The Rise and Fall of Safer Supply Programs in Canada

Mohammad Karamouzian; Dan Werb

doi:10.1001/jamahealthforum.2026.0976

May 8, 2026JAMA Health ForumOpen Access

The Rise and Fall of Safer Supply Programs in Canada

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Key Points

The aim is to explore how safer supply programs in Canada were launched and later dismantled, focusing on their impact on public health.
Discussion on the implementation process of safer supply programs
Analysis of factors leading to the subsequent deimplementation
Safer supply programs initially increased access to pharmaceutical-grade medications for opioid users.
The deimplementation of these programs raised concerns over the potential impact on public health and safety.

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Implication

Viewpoint discusses the rise and fall of safer supply programs for opioid users in Canada, highlighting critical lessons learned.

Abstract

This Viewpoint discusses the implementation and subsequent deimplementation of safer supply programs in Canada, which provided access to pharmaceutical-grade medications for individuals who use unregulated substances, particularly opioids.

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Karamouzian et al. (2026) studied this question.

synapsesocial.com/papers/6a002222c8f74e3340f9d0a9 https://doi.org/10.1001/jamahealthforum.2026.0976

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The Rise and Fall of Safer Supply Programs in Canada

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The Rise and Fall of Safer Supply Programs in Canada

Key Points

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Implication

Abstract

Discussion

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