, B and C, HIV-AIDS, and others. How can we reach injection drug users in the future without these supervised sites?

Respect for Communities ActGovernment Orders

November 4th, 2013 / 12:30 p.m.


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Conservative

David Sweet Conservative Ancaster—Dundas—Flamborough—Westdale, ON

Mr. Speaker, it is an honour to stand here today and address Bill C-2. Canadian families expect safe and healthy communities in which to raise their children. That is why our Conservative government is moving forward with the respect for communities act to ensure that parents have a say before any drug injection sites open in their communities and the most rigorous criteria apply.

Why is this necessary? It stems from the Supreme Court of Canada's decision in 2011, which rendered that any application for a supervised injection site must, among other factors, be considered with an understanding of the circumstances in the community that had led to the need for a site, as well as the opinions of the community in which it would operate.

However, the court was also clear in its ruling that it was not “an invitation for anyone who so chooses to open a facility for drug use under the banner of a “safe injection facility”. That is why the government is acting on this Supreme Court ruling. Given the inherent risks in using dangerous and addictive drugs obtained on the street, exemptions to use them at a supervised injection site should be granted only in exceptional circumstances, once rigorous criteria have been addressed by an applicant.

Specifically, the bill would amend the existing Controlled Drugs and Substances Act, the federal statute that restricts the usage of dangerous and addictive drugs. Under this act, activities involving controlled substances, including possession, import, export, production and distribution, are prohibited, except as authorized through an exemption obtained through section 56.

As I just said, we believe that exemptions should be granted only in exceptional circumstances and subject to rigorous criteria. That is why this bill, the respect for communities act, would divide section 56 into two distinct categories. Street drugs, or illicit substances, would have a section specific to supervised injection sites. Applications to use illicit substances at such a site would need to address rigorous criteria before such an application would even be considered by the Minister of Health.

One of the criteria an applicant would have to address would relate to the treatments for the proposed site's users. The applicants would have to provide letters from their provincial minister responsible for health, describing their opinion on the proposed activities, how the activities would be integrated in the provincial health care system and any treatment services that would be available in the province for individuals who would use the site. An application would not be considered by the Minister of Health without this information. In addition, an applicant would have to provide a description of the drug treatment services available at the site, if any, for persons who would use this site and the information that would be made available to them in relation to drug treatment services available elsewhere.

These criteria demonstrate that our Conservative government takes the harm caused by dangerous and addictive drugs very seriously. We need to support those in need with treatment and recovery programs. Drug treatment and recovery programs must be focused on ending drug use.

That said, I would like to take this opportunity to inform the House of other actions the Government of Canada is taking to address dangerous and addictive drug use.

In 2007, we launched the national anti-drug strategy. The strategy's goal is to contribute to safer and healthier communities by reducing and eliminating illicit drug use in Canada. Like the bill before us today, the national anti-drug strategy is designed to protect public health and maintain public safety. That is why its three pillars are prevention, treatment and enforcement.

Today, I would like to focus specifically on the treatment aspect of the national anti-drug strategy and outline some of the services that are part of it. The strategy supports innovative approaches to treating and rehabilitating those with illicit drug addiction who pose a risk to themselves and the community. Health Canada also works to increase access to and improve the quality and effectiveness of addiction services for first nations and Inuit youth and their families. Specifically, it aims to enhance treatment and support for first nations and Inuit people, support treatment programs for young offenders with drug-related problem, enable the RCMP to refer youth with drug-related problems to treatment programs and support research on new treatment models.

While responsibility for the delivery of most treatment and rehabilitation services remains with provincial and territorial governments, the Government of Canada recognizes the importance of continued investments in drug treatment programming and works closely with the provincial and territorial governments and other key stakeholders. Our end goal is always to help treat and end the scourge of drug addiction that plagues communities and families. The drug treatment funding program is one such example of this multilateral approach. This program supports provincial and territorial governments, as well as other stakeholders, in making strategic investments in three key areas.

The first area is through the implementation of evidence-informed practice. Health Canada supports the uptake of best practices such as continuous knowledge development and information sharing to improve service delivery.

The second is in strengthening the evaluation and performance measurement capacity and activities. While all jurisdictions collect performance information pertaining to their treatment, services and programs, the type and nature of the data collected as well as the approach to data collection and analysis vary considerably. With the funding in this area, projects are in place to identify and standardize best practices, evaluation and performance measurements.

