Evidence of meeting #84 for Health in the 44th Parliament, 1st Session. (The original version is on Parliament’s site, as are the minutes.) The winning word was drugs.

A video is available from Parliament.

On the agenda

MPs speaking

Also speaking

7:30 p.m.

Liberal

The Chair Liberal Sean Casey

I call this meeting to order.

Welcome to meeting number 84 of the House of Commons Standing Committee on Health. Today’s meeting is taking place in a hybrid format, pursuant to the Standing Orders.

In accordance with our routine motion, I am informing the committee that all remote participants have completed the required connection tests in advance of the meeting.

Pursuant to the order of reference of Wednesday, February 8, 2023, the committee is resuming consideration of Bill C-293, an act respecting pandemic prevention and preparedness. We are resuming clause-by-clause consideration of this bill. Where we left off was at clause 3 and amendment CPC-4.

Mr. Doherty, please go ahead.

7:30 p.m.

Conservative

Todd Doherty Conservative Cariboo—Prince George, BC

Thank you, Mr. Chair.

This should come as no surprise to our colleagues. As you know, the clerk distributed my motion on Monday afternoon to meet the notice period.

At this time I'd like to move my motion on the opioid crisis:

That, given the recent study from the Institute for Clinical Evaluative Sciences Western and Lawson Health Research Institute revealing a lack of housing can influence people’s patterns of substance abuse, the committee recognize: (a) the correlation between homelessness and increased opioid deaths, (b) that, while opioid deaths in Ontario increased two-fold over a four-year timeframe, deaths among the unhoused saw a nearly four-fold increase, (c) that people experiencing homelessness accounted for one in 14 opioid-related overdose deaths in 2017 and one in six deaths in 2021; that the committee call on the government to make access to low-barrier housing a central strategy in its efforts to address the opioid epidemic; and that the committee report this motion to the House.

Mr. Chair, if my colleagues can't guess by now, I take this issue very seriously and, to be honest, I don't doubt the motivation of our colleagues either. As I started to say, and before I was cut off a number of times last meeting, I have enjoyed the support—and the partnership, if you will, up to a certain point—from our other opposition parties in calling on this government to declare the opioid epidemic a national health crisis.

Last week, researchers at Western University in London, Ontario, released the findings of a study on the link between opioid deaths and the lack of housing. I'm shocked at the results. I'll repeat the statistics: Homeless Ontarians accounted for one in six opioid-related deaths in 2021, a staggering rise from the one in 14 in 2017.

Allow me to read briefly about the study for a moment:

In one of the first reports to track the continuous increase in opioid-related mortality in the province among people experiencing homelessness, researchers found that the quarterly proportion of opioid-related overdose deaths among unhoused individuals increased from 7.2%...in the period of between July and September 2017 to 16.8%...between April and June 2021.

“On average, that's one homeless individual losing their life to an opioid overdose every day...,” said lead author Richard Booth....

“Unhoused people are overrepresented among opioid-related deaths, and the situation has reached a critical point following the challenges of the COVID-19 pandemic....

That is why I tried so hard to mention this during our last meeting.

We know the statistics show that there are 22 deaths per day in Canada related to overdose—and those are the statistics that we know. When I'm talking about suicide, the rates of suicide or attempted suicides in our country, I always caution that these are the statistics that we know. Like mental illness and deaths by suicide, there is such a stigma attached to addictions. These are only the deaths that are reported, only the deaths that we know of. There are so many more that go unreported.

My Liberal and NDP colleagues can no longer ignore this issue. We've been pushing for some time now to move up this committee's study on the opioid epidemic, but all my colleagues on the other side of the table want to do is shut down this debate. I'm curious as to why my colleagues are so afraid to discuss this topic.

I've been very raw and very—

7:35 p.m.

Bloc

Luc Thériault Bloc Montcalm, QC

I have a point of order, Mr. Chair.

7:35 p.m.

Liberal

The Chair Liberal Sean Casey

Go ahead, Mr. Thériault.

7:35 p.m.

Bloc

Luc Thériault Bloc Montcalm, QC

I apologize to my colleague. I was waiting to hear his explanation, but since he's getting down to the nitty-gritty here, I want to point out a problem with this motion.

