Untrained 'Doctors' Inject Drugs Amid Crisis

Amidst an escalating toxic drug crisis, Vancouver has seen the rise of an informal support network among drug users. This network includes individuals referred to as 'doctors,' who, despite lacking formal medical training, offer to inject people for a fee. Alan, a 42-year-old drug user, is one such 'hit doctor' who travels across Vancouver, providing essential services.

Alan's practice involves preparing drugs, administering injections, and closely monitoring clients for at least 15-20 minutes post-injection to prevent accidental overdoses. His backpack contains necessary supplies like clean needles, filters, and naloxone. He estimates performing three to 12 visits daily, charging $20 per service, a trend he notes has grown significantly over the past decade.

His clients defy common stereotypes of drug users, including professionals, older gentlemen, and individuals with established careers and families. Many, like Steve, choose these services to avoid the stigma associated with supervised consumption sites. The underground network highlights gaps in the current health-care system's capacity to reach all individuals at risk of overdose.

Addiction specialists view the existence of 'hit doctors' as a direct response to the health-care system's limitations. While supervised consumption sites are vital, they serve a fraction of those in need. The legal risks for these untrained individuals are severe, potentially leading to charges of administering a noxious substance or even involuntary manslaughter if a client dies.

Alan acknowledges the enabling aspect of his work but feels a duty to prevent greater harm. He notes that while some clients use drugs for enjoyment, others do so to cope with pain and loneliness. This dangerous practice underscores the community's efforts to fill a critical void in harm reduction services.