Episode 21: Control
Activist Kali Sedgemore and anthropologist Danya Fast tell a story about the government’s desire for control—the way its attempts to detain and manage drug users often backfire.
BC’s Premier, John Horgan, has recently reiterated his support for the controversial Bill 22. Under the proposed bill, doctors could involuntarily detain people under the age of 19 at hospitals for up to seven days after an overdose—even if their parents or guardians don’t agree. In some circumstances, hospitals could even use physical restraints to keep young people from leaving.
Bill 22 is an example of the way that the desire to protect drug users—in particular young drug users—often becomes a desire to control them. Supportive housing can feel like prison. Hospitals can be dangerous and racist places, particularly for Indigenous people. And harm reduction programs can feel cold and institutional. And when programs become too controlling, they repel—and even threaten—the very people they’re meant to help.
VANDU, Crackdown, the BC’s Chief Coroner, the Representative for Children and Youth, the BC Civil Liberties Association, the Pivot Legal Society, the Canadian Drug Policy Coalition, and the Union of BC Indian Chiefs have all spoken out against Bill 22. At a press conference, Kukpi7 Judy Wilson of UBCIC noted the government’s history of forcibly removing Indigenous kids from their families and putting them in residential schools.
“So we see the bill as really concerning,” Wilson said. “We don’t need to be going to call out for help and then worry if we’re going to be detained.”
“That’s not going to work for us.”
Transcript
A complete transcript of this episode is available here.
Works Cited and Further Reading
BC Housing. 2013. “Project Report: Single Room Occupancy Renewal Initiative.” https://www.infrastructurebc.com/files-4/documents/PBC_SRO.pdf.
Canadian Institute for Health Information. 2016. “Hospitalizations and Emergency Department Visits Due to Opioid Poisoning in Canada.” Canadian Centre on Substance Abuse. https://secure.cihi.ca/free_products/Opioid%20Poisoning%20Report%20%20EN.pdf.
CBC Radio. 2020a. “BC Children‘s Hospital Chief Medical Officer Supports the Province’s Legislation That Would Allow Hospitals to Hold Youth after an Overdose.” The Early Edition with Stephen Quinn . https://www.cbc.ca/player/play/1758272579652.
CBC Radio. 2020b. “Bill 22 Opposition.” The Early Edition with Stephen Quinn . https://www.cbc.ca/listen/live-radio/1-91-the-early-edition/clip/15789166-july-27-2020-bill-22-opposition?subscribe=true.
Dembicki, Geoff. 2009. “Fears of APEC-Style Clash in 2010.” The Tyee, February 16, 2009. https://thetyee.ca/News/2009/02/16/APECGames/.
Fast, Danya. 2014. “Mapping Senses of Place in an Urban Drug Scene.” Medical Anthropology Theory 1 (1). https://doi.org/10.17157/mat.1.1.209.
Fast, Danya. 2016. “‘My Friends Look Just like You:’ Research Encounters and Imaginaries in Vancouver’s Urban Drug Scene.” Medical Anthropology Theory 3 (2). https://doi.org/10.17157/mat.3.2.343.
Fast, Danya. 2017. “Dream Homes and Dead Ends in the City: A Photo Essay Experiment.” Sociol Health Illn 39 (7): 1134–48. https://doi.org/10.1111/1467-9566.12563.
Fast Danya. 2019 “Evidence-Based Intervention and the Protection of Life in a Broken Promiseland.” Seminar. 5th Cascadia Medical Anthropology Seminar. Vancouver, Canada. November 20. http://www.cascadiaseminar.org/wp-content/uploads/2019/11/Cascadia-Medical-Anthropology-Seminar-2019-Abstracts.November-14-2019.pdf
Fast, Danya. “Living in the Best Place On Earth.” Accessed December 28, 2020. https://www.livinginthebestplace.org/.
Fast, Danya, Jean Shoveller, Will Small, and Thomas Kerr. 2013. “Did Somebody Say Community? Young People’s Critiques of Conventional Community Narratives in the Context of a Local Drug Scene.” Human Organization 72 (2): 98–110. https://doi.org/10.17730/humo.72.2.86005462778382u2.