I'm willing to believe that it's admissible, but the problem, as my colleague will probably agree, is that the entire architecture or structure of the motion is based on a single study that hasn't been translated into French. So I'm being asked to make decisions regarding this motion without having access to the French version of that study. It doesn't exist.

I would've preferred to have a French version of the study, because the organizational structure of its wording is more than a mere detail. The structure and wording of the motion are based on a study the ins and outs of which I can't ascertain in French.

I'm sure that my Conservative colleagues are receptive to the argument I'm making today. I am in no way suggesting that I might not want to discuss the motion.

It seems to me that an effort could have been made to translate the study in question. I believe it's only 11 pages long. At least the abstract and conclusion could have been translated.

I submit that to you, Mr. Chair, so that you can assess the matter as a whole and come to a decision.

The second question in my mind concerns the fact that the calendar already provides—

7:35 p.m.

Conservative

Todd Doherty Conservative Cariboo—Prince George, BC

Mr. Chair, we already have—

7:35 p.m.

Bloc

Luc Thériault Bloc Montcalm, QC

I'd like to address a second point because Mr. Doherty raised—

7:35 p.m.

Liberal

The Chair Liberal Sean Casey

Mr. Thériault is in the middle of raising a point of order.

The first point that he raised is a valid point of order.

7:35 p.m.

Conservative

Todd Doherty Conservative Cariboo—Prince George, BC

Show me.

7:35 p.m.

Liberal

The Chair Liberal Sean Casey

I'm waiting to hear the second part.

7:35 p.m.

Bloc

Luc Thériault Bloc Montcalm, QC

Mr. Doherty is arguing—although perhaps he'll withdraw the point—that the committee doesn't intend to consider this matter, whereas we've all agreed on a work schedule. Mr. Hanley's motion, which addresses the entire opioid crisis, has been considered, and we were to discuss it on December 11 and 13. It's already on the agenda.

Mr. Hanley's motion is much more general. I've also read Mr. Ellis's motion, which addresses the opioid crisis. This raises an entirely technical question in my mind. If these two motions are intended to replace the motion we were to discuss on December 11 and 13, couldn't they be addressed at one of the eight meetings that we've scheduled?

I'm aware that we don't usually address routine matters in public, but we're working very hard. We've spent many meetings organizing our business, and this evening we're being told that we want to take up the opioid crisis, whereas it's already on our agenda.

I submit that to you, Mr. Chair. I would like to have your decision on those two technical points.

7:40 p.m.

Liberal

The Chair Liberal Sean Casey

I believe that the first question you raised concerned the fact that the French version of the motion does not contain a proposal that a study be conducted. However, that's not necessary for the motion to be valid. It's entirely permissible to move that the committee make a declaration and report to the House. That's precisely what is stated in English and French. The first part of your point of order is clear, but what Mr. Hanley has done isn't prohibited.

The second question you raised concerns the fact that we also have another motion. We've discussed Mr. Hanley's motion, but it hasn't yet been adopted. However, nothing would change even if it had been adopted. Mr. Doherty is entitled to introduce this motion. The fact that it concerns a matter related to another matter for which we have a notice doesn't extinguish that right.

Thank you for raising those points, but I am going to give Mr. Doherty the floor.

7:40 p.m.

Bloc

Luc Thériault Bloc Montcalm, QC

I would like some clarification, Mr. Chair.

Does that mean that the calendar that we've adopted isn't official and that we may change it as we wish? I need some clarification because we're supposed to be proceeding with our opioid study on November 11 and 13.

Are you telling us that the work we've done to adopt that calendar is no longer valid from the moment someone introduces another motion from the floor? Is that what you're saying? I'd like to understand this.

7:40 p.m.

Liberal

The Chair Liberal Sean Casey

The committee may alter its work plan. It may do so by means of a motion, by securing unanimous consent or by majority vote. This is absolutely permitted, and it has previously occurred on a number of occasions for many other reasons.

7:40 p.m.

