Mr. Speaker, you have no idea how disappointed I am with this bill. One would think that over the years we would get used to these kinds of laws that do more harm to the public than anything else, but I cannot get used to it. Bill C-2 is a very important reminder of that reality.
There are several elements in this bill that remind us just what the Conservatives represent. They are ideologues, they ignore scientific evidence and they even disregard rulings from the highest court in the country. It is absurd. This bill is first and foremost a way to dismiss the idea of supervised injection sites, just like they tried to do with InSite in Vancouver.
We need to put this bill in context. This bill was introduced because the Supreme Court ruled that the only supervised injection site in Canada—InSite in Vancouver—was necessary and that the Minister of Health should continue to give the facility an exemption. The court based its decision on section 7 of the charter, which states:
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 decision states:
On future applications, the Minister must exercise that discretion within the constraints imposed by the law and the Charter, aiming to strike the appropriate balance between achieving public health and public safety. In accordance with the Charter, the Minister must consider whether denying an exemption would cause deprivations of life and security of the person that are not in accordance with the principles of fundamental justice. Where, as here, a supervised injection site will decrease the risk of death and disease, and there is little or no evidence that it will have a negative impact on public safety, the Minister should generally grant an exemption.
I have a lot of questions. The court recognized the positive impact that supervised injection sites have had in east Vancouver, and its ruling was unequivocal:
InSite has saved lives and improved health without increasing the incidence of drug use and crime in the surrounding area.
I repeat, “without increasing the incidence of drug use and crime in the surrounding area”. The court is not the only one to say this. The Canadian Nurses Association agrees:
In Vancouver’s Downtown Eastside, where the Insite safe injection site is located, business owners, service providers and residents in the neighbourhood agree that the clinic has had a positive impact on the health of the people who use it and on the health of the community.
That is a fundamental aspect of this debate. While sites like InSite can improve the situation, the Conservatives want to ban them. The campaign of misinformation the Conservative Party launched just after the bill was introduced is proof enough.
As a health care professional, I find this bill mind-boggling. I want to add my voice to those of people in the field who have criticized this bill. The Canadian Nurses Association is concerned that:
...the conservative “tough on crime” ideology will overshadow evidence that demonstrates positive outcomes for communities with harm reduction programs.
The Canadian Medical Association had this to say:
The CMA fully endorses the existence of these harm-reduction tools, including supervised injection sites, and believes they should be included in a comprehensive national drug strategy. The CMA's position is founded upon clinical evidence. Bill [C-2], it would appear, is founded upon ideology that seeks to hinder initiatives to mitigate the very real challenges and great personal harm caused by drug abuse.
The CMA represents all of the doctors in the country. It added the following, which is even more critical of this government:
The unanimous decision [by the Supreme Court] was grounded in evidence, not ideology. The overwhelming clinical evidence is that centres like Insite save lives when it comes to some of our most vulnerable patient populations. In its ruling, the Supreme Court stated that “…the evidence indicates that a supervised injection site will decrease the risk of death and disease, and there is little or no evidence that it will have a negative impact on public safety, the Minister should generally grant an exemption”. What we are seeing today seems to contradict the essence of the ruling.
Harm reduction works. This method has proven to be effective. In Australia, a report on supervised injection sites found that one site had reduced the number of overdoses, reduced the spread of HIV and hepatitis C and alleviated safety concerns related to users shooting up in public places and the availability of clean needles. The report even indicated that the site served as a gateway to addiction treatment.
Mr. Speaker, if that is not improving safety in the community, I do not know what is.
Many countries now have supervised injection sites: Australia, Luxembourg, the Netherlands, Norway, Denmark, Germany, Spain and Switzerland, just to name a few. These sites work.
It is no wonder Montreal's director of public health recommended, in December 2011, that the city establish such a site in the greater Montreal area. He gave a number of reasons similar to the ones I just quoted concerning Australia's experience. Do you know why, Mr. Speaker? Because they are based on conclusive data that the Conservatives and the Minister of Health have patently decided to ignore. I will quote Montreal's director of public health:
The reasons that justify implementing SIS in Montréal are very succinct: the epidemic of infections caused by HIV and HCV, and the excess mortality among IDU [injection drug users]. Cocaine use, the drug most often injected in Montréal, is a major determinant of HIV transmission, as is sharing used needles. HCV infection is also having devastating effects: 7 in 10 IDU have been exposed to the virus and its transmission does not appear to be slowing. As for excess mortality among IDU, the data on hand indicate that the problem in Montréal is alarming.
I urge the government for once to do its job in the health field. Since the Conservatives took power, we have seen the federal government disengage from files where Canadians expect it to play a role. I am referring to the government's refusal to negotiate a new health accord with the provinces, the shortage of prescription drugs, and diluted chemotherapy treatments.
It is unbelievable and completely unacceptable for a bill such as this, which flies in the face of the Supreme Court ruling, to be introduced.