Problems with hydromorphone prescribing as a response to the opioid crisis

"The most medically rational response of physicians faced with the epidemic of opioid-related deaths is to work to lower barriers to proven oral OAT and ensure these treatments are effortless to access. Oral OAT should be available in every supervised consumption site for anyone who wants a dose, and SIOAT should be provided under supervision at drug consumption sites as an alternative to toxic fentanyl, so people have a choice to use a safer drug if they wish. This would require leadership from provincial and federal governments to expand access to supervised consumption sites and fund access to treatments there."