Bloc

Luc Thériault Bloc Montcalm, QC

I know that Mr. Doherty is entitled to introduce a motion, except that his is based on an untranslated document, and its structure relies on arguments drawn from that document. The study of the Institute for Clinical Evaluative Sciences, Western University campus, and the Lawson Health Research Institute isn't translated. I thought the committee was sensitive to the fact…

I'm well aware that the motion has been translated into French. However, all the arguments in this motion are taken from a document that has not been translated. I can't follow them if I haven't been provided with the document or scientific study in question.

The motion contains the words, “given the recent study”. Then Mr. Doherty advances his arguments. I can't verify that, and yet I'm being asked to give an opinion and to vote on the matter.

It seems to me that should be taken into consideration. Personally, I think that, if there's no precedent here, that's how this should be considered. It's never too late to do the right thing.

I think my rights are being violated because this limits my ability to join in the debate.

7:45 p.m.

Liberal

The Chair Liberal Sean Casey

All right. Now I have a clearer understanding of what you're saying, Mr. Thériault.

You may suggest that we suspend debate or request that debate be adjourned so you can read the study that is the subject of the motion. However, that in no way prevents Mr. Doherty from introducing the motion and requesting debate.

I understand your argument. You have a few options, but they do not affect his right to introduce his motion.

Mr. Doherty, you have the floor.

7:45 p.m.

Conservative

Todd Doherty Conservative Cariboo—Prince George, BC

Thank you, Mr. Chair.

I appreciate the comments from our colleague—

7:45 p.m.

Liberal

The Chair Liberal Sean Casey

I'm sorry, Mr. Doherty. Before I give you back the floor, if you anticipate that we're going to be here for the full two hours and we're not going to need our folks from the Public Health Agency of Canada, I wonder if you might consider letting them be free to leave.

If you're not in a position to do that, then don't.

7:45 p.m.

Conservative

Todd Doherty Conservative Cariboo—Prince George, BC

Mr. Chair, at this time I would say no, but I don't want to waste anybody else's time.

I could probably have been a considerable way through this by now if that were—

7:45 p.m.

Liberal

The Chair Liberal Sean Casey

That's fair enough.

Thank you. Go ahead.

7:45 p.m.

Conservative

Todd Doherty Conservative Cariboo—Prince George, BC

Thank you.

I do appreciate the comments from my colleague. I appreciate your deliberations on this as well, Mr. Chair.

Mr. Chair, we have been pushing this, obviously, and raising points of order and motions on studying this. I appreciate that there have been discussions about the calendar, but there are reports coming out about how this epidemic is increasing. It is becoming more and more prevalent. It should raise alarms with all of us around this table.

There are obvious precedents in other committees in which the calendar that was decided upon and agreed upon by all parties has been changed, and there are topics, bills, legislation, motions and what have you that have been bumped up the order of precedence.

I guess the question I have is whether our colleagues are in denial that there is an epidemic in the first place. Are they afraid the so-called safe supply policies will be exposed to Canadians in a public committee? I said it last week and I'll say it again: This government needs to do better. We all need to do better. Thousands of Canadians are suffering each and every day from this opioid crisis. This study, the ICES study, confirms what we already know and what we have been saying for months now, if not years—that the government is failing to protect the most vulnerable of Canadians.

We're talking about people dying. It's not something we can ignore for a minute longer. These people who are addicted to these drugs, the homeless people on our streets, are dying. We can't ever bring these lives back. We can't give them a second chance. We cannot keep pushing back this study and adjourning debate whenever opioids are brought up. It is a difficult conversation. Sometimes doing the difficult task, while not easy, is the right thing to do.

Canadians expect better from this government. This crisis is touching people from all walks of life across our nation. We have this crisis, this opioid crisis, this fentanyl crisis. As I mentioned in my last intervention on this, it impacts folks from all corners of society. We have a duty to protect the lives and livelihoods of each and every person in our country, whether they are a homeless person or whether they are a blue-collar worker who is addicted to opioids. Our homeless population doesn't have a roof over their heads, but many have served our country. Many, for whatever reason, have fallen into despair. Canada is still their home. Our country is still their home. Surely my colleagues across the table must agree.

Maybe they need more convincing. Let me quote again from the article on the study:

While opioid overdose deaths in the province increased two-fold over the four-year timeframe, deaths among the unhoused saw nearly a four-fold increase.

