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There is something very weird going on with the coroner. I believe she has been replaced now but an addictions specialist doctor I know personally had very strong negative opinions of the chief coroner because of her outsized influence on safe supply policy. Safe supply seems like a good idea on the surface but the huge problems it creates are:

1) cheap government drugs that are diverted. Did we learn nothing when we went through the OxyContin crisis? A lot of these addicts started out on prescription drugs they were prescribed. Then the government put a stop to that. What happened next? People that were addicted to pills went to the black market. The black market thrived with pills costing upwards of $1/mg or fentanyl that was equivalent to 10 cents a milligram the economics of that disparity can show you where people are going to end up. Then safer supply comes out and the street price of hydro morphine is now .10/mg people who are addicted will build up a tolerance are the edge of affordability. So we now have drugs that are extremely cheap and powerful and people are using more than they ever would have and that makes it that much harder to get off them.

2) when drug supplies are cheap and plentiful it robs addicts of “the gift of desperation” an addict with a cheap and steady supply of drugs is never going to think about getting clean or turning their life around. Those moments arrive when they don’t have money or don’t have drugs and while in a crippling withdrawal they have a moment of clarity that they are sick and tired of being sick and tired. It’s a blessing to have that moment of clarity but the next step in the process needs to also be effective.

3) there is a very short window between someone asking for help and when it can be effectively delivered. If someone is willing to seek help it needs to be delivered immediately. Our treatment system needs to reflect that. If someone goes to their doctor looking for help is the doctor going to be able to refer them to treatment or are they going to refer them to a safe supply clinic? If faced with the option an addiction is going to do anything within their power to stay high. These drugs literally rewire people brains. They are not capable of making proper decisions when faced with an option that includes staying high and that’s a problem.

It is hard for people who have never been an addict to understand the thought process. It’s also difficult for them to think of addicts as people other than the zombies roaming the downtown east side. There are plenty of doctors, lawyers, politicians and other prominent citizens that suffer in silence who can hold down a job and fuel their addiction that fall into the same category as the people on the streets. Addiction is a far more prevalent issue than meets the eye and when people are looking down on the people on the streets they need to look around because if they look hard enough they will know someone close to them that is struggling. Sometimes all it takes is a look in the mirror because you don’t need to be doing fentanyl to be infected by the disease of addiction and sometimes that self awareness isn’t there. The solution is hard and expensive and no political party can change things with a few strokes of a pen. It’s going to take all levels of government and community to come up with a viable solution to start saving the lives of countless people who have lost their way. I hope the lens we view addiction through changes soon because if all we see is homeless people walking the streets like zombies the policies are not going to affect the change we need as a society.

By, someone who was prescribed OxyContin and tried to get help for years before finally getting in touch with the right people at the right time to break the cycle nearly 5 years ago.

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