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B.C. becomes first province to provide universal coverage for opioid treatments

VICTORIA — The British Columbia government is expanding access to opioid agonist treatment medications by providing universal coverage to help people with substance use disorders, making it the first province in Canada to do so.
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A photograph of a person who died due to an illicit drug overdose is tied to a tree with a purple ribbon by members of Moms Stop the Harm, in Vancouver, on Tuesday, August 16, 2022. THE CANADIAN PRESS/Darryl Dyck

VICTORIA — The British Columbia government is expanding access to opioid agonist treatment medications by providing universal coverage to help people with substance use disorders, making it the first province in Canada to do so.

Health Minister Adrian Dix said in a news release Wednesday that full coverage of the medications will be available to B.C. residents under the province's medical services plan.

The Ministry of Mental Health and Addictions said the policy became effective June 6, and expands full coverage to approximately 1,638 people who had been paying out of pocket for the drugs, out of a total of 34,520 who had been receiving the treatments in B.C. last year.

Dix said improving access to the medication strengthens the public health system. 

"By reducing financial barriers to opioid agonist treatment medication, we're making it easier for people to get the care they need and helping to create more equitable health outcomes for people in B.C."

Opioid agonist treatment involves the use of medications such as methadone, and the ministry said it is distinct from safer supply, in which "pharmaceutical alternatives to illicit drugs" are prescribed to drive people away from the toxic street-drug market.

The treatment has been proven to work by keeping people from turning to illicit opioids, reducing the risk of death, the news release said. 

Elenore Sturko, BC United Opposition critic for mental health and addictions, said in an interview that the funding is a positive step that could have been done years earlier by the NDP government. 

She said it was a relatively inexpensive measure to remove costly barriers for the 1,600 or so patients who no longer have to pay for their own opioid agonist treatment medications.

Sturko said many people dealing with addiction still face financial difficulty accessing drug treatment programs, something her party has promised to address should it form government in the future. 

Though B.C. is experimenting with decriminalization to remove stigma around drug addiction, Sturko said financial barriers to other drug treatment services also need to be torn down. 

"I hope this signals that they are looking at removing financial barriers from all treatment and recovery services in B.C. because it is one of the biggest barriers to people getting the help that they need," Sturko said. 

The provincial government's funding comes amid pushback from B.C. health officials against criticism of the province's safe supply program and drug policies by federal Opposition Leader Pierre Poilievre and others.

Jennifer Whiteside, B.C.'s minister of mental health and addictions, said in the statement the coverage removes cost barriers to opioid treatments and will help people "stabilize their lives, prevent deaths and stay on their journey to wellness." 

"The toxic drug crisis continues to claim lives at an unprecedented rate. When people reach out for help, we want them met with support regardless of the size of their pocketbook," Whiteside said. 

More than 12,000 people have died because of illicit drugs since the B.C. government declared a public health emergency in April 2016. 

This report by The Canadian Press was first published June 14, 2023. 

The Canadian Press

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