Unhoused individuals who died were often younger (61.3%...between [the ages of] 25 and 44 years)...and were more likely to have recently accessed health-care services for mental health or substance use disorders, compared to housed individuals who died.

We know the Liberals and the NDP are politically invested in the success or perceived success of so-called safe supply policies, but surely they can put their partisanship aside for the good of Canadians. I've asked this so many times in the House when talking about mental health and addictions and suicide prevention: Why can't all parties come to an agreement that this crisis demands the attention of this committee now—not in a few weeks or a month or next year, but right now?

We can't afford to wait any longer with the lives at stake.

The article goes on. It says, “Lack of housing can influence people's patterns of substance use, which can introduce considerable risk for people accessing Ontario's highly potent...illicit drug supply” and “Access to low-barrier housing should be a central strategy”.

Mr. Chair, will the Liberal-NDP coalition listen to these calls to action? As we've seen in this committee in recent weeks, it's proving nearly impossible for them to even acknowledge the crisis at all. How can Canadians trust that this government will heed the calls of these experts?

Since I tabled my motion last week, there has been an outpouring of messages from families and loved ones who have lost children. One wrote to me about their 14-year-old and thanked me for the work we're doing here. We've done nothing. All we've done is raise the issue. I said that to them, that we've just raised the issue, but we have given them hope that something will be done.

It is likely that the Liberals and NDP will simply claim that their so-called safe supply policies need to be ramped up to address this issue. It's unbelievable to me how they can stand behind such policies while they continue to ignore and offer no solutions to the massive and very real problem of diversion. I met with the minister last week, and I raised this issue. Let's just say that the conversation wasn't as fruitful as I had hoped.

Mr. Chair, we need to act now. We need to put the brakes on this opioid epidemic before thousands more Canadians are killed. The government needs to act immediately to keep our streets safe and to start getting addicts into recovery, instead of perpetuating their tragic and deadly addictions. The reality is that this so-called safe supply is anything but safe.

I have here the special report from the National Post called “Drug fail: The Liberal government's 'safer supply' is fuelling a new opioid crisis”. This is the one that I tried introducing to this committee on Monday, yet it was not permitted. I'll read from it:

Last December, Health Minister Carolyn Bennett in an opinion article for the National Post, praised safer supply and defended the federal government's commitment to the program. In Bennett's fairy-tale world, there are no concerns about diversion, rising addictions or debilitating infections. The minister also skipped over the fact that, according to the government's own research, many participants of safer supply programs continue to abuse fentanyl because hydromorphone doesn't get them high.

Indeed, we've heard that testimony here.

Bennett cited the LIHC safer supply pilot project in London as a “particularly notable” example of success. According to the health minister, the program has seen zero overdose deaths. Yet [addiction specialist] Dr. Koivu says she's had patients who are enrolled in the LIHC safer supply program and ended up dying of overdoses. Their exclusion from official statistics has made her deeply concerned about the quality of data being provided to the government—did this data fully capture what was happening to the program participants? “The patients I watched suffering have to matter. Their lives and experiences are important, but I feel like they've been erased”, she said.

That comment is interesting, because when I sit with families, almost to a T, the overwhelming comment we get is “Do you even care?” or “Are you even listening?” The fact that their child, their loved one, their husband, their son, their daughter, their wife, their brother, their sister, their mother or their dad is away, in their mind, now the problem is gone, but as we know the problem continues and it is only amplified.

Mr. Chair, this is the heart of the problem. At the last meeting of the committee, I started to read into the record an article on diversion. The title tells the story: “Astonishing amounts of government-supplied opioids found for sale on Reddit”. It's absolutely appalling.

What we're seeing is people getting free drugs from the government—

7:55 p.m.

NDP

Don Davies NDP Vancouver Kingsway, BC

Mr. Chair, on a point of order, on Monday Mr. Doherty moved a motion that dealt with harm reduction and diversion, and that was dealt with at that time.

The motion before us today doesn't even mention harm reduction or diversion. It is explicitly referencing housing. I won't bother reading it, but it quotes a study revealing that a lack of housing can influence people's patterns of substance abuse, and it asks the committee to recognize the correlation between homelessness and opioid deaths and how people experiencing homelessness accounted for a certain number of opioid-related deaths. It asked that we call on the government to make access to low-barrier housing a central strategy, a separate....

