Research
Do ideas and discourses stick around, even when incremental shifts in norms occur? Does this help explain federal government inaction on the opioid crisis?
Locked-in Language: Discourses of Drug Use in the Canadian House of Commons, 1908-2018
This dissertation offers a history of the current toxic drug crisis, or opioid crisis, in Canada, from the origins of opium prohibition in 1908 to the first take-note debate on the opioid crisis in 2018. Over 50,000 deaths have been attributed to the drug crisis between January 2016 and September 2024, according to Government of Canada monitoring. Despite this, this thesis argues that the federal government has taken negligible action to address what has been called a national public health crisis. Thus, this thesis considers the long history of drug use discourses from the vantage point of the House of Commons to better explain this phenomenon. More specifically, I examine Parliamentary Debates from 1908 to 2018. My analysis of Parliamentary Debate suggests that old ways of understanding drug use, as expressed by Parliamentarians, have become institutionalized and hegemonic, essentially becoming locked-in language.
The dissertation tracks the development of drug crisis as a national problem through shifting, yet layered, discursive constructions of drug use over the past century. These include the construction of opium users as internal foreigners in turn-of-the-century discourses that linked prohibition and racialized immigration policies targeting Chinese immigrants, and the construction of the criminal addict in the 1950s and 1960s, as a morally untrustworthy threat to the social fabric of the nation. In the 1960s and 1970s drugs themselves were transformed into a threatening or destabilizing force endangering both social reproduction – by threatening children – and production – by producing a class of unproductive addicts. Finally, after the emergence of a drug crisis throughout the 1990s and 2000s, addiction was constructed as a health crisis, a construction that seems to lend itself to a more proactive, harm-reduction oriented rather than punitive policy, but which in practice enabled a delegation of responsibility for the opioid crisis to provinces. Key to this historical trajectory is that the languages of addiction – foreign, criminal, and anomie – become locked-in, continuing to structure contemporary discourses on drug prohibition and addiction.
Ultimately, this thesis argues that these ossified, locked-in languages of drug use have severely limited what is seen as possible or realistic policy change. They have produced a hegemonic construction of the criminal or threatening addict, one that legitimates a framework of surveillance and punishment, on the one hand, and a neoliberal attempt to delegate responsibility to the provinces, on another.
Commentary
Winter 2022 in Turn Left Magazine
“We Cannot Dispel the Federal Role in Canada’s Drug Poisoning Crisis”
Read here
January 10, 2022 in Canadian Dimension
“Do recent mandate letters signal a new direction in the opioid crisis?”
Read here
July 15, 2021 in Canadian Dimension
“Ottawa must intervene in closure of Alberta’s supervised consumption sites”
Read here
Spring 2021 in Turn Left Magazine
“Drug Decriminalization a Necessary Measure in Combatting Opioid Crisis”
Read here
Concurrent Research
Health Policy and
Governing Paradigms
The “Opioid Crisis” in Canadian Federal Elections
Discourse, Policy Feedback and Decriminalization
Past Research
Human Dignity in LTC in Canada
Aiken, Megan (with Donna Smith, Amy Gerlock, and Dr. John Church, second author). (2021). “The Undignified Body: Excremental Assault in Canadian Nursing Homes,” in Valerie Zawilski (ed) Body Studies in Canada: Critical Approaches to Embodied Experiences. Canadian Scholars’ Press. [forthcoming, July 2021]
Narratives of the Opioid Crisis
Aiken, Megan. (2020). Beth Macy, Dopesick: Dealers, Doctors, and the Drug Company that Addicted America (New York: Little, Brown and Company2018), pp. 384, $11.99, hardback, ISBN: 9780316551281. - Barry Meier, Pain Killer: An Empire of Deceit and the Origins of America’s Opioid Epidemic, 2nd edition (London: Penguin Random House, 2018), pp. 240, $27.00, hardback, ISBN: 9780525511106. - Ben Westhoff, Fentanyl, Inc.: How Rogue Chemists Are Creating the Deadliest Wave of the Opioid Epidemic (London: Grove Atlantic, 2019), pp. 352, $27.00, paperback, ISBN: 9780802127433. Medical History, 64(2), 288-291. doi:10.1017/mdh.2020.8
Canada Health Transfer Reform
Aiken, Megan. (2015). “Payment where Payment is Due: Canada’s Federal Transfer System and a Needs-Based Solution to Health Transfer Spending.” Health Tomorrow: Interdisciplinarity and Internationality 3 (1): pp. 1-15.