Federal Government to Appeal Insite Ruling

February 9th, 2010, 8 Comments »

Last month, the federal government lost their appeal of a court ruling on Insite, Vancouver’s supervised injection site. There was hope among the site’s proponents that the Conservatives’ legal challenges might end there. Alas, our Prime Minister is keen to bring the case before the Supreme Court of Canada:

The case has raised important questions about the division of powers among federal and provincial governments that need answers, said Justice Minister Rob Nicholson on Parliament Hill Tuesday.

“The case we’ll be presenting before the court is to ask for clarification,” he said. “I think it is important to do that.” Nicholson pointed out that there was a dissenting opinion in the lower court ruling. “I think it is appropriate for me to seek leave to appeal,” he said.

What, I wonder, is our federal government justification for this ongoing lawsuit? As this great Slate profile puts it, the site’s efficacy has been demonstrated by “dozens of peer-reviewed articles…published in scientific journals like the Lancet, the American Journal of Public Health, and the New England Journal of Medicine“. Those publications describe how Insite has reduced public injections, behaviour like needle sharing that increases HIV transmission and increased adoption of addiction treatment programs. In 2009 alone, the centre oversaw over 700 daily visits, and handled 484 overdoses without a fatality.

It’s that rarest of success–a drug program that works effectively. It reduces harm, saves money and introduces addicts to treatment programs. I’m ashamed that my government so aggressively opposes this success that they want to litigate it out of existence. The ongoing legal action is absurd, and a waste of taxpayers’ money.

Get Your Free Drugs Here

On a related note, I enjoyed the fourth part of the Slate profile of Vancouver’s drug problem. In it, writer Matthew Power discusses a more radical program that I’ve always thought made sense: free heroin for addicts. A trial has been run in Vancouver in recent years, and the results are pretty interesting:

Schecter found that 88 percent of the heroin maintenance group stayed on their course of treatment, versus 54 percent in the methadone group. Illegal activity in the heroin group was reduced 67 percent, versus 47.7 percent in the methadone group. Out of 89,000 injections, there were only 10 overdoses and no fatalities…Schecter claims opiate maintenance makes sense: An untreated heroin addict costs the state $45,000 a year in legal and medical bills; heroin maintenance costs $7,000. “Sure, it’s easy to say, ‘You’re giving heroin to junkies,’ ” Schecter says, but he witnessed the stabilization of the heroin group firsthand. “A subject told me ‘for the first time in 20 years I’m actually thinking about my life.’ That was the line that blew my mind,” he recalled. “They’re actually thinking about the future. Normally they’re thinking about eight hours.”

And, importantly, they’re not thinking about breaking into your house or car. Plus, by taking over the supply, you significantly reduce the much more serious crime of drug trafficking.

And the math is pretty compelling. 5447 unique individuals used Insite last year. Let’s imagine that we could convince just 1000 heroin addicts to accept drugs from the government instead of the street. We just saved ourselves $37 million. I wonder what Feds’ legal bill is up to on this case?

Our society probably isn’t ready for this approach yet, but I think it’s a sensible next step.

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Vancouver Safe-Injection Site Gets a Thumbs Up From BC Supreme Court

May 28th, 2008, 9 Comments »

This morning Tom twittered about a recent decision by the BC Supreme Court on Insite, Vancouver’s controversial safe-injection site:

Supporters are pleased about a B.C. Supreme Court decision regarding Insite, a supervised safe-injection facility in Vancouver’s Downtown Eastside, while critics are disappointed the bigger issues remain unresolved.

In a 60-page ruling Tuesday, Justice Ian Pitfield gave Insite an exemption from Canada’s drug laws until the end of June 2009.

‘Critics’ is a bit generous, as the article only cites Vancouver police union president Tom Stamatakis. Apparently the Vancouver police department supports the project, but the union doesn’t.

Regardless of what you think about heroin addicts or the ‘war on drugs’, Insite makes so much sense. Let’s get callous for a second, and consider the savings in healthcare costs alone. There have been over 500 overdoses (PDF) over a two-year period at Insite (with zero fatalities). On sight site medical staff dealt with six in ten of those, and only one in ten required hospitalization. The cost of the facility over that period was $1 million. How many of those 450 overdose cases would otherwise have ended up in a costly hospital visit? And how much does each prevented fatality save the government?

Insite’s website cites (argh!) a whole suite of benefits (with references) to addicts, the community and the bottom line.

I looked, and couldn’t find any evidence-based criticisms of the facility. Instead, there’s just silly rhetoric from the moral high ground. When Insite opened, an official in the Bush administration called it ’state-sponsored suicide’. Insite just works. It’s a cost-effective, harm-reductive health facility. I’m glad that our provincial Supreme Court found in favour in project–I trust our federal government will see things the same way.

9 Comments »