Ontario

It’s generally fair to wait for a policy to unfold, to leave some time to judge its effects, before we decide whether it will succeed or fail. The Ford government has done its critics a favour this week, however, with its announced changes to drug policy in Ontario, shutting more than half of the province’s safe consumption sites. The logic adopted by the government and its defenders is that because the province’s overall high rate of opioid deaths has continued, these safe consumption sites are a failure. This is despite the fact that no patient has died of an overdose at these sites precisely because they’ve been monitored and treated.

The bad news for the government, and the good news for its critics, is that if the benchmark for success is "reducing the rate of opioid overdose deaths in Ontario” then nothing announced this week will succeed. That’s not because an emphasis on treatment over harm reduction is itself indefensible. It’s because the scale of the problem that Ontario faces is so far beyond the resources that have so far been committed, and because addiction itself is such a wicked problem for health policy.