I’m Riding On A Train Wreck – So Are YOU!
All aboard! Welcome to the express train hurtling towards a likely disaster, we call decriminalization policy in BC.
Buckle up, my friends, because we’re riding on a track that's looking like it leads straight to an epic screw-up. Yes, you, me, - all of us. We’re all passengers on this ill-fated locomotive. Unless? - There still might be a chance for us if we get our act together. It’s not too late, but only if we make changes now.
Let’s talk about the decriminalization crisis right here in our beautiful British Columbia. Decrim is based on researched evidence-based models. We know it works if it is implemented correctly. Is BC's decriminalization derailing? - Can policy missteps lead to toxic trouble for BC's Decrim? We'll take a deep dive - But first, a small side trip South of our border.
The Oregon Debacle: A Cautionary Tale
Picture this: Oregon, the land of majestic forests, quirky hipsters, and a well-intentioned experiment gone awry. Back in 2020, they decided to decriminalize drugs—yes, you heard me right. Now, first of all, if you’re one of those people from the War on Drugs era, you might be thinking, “Holy crap. That just doesn’t make sense!” Aren’t we just handing out free tickets to a carnival of chaos? Not quite – decriminalization is based on good solid evidenced-based research.
Let's get one thing straight: Decriminalization isn't just about preventing the merciless destruction of people's lives through imprisonment and criminal records. It serves a much greater purpose. The ultimate goal is to eliminate the fear of prosecution, encouraging individuals with health challenges stemming from drug addictions to willingly seek help through our health system. But here's the catch - it's a two-part process. First, we decriminalize drug possession for personal use. Then, we double down by implementing additional recovery and support systems, ensuring instant referrals for those who genuinely want to break free from the grip of substance abuse.
Sadly for Oregon, they missed that second part - the most important piece. Here we are in 2024 and Oregon is recriminalizing. Why?
Here’s the kicker: they knew that 90% of success was building the second piece or the safety nets for decriminalization. The funding for follow-up resources even went into their original plan – they just didn’t follow through. Nope, little of that funding for recovery and support programs happened. No safety harnesses, no emergency brakes. Just a wild ride with no exit strategy.
The result? Oregon gave people with substance disorders hope they could reach out for help without going to jail and then promptly smashed those hopes with no support. That has resulted in a spiralling descent into, despair, deeper addiction and shattered lives. The very tracks they laid down for freedom led straight to the abyss.
British Columbia Déjà Vu
Now, let’s hop back across the border to our beloved British Columbia.
Ah, Canada—the land of maple syrup, hockey, and polite apologies. We watched Oregon
and thought, we need that too! Let’s dust off our toques, and roll up our
sleeves as we said, “Hold my double-double, eh?” Decriminalization must be the
golden ticket to a solution to the mess we call the toxic drug crisis. But
guess what? Looks like we’re on the same train Oregon took, and we’re chugging
along at full speed, just like they did.
Why? Because we are making the
same mistake. Oregon decriminalized first, patted themselves on the back,
and then promptly forgot about the rest. Funding for support and recovery
programs? Nah, let’s save that for another day. Meanwhile, the passengers—our family,
friends and neighbours with substance disorders—are clinging to the handrails,
praying for a lifeline. Didn’t happen in Oregon and it’s looking like the same
for us unless we get our heads out of our asses damn soon.
The Metaphorical Bridge
Imagine this train hurtling across a rickety bridge. The wooden planks
creak, the wind howls, and the river below churns with uncertainty. That bridge
represents hope—the hope that someone, somewhere, will throw a safety net. But this
bridge is as flimsy as hell, patched together with good intentions and wishful
thinking. Any second now, it will be just like the bridge in Baltimore.
Picture this, my friend. You're
sitting by the window in this speeding train, watching the world whiz by in a
blur. Maybe you're savouring your coffee, mindlessly scrolling through your
phone, blissfully unaware of the impending disaster. You might have noticed
"those people" who seem to disturb the tranquillity of our little
piece of paradise. Perhaps you've been urging someone, anyone, to do something
about them and make them disappear. But here's the harsh truth: there's no
"them" or "us," only "we."