Giang, Valerie, Madison Thulien, Ryan McNeil, Kali Sedgemore, Haleigh Anderson, and Danya Fast. 2020. “Opioid Agonist Therapy Trajectories among Street Entrenched Youth in the Context of a Public Health Crisis.” SSM – Population Health 11: 100609. https://doi.org/10.1016/j.ssmph.2020.100609.
Goodman, Ashley, Kim Fleming, Nicole Markwick, Tracey Morrison, Louise Lagimodiere, and Thomas Kerr. 2017. “‘They Treated Me like Crap and I Know It Was Because I Was Native’: The Healthcare Experiences of Aboriginal Peoples Living in Vancouver’s Inner City.” Social Science & Medicine 178: 87–94. https://doi.org/10.1016/j.socscimed.2017.01.053.
Hahn, Judith A., Kimberly Page‐Shafer, Paula J. Lum, Philippe Bourgois, Ellen Stein, Jennifer L. Evans, Michael P. Busch, Leslie H. Tobler, Bruce Phelps, and Andrew R. Moss. 2002. “Hepatitis C Virus Seroconversion among Young Injection Drug Users: Relationships and Risks.” J INFECT DIS 186 (11): 1558–64. https://doi.org/10.1086/345554.
Harnett, Cindy. 2020. “Premier Wants Law Allowing Detaining of Youth Who Overdosed.” Times Colonist, December 22, 2020. https://www.timescolonist.com/premier-wants-law-allowing-detaining-of-youth-who-overdosed-1.24258747.
Krüsi, Andrea, Danya Fast, Will Small, Evan Wood, and Thomas Kerr. 2010. “Social and Structural Barriers to Housing among Street-Involved Youth Who Use Illicit Drugs.” Health and Social Care. https://doi.org/10.1111/j.1365-2524.2009.00901.x.
Legislative Assembly of British Columbia. 2020. Bill 22 – 2020: Mental Health Amendment Act, 2020. https://www.leg.bc.ca/parliamentary-business/legislation-debates-proceedings/41st-parliament/5th-session/bills/first-reading/gov22-1.
Miller, Cari L., Patricia M. Spittal, James C. Frankish, Kathy Li, Martin T. Schechter, and Evan Wood. 2005. “HIV and Hepatitis C Outbreaks Among High-Risk Youth in Vancouver Demands a Public Health Response.” Can J Public Health 96 (2): 107–8. https://doi.org/10.1007/bf03403671.
Pedersen, Wendy, and Jean Swanson. 2010. “Pushed Out: Escalating Rents in the Downtown Eastside.” Carnegie Community Action Project. http://www.carnegieaction.org/wp-content/uploads/2016/08/ccap2010hotelreportweb.pdf.
The OGI-UBC Research Team. 2009. “Olympic Games Impact (OGI) Study for the 2010 Olympic and Paralympic Winter Games: Pre-Games Results Report.” The University of British Columbia. https://open.library.ubc.ca/cIRcle/collections/facultyresearchandpublications/52383/items/1.0132646.
Turpel-Lafond, Mary Ellen. 2020. “In Plain Sight: Addressing Indigenous-Specific Racism and Discrimination in B.C. Health Care.” November 2020. https://engage.gov.bc.ca/addressingracism/.
Credits
Crackdown is produced on the territories of the Musqueam, Squamish and Tsleil-Waututh Nations.
We make this podcast with funds from the Canadian Institutes of Health Research and the Social Sciences and Humanities Research Council of Canada. And from our Patreon supporters.
You can find a complete transcript for today’s show, as well as photographs and links to further readings, at patreon.com/crackdownpod. While there, consider giving us a few bucks. It helps a lot.
Our editorial board is: Samona Marsh, Shelda Kastor, Greg Fresz, Jeff Louden, Dean Wilson, Al Fowler, and Laura Shaver.
Rest in Peace Dave Murray and Chereece Keewatin.
Today’s episode was conceptualized, written, and produced by Sam Fenn, Alexander Kim, Alex de Boer, Danya Fast, Ryan McNeil, and Garth Mullins.
Danya Fast’s research is supported by the Canadian Institutes of Health Research, the Vancouver Foundation, The Sick Kids Foundation, and the Michael Smith Foundation for Health Research.
Original score written and performed by Garth Mullins, Sam Fenn, and James Ash.
Our credits music was “Pinkjet Pussy” by Randy and the Pandoras. You can buy this song on 100 Block Rock, a compilation of music produced by Downtown Eastside artists.