While the issue of harm reduction may or may not be a valid issue to be debated, that was explicitly the subject of his motion on Monday—not tonight.

I notice that Mr. Doherty is venturing into comments on and references to harm reduction and diversion, which is clearly outside the parameters of this motion. In fact, the proof of that is that it was explicitly the subject of the motion on Monday and is not mentioned at all in this.

I would ask that he be called to confine his remarks to the motion under consideration.

7:55 p.m.

Liberal

The Chair Liberal Sean Casey

Thank you, Mr. Davies.

The motion is validly before the committee. It was put on notice. The motion does reference opioid deaths. It does, indeed, tie into housing. I am not convinced that he has strayed so far from the motion that he is outside the bounds of relevance.

I do trust, Mr. Doherty, that you'll take Mr. Davies' comments into consideration and be somewhat guided by them.

Anyway, the floor is yours, Mr. Doherty. Go ahead.

7:55 p.m.

Conservative

Todd Doherty Conservative Cariboo—Prince George, BC

I appreciate your comments, Mr. Chair. Now I have to find where I left off.

I referenced an article earlier on diversion, and the title tells the story: “Astonishing amounts of government-supplied opioids found for sale on Reddit”.

Mr. Chair, for my colleague in the NDP, when we are talking about the drugs that are being found on Reddit, these are drugs that are coming from those who are homeless. These are addicts who live on the street. They are taking the government-funded safe supply and they are selling it to dealers who are then in turn selling it, or they're selling it to kids in schoolyards and perpetuating this problem. They're taking the money they make from that and buying fentanyl for the higher and stronger high.

Any of it, Mr. Chair, is absolutely appalling.

What we're seeing is people getting free drugs from the government. Then, instead of taking them as the so-called safe supply program intends, they sell them on the street or online in places like Reddit, in the back alleys of our streets or in the schoolyards. Then they take the money from the sale of the government-provided drugs and they purchase stronger drugs from the street to get the fix.

I'd like to reiterate a portion of the article from Monday. I'm not sure if my colleagues from across the table were paying attention at that time:

If you want evidence that Canada's experimental “safer supply” drug programs have been a disaster, all you need to do is open your laptop [or your cellphone] and visit Reddit, a popular social media platform. Until very recently, if you knew which keywords to use, you could easily find drug traffickers openly selling tens of thousands of hydromorphone pills....

Many of them are still in the same prescription bottles and safe supply bags that they were given in and “clearly originated from Canadian safer supply programs.”

I have pictures for the record, Mr. Chair, and I'll make these available if any of my colleagues have not seen them. It's shocking. If anybody hasn't seen these, these are the thousands of drugs that are being used online, and they're not just staying here within our borders. They're being shipped all over the world. It's crazy. As you can see, one drug trafficker has enough diverted hydromorphone to spell out his entire username in pills. Many photos, like this one, show the drugs diverted—still in the pill bottle from the pharmacy and from their pharmacist—to the black market, to the pockets of our neighours in the back alleys of our streets and schoolyards.

The story goes on to say:

Though [hydromorphone] had once been scarce and expensive on the black market, that changed dramatically when Canadian safer supply programs began flooding communities with it in 2020.

These programs claim to reduce overdoses and deaths by distributing free hydromorphone, an opiod as potent as heroin, as an alternative to potentially tainted illicit substances. However, addiction experts have said that, as hydromorphone generally does not get fentanyl users high, recipients routinely resell (“divert”) their safe supply on the black market. This has caused the drug's street price to collapse by up to 95 per cent in some markets and fuelled new addictions, including among teenagers.

I have also presented to this House that the leading cause of death for youth aged 10 to 18 in my province of British Columbia is overdose. To continue:

Reddit users frequently lauded safer supply for flooding the market with cheap opioids. Many of the posts selling hydromorphone had such titles as, “Check the date!! 150 dilly 8mg collected thanks to safe supply vancouver,” “Dilly heaven—I love safe supply,” “Batch of d8s, around 250 of em i love my safe supply Fr!!” and “Living in the UK getting high of(f) Canadas safe supply haha. Having family in Canada is a win win all around.”