Third, the program supports linkages and exchange among the funded projects. This is an essential element of the work undertaken in the first two investment areas and includes enhancing knowledge sharing and disseminating lessons learned. For example, in some of these projects, work is under way to implement knowledge-exchange mechanisms for concurrent mental health and substance use best practices. Other tools are also being developed to improve linkages between the specialized addiction sector and other health and community service providers.

Since 2007, this program has provided over $100 million in funding to provinces, territories and key stakeholders.

To highlight one particular project in Alberta, community agencies that serve youth were supported by providing a manual and curriculum to improve staff skills around basic addiction, counselling and screening practices as well as mental health knowledge. The result of this project demonstrated that community service providers improved their skills and confidence in evidence-based addiction practices. In addition, at-risk youth had greater access to addiction information and basic services through the community agencies that they frequented.

Another approach has been taken by Saskatchewan, a project enabled services directed at youth by building upon a strong pre-existing framework. Through these services, individual assessment plans are developed followed by brief interventions and referral to more formal services. Through community partnerships, the project is tracking the impact of its services and moving youth into recovery programs. The program provides between 30 to 50 brief interventions every month with between 200 to 335 participants.

Additionally, as part of the national anti-drug strategy, our government provides almost $10 million annually to improve access to quality addiction treatment services for aboriginals. These investments are targeted in four key areas: improving the quality of services by increasing access to certified training and supporting treatment centres to become accredited; increasing the effectiveness and relevancy of services by supporting these centres to re-profile or strengthen services in response to recognized service gaps; improving access to services by piloting community-based multidisciplinary teams to provide comprehensive additions and mental health services to aboriginal communities; and a comprehensive review renewal process for first nation addiction services carried out in partnership with first nation communities and leadership.

Our government remains committed to addressing dangerous and addictive drug use through the national anti-drug strategy and will continue to invest in prevention and treatment. The respect for communities act is consistent with this strategy and, once more, it takes action in the wake of the Supreme Court decision ensuring that parents have a say before drug injection sites open in their communities.

To me, this is an important point in the bill. It gives local law enforcement, municipal leaders and local residents a voice before a permit is granted for supervised drug consumption sites. Communities must have a say.

All told, the bill would provide the Minister of Health with the information necessary to balance public health and public safety considerations, including how the proposed site would fit within a province's overall approach to treatment services.

Why the NDP, through the motion of the member for Vancouver East, is seeking to kill this bill is beyond me. What NDP members are saying through their motion is that they are against giving parents a say before drug injection sites open in their communities, that they are against the Supreme Court's ruling on this matter and that they are against ensuring that addicts are provided the treatment and support they need at these sites.

I urge all members of the House to vote in favour of the respect for communities act and give the Minister of Health the tools she needs to do her job.

Respect for Communities ActGovernment Orders

November 4th, 2013 / 12:10 p.m.


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NDP

Randall Garrison NDP Esquimalt—Juan de Fuca, BC

Mr. Speaker, I really do suspect the government's motives with Bill C-2. I really believe it is trying to get around the Supreme Court of Canada decision, which found there was a charter right to access health services that save lives. Therefore, my hope is that when we get to committee with the bill and present the government once again with the evidence of the very positive role that safe injection sites play in communities—the very opposite of what it is alleging here, that they are somehow a threat to public safety and a threat to public health by encouraging drug use—that it will reconsider.

We know what the record is at InSite. We get far more injection drug users into treatment when there is a safe injection site where they can establish relationships with health care workers and counsellors, and establish the confidence to get the help they need to do something about their drug addiction. When we leave people on the street, it causes all the various public disorder problems that are associated with injection drug use.

Respect for Communities ActGovernment Orders

November 4th, 2013 / noon


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NDP

Randall Garrison NDP Esquimalt—Juan de Fuca, BC

Mr. Speaker, I rise today to oppose Bill C-2. What the Conservatives are trying to do with the bill is quite clear, despite their pretending to do something quite the opposite. The consequences of the bill will prove to be very dire for the most vulnerable in our society and very costly for our health care system.

While the bill pretends to address public health and safety concerns about safe injection sites, in fact it has three other completely different goals. I believe the bill aims to shut down InSite, the supervised injection site in east Vancouver, and to prevent any other supervised sites from operating. I believe it aims to nullify the 2011 Supreme Court of Canada ruling in favour safe injection sites, and I believe it constitutes a further attack on the principle of harm reduction.