It's puzzling how people watch
videos of places like Vancouver's Downtown East Side or similar neighbourhoods
in their own communities and treat them like some alien world, detached from
our own making. But let me remind you, my friend, that those individuals are
our sons and daughters, our family, friends, and neighbours. They're not
untouchable outcasts but desperate souls longing for our help. Some may
advocate for locking them away or pretending they don't exist, while others are
just relieved that they're "over there."
Deep down, you know the truth. You
can feel the tremors and hear the haunting whistle. You're riding on this train
wreck too, whether you realize it or not. It's time to stop pointing fingers
and start demanding action. We must call upon our provincial government and
health authorities to take a health-focused and socially responsible approach
to fix this train wreck. The time for change is now, and it begins with us
coming together as a community to make a difference.
The End Result, Unless?
Here’s what is happening right now and what is going to get worse over the next
two years when the Federal and Provincial Governments review the decrim trial
in BC - unless we get our act together.
Our health crisis around the toxic drug disaster has been going on for eight
years. People are looking at the haphazard policies of our provincial
government and using the poor results to justify that harm reduction, decriminalization
and other programs meant to keep people alive are a failure. Some people are
demanding returning to that punitive world of the mid/late twenty century.
Well, folks, let me tell you – what did
you expect? There is no consistency in our detox/recovery programs in BC.
It takes weeks to get a referral. Only 1700 physicians in the province are
certified to prescribe medications for people with addictions. There is only
one ER in the Province (it’s a trial program at St Paul’s Hospital, Vancouver) that
has a direct access recovery program for ER patient admittance. Social
determinants that impact the use of drugs like homelessness are rampant.
Harm reduction and decriminalization are
NOT the problem. The resourcing levels of the support programs are. In the
coming months, people are going to point at decriminalization and harm
reduction and say, “I told you it wouldn’t work!” Frankly, it’s already
started.
I’m here to tell you that decriminalization and harm reduction were never meant
to be the solution to the toxic drug crisis. Let’s be absolutely crystal clear
here – if you think harm reduction and decriminalization were solutions to
the toxic drug crisis, you are wrong, wrong, wrong! They are, however, the brakes to slow
the runaway train down until we implement actual solutions. In other words, harm reduction, (sic) decriminalization is intended to save lives until we fix the tracks. Any failure of these two programs is a
warning of what will happen next if we don’t implement the real solutions.
The Urgent Call
So, what are the solutions? We need decriminalization, that’s for sure! Decrim
is the paved path with clear road signs leading people to the next steps in their
healing journey. Those next steps are a robust network of support—timely access
to rehabilitation centres, counselling services, and harm reduction programs,
addressing social problems of poverty, homelessness and mental health support.
We need to fix the tracks while the train is still moving. It’s not enough to
say, “Hey, you don’t need to be afraid of going to jail anymore – you can now
ask for help.” We must also say, “Hey, not only don’t you have to be afraid,
but here is the help you need and it’s available right now.”
To the policymakers: Wake up! Fund those recovery programs. Strengthen
the safety nets. Don’t let this train crash and burn.
To the passengers: Look out the window. See the signs. Be vigilant.
Advocate for change. Because when the bridge collapses, we’ll all plunge into
the abyss together.
Remember, my fellow travelers, this is a we thing. Let’s steer this train away
from disaster. We need to stay the course on decrim and harm reduction. These
proven evidence-based programs have to be also be supported with timely access
to recovery. If we don’t, you should hold on tight—cause it’s only going to get
bumpier from here.
This article is an editorial, reflecting the opinions
of the author, Ron Merk. Ron is a person with family-lived experience. He advocates for people with concurrent disorders.
References:
Oregon Decriminalization:
Toxic Drug Crisis in Canada:
- Public Health Agency of
Canada: https://www.canada.ca/en/health-canada/services/opioids/data-surveillance-research.html
- BC Coroners Service data on
drug-related deaths: http://www.bccdc.ca/health-professionals/data-reports/harm-reduction-reports
Importance of Support Programs:
- Canadian Centre on
Substance Use and Addiction: https://www.ccsa.ca/
- Research on the
effectiveness of harm reduction programs: https://pubmed.ncbi.nlm.nih.gov/20513304/
God I love the work you get done …… again a brilliant analysis of our current predicament.
ReplyDeleteAmazing and exceptionally well written article that really explains this issue that truly is a “we” issue.
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