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Drug Policy Articles

Neoliberalism, Racism, and the War on Drugs in Canada

By: Todd Gordon

 

OxyContin in Ontario: The multiple materialities of prescription painkillers

By: Samantha King

 

Opioid Overdose Prevention & Response in Canada

By: Connie Carter & Brittany Graham

 

Article Summaries

 

    THE "WAR ON DRUGS" IS AN IMPORTANT FEATURE OF NEOLIBERALISM IN CANADA. Yet while the relationship between the drug war and neoliberal policy has been the subject of focus by writers in the United States (see, for example, Parenti, 1999; Davis, 1992), it has received little attention in the literature on either drug policy or neoliberalism in Canada. This article seeks to address this gap. Using a political-economy framework, it highlights the central role played by drug prohibition in the street-based operationalization of neoliberal restructuring and links this policing dynamic to the historical role drug criminalization has played in Canada. The failure to interrogate capitalist state power and to adequately situate the emergence and development of the war on drugs in Canada within the context of the state's racialized efforts to produce capitalist social relations considerably flattens most analyses thus far advanced on this issue.
    The war on drugs, it will be argued, is bound up with a deep-seated racist fear of the non-British immigrant other. This fear is rooted in part in the Canadian state's concern that immigrants--whose cheap labor Canadian capitalism has historically been very dependent upon--will not conform to, and thus will undermine, Canada's white bourgeois moral order. A central historical role of the state and police has been the constitution of immigrants (and workers in general) as a reliable and disciplined class of wage laborers dependant on market relations. In the process, certain drugs came to represent to the state and police a potential threat to this order. The concern was that these drugs might provide a financial or festive alternative (or sometimes both) to alienating market relations. Equally important, however, the danger associated with these drugs became even greater when they were identified with a particular non-British immigrant community, as opiates, cocaine, and cannabis were in the early 20th century. Drugs in these instances were a possible alternative to market relations and a cultural practice from a supposedly less civilized part of the world that was foreign to most white Canadians. This was therefore viewed as a serious expression of nonconformity to, and a potential infection of, the country's white bourgeois moral order. These dynamics framed drug criminalization in the early 20th century and are played out even today, as the emergence of neoliberalism has entailed the deep re-imposition of market relations into people's lives and Canadian capitalism's increasing dependence on cheap immigrant labor from the global South. Thus, the war on drugs remains a very important means for the state and police to pursue order in immigrant communities.
    The article examines the historical role of the capitalist state in producing a racialized bourgeois order in immigrant communities. It briefly looks at the emergence of drug prohibition in Canada in the early 20th century as a racialized project of class domination. Some of the existing literature on the early period of drug criminalization in Canada is helpful, though its insights are strengthened by the discussion of antiracist state theory that precedes it. Having developed a historical framework for the war on drugs, it explores its contemporary manifestation, drawing out its most salient patterns and relating them to the demands of neoliberalism.  It specifically looks at the criminalization of that, and with it the Somali community in Toronto. This is similar in important ways to the criminalization of specific immigrant communities in the early 20th century as part of the war on drugs and cannot be properly understood outside this context.

 In the past decade, OxyContin diversion and misuse have been firmly established in Ontarian public discourse as serious problems requiring major intervention.This article contextualizes and theorizes the processes through which the marketing of the prescription opioid and its subsequent problematization occurred. The analysis refuses the impossible choice between the ‘deserving pain patient’ and the ‘undeserving addict,’ between the war on pain and the war on drugs, and between a notion of OxyContin as either miracle panacea or destructive poison. Rather than falling in step with these binaries, OxyContin is theorized across them, or multiply, with the aim of moving beyond established moral and theoretical registers for exploring embodied consumption. Pharmaceutical industry and state actors have attempted to dualistically parse disparate materializations of OxyContin, a tactic that intensified as media pressure helped produce the notion of a public health crisis and, implicitly, a crisis of welfare dependence. By focusing on the (impossible) task of stratifying proper from improper use, the drug's advocates sought to secure the integrity of opioid painkillers and to protect their materialization as vehicles for maintaining a body that is normal, stable, and in control, as opposed to a body of excess that threatens to expose the consumerist logic of contemporary medicine. Attempts to contain the multiplicity of OxyContin result in the further entrenchment of privatized and individualized approaches to pain and painkilling and serve to undermine rather than secure public health and safety. 

 

    Across Canada, far too many people are dying from drug overdoses. Overdose deaths due to medical and non-medical drug use are now the third leading cause of accidental death in Ontario. A significant proportion of these deaths have been attributed to opioids. Drug overdose is not confined to one group of people but can affect anyone, including people taking prescribed opioids.

    The tragedy is that many of these deaths could have been prevented with measures such as training, increased availability of naloxone (an emergency medication that reverses the effects of opioids,) improved efforts to encourage people to call 911 during an overdose event, and better prescribing practices.

     The purpose of this policy brief is to discuss the multi-juris dictional policy barriers that hinder the scale-up of opioid overdose prevention and treatment initiatives in Canada.This brief provides an overview of the scant available data on drug overdoses in Canada and discusses key initiatives and policy changes that could mitigate the high number of injuries and deaths amongst people who use opioids. We close by offering recommendations to both the federal and provincial governments. This brief can be used to advocate for changes to the policy context of overdose. Readers interested in implementing overdose prevention programs are directed to an emerging set of excellent Canadian resources

on this issue.

 

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