In the comment sections of these posts, Reddit users openly discussed how safer supply recipients would sell their hydromorphone for “dirt cheap” to buy fentanyl. Drug users marvelled at how the Canadian government was giving away hydromorphone “like candy” and “throwing these f**kers around like tic tacs” and that drug dealers were buying “literally buckets” of safer supply opioids.

Mr. Chair, this is shameful. For this supposedly advanced country like Canada, this crisis is a blight on our reputation, our character and the Liberal-NDP government. People come here from all over the world because Canada is one of the greatest countries on earth. I think we can all agree with that. If we continue to hand out free drugs like candy, we're going to turn into a laughingstock instead, if we aren't one already.

So-called safe supply just isn't working. Many of these folks just aren't taking them. They're selling government drugs and buying more dangerous drugs that get them more high, drugs that are often toxic and are killing them. At the very least, these dangerous drugs like hydromorphone should be under stricter controls. Methadone, for instance, an opioid agonist that is used to treat opioid use disorder, is usually dispensed at a pharmacy under the watch of a pharmacist, but these so-called safe supply programs can't even do that, Mr. Chair. These programs are nothing short of an abject failure.

I also brought forth the fact that in my province of British Columbia we have pop-up stores that sell crack, methadone, cocaine and these pills. Our streets are littered with people who are hurting, and we're perpetuating their addiction. We can't get a roof over their heads and we can't get them into recovery, but we can give them free drugs.

I was talking with somebody who has a substance abuse problem, who watched our health committee on this last week. He lives on the streets and he said that when his friends who are alcoholics were trying to curb their alcoholism, they had absolutely no alcohol. This person is addicted to drugs, yet we still give them drugs because those are not as strong as the drugs they're addicted to.

What frustrates me is that this should not be a partisan issue. It's very simple. At the last committee I was approached at the food table and asked what it would take for us to end this, to stop doing what we're doing. I think all of us know what it would take. Let's get to work on trying to find solutions to this.

It's very simple. This is about protecting our communities from being flooded with cheap, government-funded drugs. It's about protecting those who are the most vulnerable, those who don't have a home to go to at the end of the night, the youth who don't have the life experience and who don't know what they're getting themselves into, or it's about the blue-collar worker. In my province, stories come out about those who are in our most marginalized communities, but you also hear stories about blue-collar workers who are working in camps, who start off with recreational drugs. You can't even tell what is in a joint anymore, apparently.

I was speaking with an RCMP officer and he said that they found a bag of marijuana and it was laced with fentanyl, so these kids and these people who are going to whatever parties or what have you think they're just taking these harmless drugs. For those who are on the street who are looking for that next high, they have no idea what it is they're taking or how potent it is.

When we did the emergency debate on opioids last year, or a couple of years ago, the study I read into the record said that it's as easy as ordering a book on Amazon to get a kilogram of fentanyl. That's a kilogram of fentanyl, when something the size of a grain of sand could kill people.

I know our physician colleagues across the way could probably tell the ratio and the amount that is needed to put somebody under for surgery or to use it in the treatment of pain, but these are trained professionals. The people on the street have no idea what they're getting.

I went to an event in the summer. I was driving a friend of mine from an event to another event, and just outside our homeless shelter, as we were driving by, we witnessed somebody being thrown out of a vehicle. As I do, I stopped and tried to administer first aid. This young man, 20 years of age or 19 years of age, pants around his ankles, was literally tossed lifeless, like a castaway, onto the street. He had been in this vehicle, which turned out to be stolen, and the occupants of the vehicle had taken a hit of whatever it was and he was in overdose.

It was shocking for me that one of his friends on the street, another homeless gentleman, knew immediately what to do and was calling for the other people gathered around on the street for naloxone or Narcan. He administered the shots to him. By the time the ambulance got there, we had given four shots and he wasn't revived at that time. I was doing what I could, but it was shocking to see this. I don't know the name of what was in it, but the ambulance attendants who came said they were seeing more and more powerful stuff. Benzos are also laced into it, I think. I don't even know what that is. They said it was making it harder to bring these people back from the overdose.

