Tuesday, September 17, 2024

A Province Out of Control: The Overdose Crisis, Decriminalization, and a Failed System


In 2016, British Columbia declared a public health emergency—the overdose crisis. Since then, over 12,000 lives have been lost due to overdose deaths in the province, a tragedy that has only escalated year after year. As someone who grew up with a front-row seat to the societal changes since the 1960s, I can’t help but feel like the lessons we should have learned from past experiments—such as the *Rat Park* study—have been entirely ignored.


The overdose crisis has spiraled into a catastrophe that seems to have no end in sight, and recent policy decisions in 2024 have only made things worse. It’s a disturbing mix of missteps, contradictions, and the outright failure to address the root causes of addiction and mental illness.


### Rat Park: What We Learned—And What We Forgot


In the 1970s, the *Rat Park* experiment showed us that addiction isn’t just about the substance; it’s about the environment in which individuals live. When rats were given a rich, social, and stimulating environment, they were far less likely to consume the addictive substances offered to them. But when isolated in harsh, barren conditions, addiction took hold quickly.


This experiment gave us a clear lesson: addiction is not just a biological problem but a social one. People who are disconnected, traumatized, and unsupported are far more vulnerable to substance abuse. Yet, when given the right community and environment, even the most addicted can choose a healthier path.


But instead of applying these insights from decades ago, we find ourselves in a system that repeatedly disregards the importance of environment, connection, and dignity.


### Decriminalization in 2024: A Double-Edged Sword


In an effort to combat the overdose crisis, the BC government made a bold move in 2024 by decriminalizing small amounts of drugs, thinking it might reduce stigma and save lives. On the surface, this appeared to be a step in the right direction, but it has led to more complex issues. Instead of curbing the crisis, decriminalization seemed to enable more people to use substances without addressing the deeper problems.


Without adequate support systems, housing, or mental health care, many individuals are left adrift. Decriminalization, without comprehensive social services, has created a dangerous scenario where more people feel abandoned by the system, and addiction continues to flourish.


### Mental Health and Substance Abuse: A Crisis Mishandled


And now, in 2024, a new policy is being discussed—to involuntarily hospitalize those with severe mental illness and substance abuse issues. The government’s plan is to force people into institutions, treating addiction and mental health as criminal or dangerous behavior, rather than providing the compassionate care these individuals need. It feels like a return to an era where locking people away was seen as a solution to social problems—a cruel and misguided approach.


The irony is impossible to ignore: not long ago, this same province was prepared to expand Medical Assistance in Dying (MAID) to people suffering from mental health issues, effectively allowing people to end their lives. That decision was only recently postponed, but the fact it was even on the table reflects the province’s lack of real care and understanding when it comes to mental health and addiction. Instead of addressing the underlying causes of these crises, it’s as if the system is swinging between extremes—first ready to help people die, now ready to imprison them against their will.


### A Province Out of Control: Where Is the Humanity?


It’s clear that British Columbia is in the grips of a province-wide crisis that goes beyond overdose deaths. We’re seeing the consequences of policies that don’t consider the whole picture—treating addiction, mental illness, and social disconnection as separate issues instead of intertwined problems that need a compassionate, comprehensive approach.


This is not just about substances; it’s about how we treat people who are suffering. It's about recognizing that housing, social connection, mental health care, and addiction support are all part of the same conversation. The lessons from *Rat Park* should be guiding us here—addiction thrives in environments of isolation and despair, and it recedes when individuals are given the support and connection they need to live meaningful lives.


But instead, the province seems intent on a backward approach. People in power are choosing to treat addiction and mental illness with punishment, control, and coercion—harassing people in parks, pushing them out of public spaces, and now considering locking them up involuntarily. This is not the path toward healing or resolution.


### Conclusion: A Call for Compassionate Policy


We need to stop swinging between extremes. The overdose crisis won’t be solved by enabling unchecked drug use or by forcing people into institutions against their will. We need a middle ground, rooted in compassion, science, and the lessons of the past.


We need policies that create environments of support—where people can find housing, access mental health care, and build the social connections they need to recover. The lessons of *Rat Park* haven’t been lost—they’ve just been ignored. It’s time to return to them and treat the people of British Columbia with the humanity, dignity, and care they deserve.


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*As someone who has seen the world change since 1962, I urge our leaders to take a closer look at the lessons of the past and create policies that truly serve those in need. This province can be a place of healing, but only if we’re willing to make it so.*


I asked AI to fact check this and these were recommendations 

The details you provided are mostly accurate, but here are some important clarifications and updates:


1. **BC Overdose Crisis and Death Toll**: British Columbia declared a public health emergency in 2016 due to the rising number of drug overdose deaths. Since then, over 12,000 people have died from drug-related overdoses, primarily due to toxic drug supplies. In 2022 alone, nearly 2,300 people died due to toxic drug overdoses in BC.


2. **Decriminalization of Small Amounts of Drugs**: In January 2023, BC began a pilot program to decriminalize small amounts of certain drugs, including opioids, cocaine, methamphetamine, and MDMA, with possession of up to 2.5 grams allowed for personal use. This policy aims to reduce the stigma associated with drug use and encourage users to seek help, although there have been concerns that it hasn't yet led to the expected increase in support services or significant improvements for drug users.


3. **Involuntary Hospitalization of Mentally Ill Drug Users**: BC has introduced new measures, such as expanding involuntary care for those with severe mental health and addiction issues under the Mental Health Act. This approach is aimed at individuals who may not be capable of seeking treatment on their own due to severe mental health crises or addiction issues.


4. **MAiD for Mental Health**: Medical Assistance in Dying (MAiD) in Canada was expanded in 2021 to include individuals whose deaths are not imminent, such as those with severe mental illnesses. This has sparked debate, especially with concerns over vulnerable populations, including those with mental health and addiction issues, possibly feeling pressure to consider MAiD rather than receiving adequate support for their recovery【20†source】【21†source】.


These updates provide a more complete view of the current situation in BC regarding drug policy and mental health care.

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