Zoned Out: "NIMBYism", addiction services and municipal governance in British Columbia.
نویسندگان
چکیده
In Canada, Provincial Governments have jurisdiction over delivery of healthcare including harm reduction services and Methadone Maintenance Therapy (MMT). While policy directives and funding come from the provincial capital, individuals' access to these services happens in neighbourhoods and municipalities spread out across the province. In some cases, public health objectives targeted at people living with addictions and the rights to equitable access to healthcare are at odds with the vision that residents, business associations and other interest groups have for their neighbourhood or city. This paper looks at the cases of four British Columbia municipalities, Mission, Surrey, Coquitlam and Abbotsford, where local governments have used zoning provisions to restrict access to harm reduction services and drug substitution therapies including MMT. This paper will contextualize these case studies in a survey of zoning and bylaw provisions related to harm reduction and MMT across British Columbia, and examine the interplay between municipal actions and public discourses that affect access to healthcare for people living with addictions. Finally, this paper will explore possible legal implications for municipalities that use their zoning and permitting powers to restrict access to health care for people with addictions, as well as public engagement strategies for healthcare advocates that have the potential to reduce resistance to health services for people living with addictions in communities across the province.
منابع مشابه
Is Play-Dough a Vector for Transporting and Accumulating Lead? A Pilot Study Of Daycares in Greater Vancouver
متن کامل
The Determinants of Municipal Tax Rates in British Columbia
In this paper we study the regional pattern of municipal business property tax rates in the province of British Columbia. Reduced form tax setting equations produce some evidence that municipal governments respond to tax changes in neighboring jurisdictions. However, a joint investigation of the determinants of tax base and municipal taxation decisions reveals that it is difficult to interpret ...
متن کاملDevelopment of Palladium-Alloy Membranes for Hydrogen Separation and Purification
This paper summarizes R&D activities and progress at NORAM Engineering and the University of British Columbia (UBC) on preparation and testing of thin palladium-based membranes and their applications. Most of these activities were carried out internally at NORAM, some jointly with UBC and their spin-off company, Membrane Reactor Technology (MRT) through a wide range of projects. Key results out...
متن کاملSuperiority of Buprenorphine over Suboxone in Preventing Addiction Relapse in Opioid Addicts under Maintenance Therapy: A Double-Blind Clinical Trial
Background: In maintenance therapy for opioid addiction, to reduce the risk of buprenorphine (BUP) abuse, the combination of BUP and naloxone (NX) has been developed and is commercially available as suboxone (BUP/NX). This study was designed to compare addiction relapse frequency in patients receiving BUP and BUP/NX as maintenance therapy. Methods: In this double-blind clinical trial with cross...
متن کاملRevealing Power in Truth; Comment on “Knowledge, Moral Claims and the Exercise of Power in Global Health”
Jeremy Shiffman’s editorial appropriately calls on making all forms of power more apparent and accountable, notably productive power derived from expertise and claims to moral authority. This commentary argues that relationships based on productive power can be especially difficult to reveal in global health policy because of embedded notions about the nature of power and politics. Yet, it is e...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- The International journal on drug policy
دوره 24 6 شماره
صفحات -
تاریخ انتشار 2013