Going back to my brother, my brother has overdosed so many times that it takes more and more Narcan to bring him back from his overdoses. He apparently has black marks on his brain that cause seizures now and what have you. I don't wish any of this on anybody.

I apologize for getting emotional last week, but the number of people I've sat with, the number of families I've sat with.... I also do outreach on the streets and in my community. I know we're all good people and we all sign up to do better. Sadly, it seems that partisan politics have taken over, when many of us know better and we know we should be doing something.

This is about making sure that our kids and loved ones don't become addicts. Far too often, by the time they're addicted, it's too late. The addiction has a hold on them. We need to have policies aimed at preventing the spread of harmful and deadly opioids through our streets. We need to be working on ways to get people the treatment they so desperately need, not perpetuating their addictions and creating more addicts in the process.

Mr. Chair, I want to continue with the article on the safer supply pilot project at the LIHC. It reads:

LIHC's safer supply program doesn't just provide free hydromorphone - it also gives patients comprehensive wrap-around supports. That includes an array of health and social services, as well as access to an interdisciplinary team that provides counselling, housing support and social services.

The study provided no evidence showing that the provision of hydromorphone, and not the plethora of accompanying supports, were the cause of positive outcomes.

...addiction physicians said that this kind of oversight, wherein the benefits of wraparound supports appear to be misattributed to safer supply drugs, is common in the harm reduction world.

“The quality of the science is very poor,” said Dr. Regenstreif, who also noted that the LIHC evaluations showed that some patients had dropped out of the program, but that no information was given about what happened to them. By failing to investigate these outcomes, safer supply programs can misleadingly reduce their death count—patients don't die, they just disappear.

As we know from the homelessness challenges we have, these are the unaccounted for. These are people who, for many reasons, whatever reasons.... Some on their own choose to live on the streets. Some choose, for whatever reasons.... Some just don't have the opportunity. However, when they drop out of these programs, there's no recording on this.

Dr. Regenstreif said that, in general, many drug-related deaths are simply not counted if they are caused by something other than an overdose.

“If you're injecting fentanyl and then get a heart infection, or you die of something else related to drug injection while in hospital, that doesn't get counted as a coroner's case,” she said. “It's not necessarily considered a drug-related death. It's not being included with the overdose numbers. And the epidemiologists don't seem to be aware of this.”

I hope that my colleagues across the way are paying close attention to this, Mr. Chair, and continue to pay attention as I read this next section, which is deeply disturbing. It says:

At least four addiction physicians I spoke to...have witnessed, first-hand, that evidence which contradicts the narrative around safer supply is often dismissed.

In some cases, doctors say they are pressure to ignore harms. Dr. Regenstreif described being left out of important meetings, research activities and conversations after raising concerns about safer supply.

Dr. Violet used to work at a B.C.-based institution that is associated with safer supply. As an addiction physician with a research background, the doctor asked to analyze the institute's safer supply data, in order to track unintended consequences and potential harms.

“The request was met with hostility. They set up meetings with other stakeholders and I very quickly got the sense that this was not welcomed,” said Dr. Violet. The institution refused to share its data, [she] says, and claimed that it already had plans to measure the potential harms of safer supply, but could not describe what those plans were.

There was a “very clear warning” that Dr. Violet's job security was at risk by pursuing research that could reflect poorly on safer supply. “It was quite clear to me that they did not want any outsiders to take part in their work. I'm not the only physician whose interest in this area has been met with opposition and challenges,” said Dr. Violet.

After that incident, Dr. Violet found work elsewhere.

Mr. Chair, what are these organizations hiding? What is this Liberal-NDP government covering up? Could it be that they know that their so-called safer supply policies are a disaster for Canadians, yet still choose the politically expedient route instead of prioritizing Canadians' lives? It really is troubling, and it is a disgrace.

I'll return to the same article, which goes on to discuss government inaction.

Mr. Chair, I have a few pages left. Maybe we might want to dismiss our guests, or do you want me to get through this and then...?

8:15 p.m.

Liberal

The Chair Liberal Sean Casey

I think it's pretty clear that we're not going to get to Bill C‑293 today. That's as much a question as it is a statement, Mr. Doherty.