Evidence of meeting #133 for Health in the 44th Parliament, 1st Session. (The original version is on Parliament’s site, as are the minutes.) The winning word was treatment.

A recording is available from Parliament.

On the agenda

MPs speaking

Also speaking

Jean-Sébastien Fallu  Associate Professor, Université de Montréal, As an Individual
Masha Krupp  As an Individual
Eileen de Villa  Medical Officer of Health, City of Toronto

The Chair Liberal Sean Casey

Dr. Ellis, go ahead, please.

12:25 p.m.

Conservative

Stephen Ellis Conservative Cumberland—Colchester, NS

Thanks very much, Chair.

Thanks, everybody, for being here. I have just a couple of comments.

First of all, Mr. Fallu talked about depoliticizing the situation. I would draw everybody's attention to a social media post in May that reads, “Hey everyone, @PierrePoilievre is a #PublicDanger. He is way more toxic for society than all drugs.” That doesn't sound like depoliticizing this incredibly important debate to me.

That being said, Ms. Krupp, thank you very much for your testimony. I had a chance to read it, and I really appreciate your being here. I apologize for not being able to be here right away.

We talked a little bit about methadone and, of course, the tragedy that happened in your family related to methadone. I once was a family physician and had a licence to prescribe methadone. At that time, it was necessary to prove your competence as a prescriber before you were allowed to prescribe methadone. In my reading, those regulations changed in 2017.

In your mind, if that regulation continued to exist, would that have changed the outcome in your family if you had a competent prescriber?

12:30 p.m.

As an Individual

Masha Krupp

If those regulations were in place, I believe that, most certainly, my daughter would be alive because the physicians that were dispensing prior to 2017 had to be trained. Now they are not.

For example, Recovery Care has four clinics across Ottawa. Guess how many doctors have the certificate for addictions. One. It's Dr. Charles Breau. None of the other doctors at all the other locations, including the one that my daughter went to, has addictions training.

12:30 p.m.

Conservative

Stephen Ellis Conservative Cumberland—Colchester, NS

Those comments, of course, are very concerning. I think it's something that this committee needs to take into consideration as we draft recommendations around how things need to change in the future.

Dr. de Villa, I found it interesting. I had a chance to read some of the comments you've made.

On behalf of Canadians, am I right in saying that when you talk about legalization and some of the proposals you put forward, you didn't believe there would even be an age limit on the use of unregulated drugs in this country? Is that true?

12:30 p.m.

Medical Officer of Health, City of Toronto

Dr. Eileen de Villa

Let's be clear. What I have put forward, and what we put forward at Toronto Public Health, is in respect of decriminalization and a nuanced discussion on how to create drug policy that actually better supports health. That has to be a part—

12:30 p.m.

Conservative

Stephen Ellis Conservative Cumberland—Colchester, NS

That wasn't my question. My question was very specific: Does your policy include the fact that there would be no age limit?

12:30 p.m.

Medical Officer of Health, City of Toronto

Dr. Eileen de Villa

Our decriminalization application did include young people, whom we recognize are actually also very much suffering from addiction—

12:30 p.m.

Conservative

Stephen Ellis Conservative Cumberland—Colchester, NS

I'm sorry, but again I'm going to interrupt you. You're giving us a word salad.

On behalf of Canadians, your legalization program did not have any age limit whatsoever.

12:30 p.m.

Medical Officer of Health, City of Toronto

Dr. Eileen de Villa

Through the chair, it was a decriminalization application to the federal government and, yes, it considered young people, who are also suffering with challenges of substance use, in order to protect their health.

12:30 p.m.

Conservative

Stephen Ellis Conservative Cumberland—Colchester, NS

Dr. de Villa, I am going to interrupt you there, because you continue to say your same line over and over again. I understand why you're doing that. I assume it's because you're embarrassed to come out and say what the actual truth is.

On behalf of Canadians out there, of course, those of us on this side of the House do realize that young people suffer with opioid use disorder—of course we do—but in the policies we've read that you've put forward, you're talking about legalization, which you want to argue and call by a different name but also not admit the fact that it includes no age limit for young people.

12:30 p.m.

Medical Officer of Health, City of Toronto

Dr. Eileen de Villa

Through the chair, it was an application to the federal government for decriminalization. Yes, it considered young people, because they are actually suffering and stigmatized related to their drug use and, as well, you'll note that our strategy in the City of Toronto does consider a very broad range of approaches.

We recognize that it is not a simple solution that will actually get us where we, I believe, want to get to, which is a healthier, thriving community.

12:30 p.m.

Conservative

Stephen Ellis Conservative Cumberland—Colchester, NS

Yes, I thank you for that, Dr. De Villa, but what I would suggest to you—

12:30 p.m.

Medical Officer of Health, City of Toronto

Dr. Eileen de Villa

We actually need better drug policy. We need more more prevention. We need more harm reduction—

12:30 p.m.

Conservative

Stephen Ellis Conservative Cumberland—Colchester, NS

What I—

12:30 p.m.

Medical Officer of Health, City of Toronto

Dr. Eileen de Villa

—and we need more treatment.

12:30 p.m.

Conservative

Stephen Ellis Conservative Cumberland—Colchester, NS

Excuse me, Ma'am—

The Chair Liberal Sean Casey

Dr. Ellis, go ahead with your last question.

Stephen Ellis Conservative Cumberland—Colchester, NS

Thank you very much. I appreciate that, Chair.

What we're seeing here is the fact of the matter that neither of Mrs. Krupp's children was born wanting to be addicted to drugs. Everybody over here realizes that, but I think, Dr. de Villa, that what you're failing to realize, and of course why your proposal was actually shot down by the province, is the fact that nobody in this country now believes that legalization of drugs and giving out drugs for free, especially to kids, is in any way, shape or form going to change the narrative of the chaos and drugs and disruption that policies such as yours are allowing to happen on the streets.

I guess the fact of the matter is—

Élisabeth Brière Liberal Sherbrooke, QC

Mr. Chair—

The Chair Liberal Sean Casey

Dr. Ellis, that's your time.

12:35 p.m.

Conservative

Stephen Ellis Conservative Cumberland—Colchester, NS

If may just finish up, Mr. Chair, I hope they're happy with tent cities that now exist—

The Chair Liberal Sean Casey

We have a point of order from Ms. Brière.

Go ahead.

Élisabeth Brière Liberal Sherbrooke, QC

I have a point of order.

We are not talking about legalization; we are talking about decriminalization.

The Chair Liberal Sean Casey

Thank you, Ms. Brière.

Dr. Ellis, are you finished? Your time is up.

12:35 p.m.

Medical Officer of Health, City of Toronto