The question of why the government would pretend to facilitate safe injection sites is in some respects easy to answer. Conservatives know the bill flies in the face of informed public opinion, so it is necessary to create false distractions by manufacturing concern over safe injection sites as threats to public health and safety, when in fact the evidence shows directly the opposite to be true. The bill raises the spectre of neighbourhood opposition to safe injection sites when surveys show that 80% of those living and working in Vancouver's Downtown Eastside support InSite, the existing safe injection site.

Bill C-2 pretends to implement the 2011 unanimous Supreme Court of Canada ruling in the case of Canada v. PHS Community Services Society, the decision upholding the right of InSite to operate and upholding the charter rights of those who are addicted to receive health care services.

Yet in its “principles”, Bill C-2 makes no reference to public health and no reference to any of the principles on which the Supreme Court of Canada decision was based. This indeed is a bill that will result in litigation, as its intent seems to be an end run around the Supreme Court decision on safe injection sites. Cynics might even say the government might welcome endless litigation, which would not only delay new safe injection sites but also consume the scarce resources of organizations that have a different view from the government on how best to address the addiction crisis in our communities.

The Conservatives also know that the false concerns about public health and safety that Bill C-2 raises will appeal to their narrow base who believe with a near religious fervour and a clear disdain for evidence that being tough on crime will somehow solve addiction problems.

Let me talk a little about each of these three not-so-hidden aims of Bill C-2: shutting down safe injection sites, getting around the Supreme Court ruling and destroying harm reduction programs. Bill C-2 pretends to facilitate the licensing of safe consumption sites, while instead creating a long list of criteria for licensing and setting up a system without any requirement for the timely disposition of those applications. The bill lists 26 criteria on which applications will be judged, literally A to Z in that section. It establishes long timelines for public consultation on an application, but imposes no timelines on the minister for actually making decisions.

Perhaps my greatest concern about the bill is the ultimate discretion granted to the minister. In the bill, the minister “may” grant a permit for a safe injection site that has met all the criteria, when in fact what I believe the bill should read is that the minister “must” grant a permit if the criteria are met.

As I said, Bill C-2 purports to implement the 2011 unanimous Supreme Court of Canada ruling in favour of safe injection sites. In this decision, the Supreme Court of Canada clearly found that safe injection sites save lives. The court ruled that the existing site should remain open with a section 56 exemption from the Controlled Drugs and Substances Act.

The court ruled that InSite users have a charter right to access the service and that similar services elsewhere should be allowed to operate with an exemption. The court did not say we need a new bill and a new process.

Finally, Bill C-2 pretends to be about public health and safety, when it actually aims to dismantle an important harm reduction program. It ignores the very evidence that exists on the positive impacts of InSite. More than 300 peer-reviewed scientific studies have demonstrated that safe injection sites effectively reduce the risk of contracting and spreading blood-borne diseases, such as HIV and hepatitis C, as well as reducing deaths to zero from overdoses. In a study conducted over a one-year period, there were 273 overdoses at InSite. None of these resulted in fatality.

Bill C-2 also ignores the real savings to both health care and public safety budgets that come from safe injection sites. They ignore the real savings in terms of reduced demand on first responders and emergency rooms with the reduction in overdoses, and they ignore the increased number of clients who actually get into treatment programs as a result of visiting save injection sites.

My colleague from Vancouver East pointed out in her speech on Bill C-2 last week:

Dr. Evan Wood, a renowned scientist who works for the B.C. Centre of Excellence in HIV/AIDS, points out that one of the important aspects of a safe injection site is that, given that each HIV infection costs on average approximately $500,000 in medical costs, [InSite] has contributed to a 90% reduction in new HIV cases caused by intravenous drug use in British Columbia, which is why the B.C. government has been such a strong supporter of the program.

When the evidence is clear, how can we proceed with a bill such as this, which intends to frustrate the creation of new safe injection sites? Unfortunately, I believe Bill C-2 is part of the Conservative agenda to eliminate harm reduction programs. We saw this agenda begin in 2007, when the government removed the term “harm reduction” from the list of goals of Canada's national drug strategy.

I am standing here today because there is a need for action to address the crisis in overdoses in my own community that the provincial health authority, social service agencies and local police are trying to address. The most recent B.C. Coroner's Report from October 2012 found that there were 44 deaths from illicit drug use on Vancouver Island in 2011, with 16 of those occurring in greater Victoria. This makes Vancouver Island the region with the highest rate of deaths related to illicit drug use in British Columbia at 7.88 per 100,000 residents.

