A few years ago, in the small city (~55,000) of North Bay, ON, a young person came up to a pair of street cops &  "You guys have to do something--this stuff is killing all my friends." And he was right.

So the police officers, & the chair of our local Community Drug Strategy Committee, got together & developed a P4P (Patch For Patch) protocol

They consulted with the physicians & the pharmacists in the area, & the protocol was voluntarily adopted within a month or so.

And then they advised the over forty other communities in Ontario who adopted, & adapted, the protocol to their local situations.

Then they lobbied the local MPP, who submitted a Private Member's bill to the legislature. It received all party support, & was given royal assent in December 2015. And then the wheels fell off. Subsequent to 'public consultation' the Ministry implemented regulations that have no teeth, at least as far as prescribers are concerned.

So the problem is.............who, for patches and pills?