According to the Centre for Addictions Research at the University of Victoria, this makes the local per capita death rate nearly 30% higher than that in the Lower Mainland. If people need evidence of the positive impact of InSite versus a community such as mine, which does not have access to a safe injection site, they should keep that figure in mind. There is a 30% higher death rate from overdoses on Vancouver Island than where a safe injection site exists in the Lower Mainland. The need for action in my community is very clear, yet Bill C-2 would take away the best tool for responding to this health crisis. It would take a safe injection site off the table for my community.

I have one last question. Why the rush? It was surprising to see Bill C-2 as the first bill the Conservative government brought forward for debate in the second session of the 41st Parliament. Yes, it would help re-establish its tough-on-crime credentials, but more importantly I suspect the Conservatives are in a rush to bring in this new law to head off the opening of new safe injection sites, as there are some applications for section 56 exemptions that are quite advanced. What they want to do is change the law and send the applicants back to the drawing board under this new legislation with its long delays and near impossible criteria.

The real threat to public health and safety in my community turns out to be the narrow ideological agenda of the Conservative government, which ignores the evidence of the real contribution that safe injection sites make to public health and safety. It has already sent a fundraising letter to its base talking about donating to the Conservatives to help them keep drugs out of our backyards. Ironically, of course, that is exactly what safe injection sites do. They move drug use off the streets and out of our backyards into a safer setting for both those who are injection drug users and our communities as a whole.

New Democrats are opposing the bill at second reading and sending the bill to the Standing Committee on Public Safety. I would say this is another piece of Conservative propaganda around safe injection sites. Why is the bill not going to the health committee where it belongs? This, as the Supreme Court of Canada pointed out, is clearly a health issue and not a public safety issue. The NDP will be calling witnesses in committee to bring the evidence, once again, to the attention of Conservatives of the very positive role that safe injection sites play in both public health and safety. The very fact that the Conservatives have chosen to send the bill to the public safety committee illustrates to me their intention to distract the public by characterizing safe injection sites as a threat to public safety rather than an important health measure that would save both lives and money.

The House resumed from October 18 consideration of the motion that Bill C-2, An Act to amend the Controlled Drugs and Substances Act, be read the second time and referred to a committee, and of the amendment.

Business of the HouseOral Questions

October 31st, 2013 / 12:10 p.m.


See context

York—Simcoe Ontario

Conservative

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

Mr. Speaker, it is the custom in the response to this question to actually answer about the business of the House. That is what I will focus on, rather than the business of our party convention, which I am sure will be a very successful conference. Good things always happen when we get together as a party.

We will conclude this week with the debate on second reading of Bill C-5, the offshore health and safety act.

Next week we will focus on families and building our communities. Families are the cornerstone of society. Over the coming weeks and months, our government will continue to support and protect families through a number of important bills.

We will continue to tackle crime, increase support for victims, and ensure communities are kept safe from criminals. We want Canadians to live in safe and healthy communities in which they can raise their children.

Therefore, on Monday, before question period, we will resume the second reading debate on Bill C-2, the respect for communities act. That debate will be continued next Friday.

After question period Monday, we will take up the second reading debate on Bill C-3, the safeguarding Canada's seas and skies act.

Wednesday will see us return to the third reading debate on Bill C-7, the Canadian museum of history act.

Thursday, November 5 shall be the second allotted day, which will go to the Liberals, I understand. This will be an opportunity for the hon. member for Papineau to tell us, and all Canadians, the next plank of his policy vision for Canada. So far, we have seen his penchant for pot, as well as his star economic adviser claiming that someone's job prospects are pre-determined by his father's job. However, we have not heard any economic ideas as yet.

Thursday, November 7, shall be the third allotted day, which will see a New Democratic motion considered.

In closing, let me echo the words of the hon. member for Pickering—Scarborough East, which I know he scripted himself: happy Halloween.

Motion No. 2BUSINESS OF THE HOUSE AND ITS COMMITTEESGovernment Orders

October 21st, 2013 / 5:45 p.m.


See context

Conservative

Joy Smith Conservative Kildonan—St. Paul, MB

Mr. Speaker, I must say that proroguing is very commonplace. Every government has done it to come back and restart. There was a very short period of prorogation. Not supporting this Bill C-2 would cause months of starting all over again on these very important bills.

We heard the member speaking about Bill C-54. This is an extremely important bill, and it has to move through quite quickly to protect citizens. How important does the parliamentary secretary think it is for those members to support this bill?