Policy makers must take urgent action to reduce the toll of drug related deaths In Canada, an average of 22 people died from opioid toxicity each day in the first six months of 2023, with 84% of these deaths involving unregulated fentanyl.1 In response to this crisis of drug related deaths, people who use drugs have advocated for models of “safer supply.” These interventions range from the testing and distribution of drugs by activists to the prescription of pharmaceuticals by clinicians and the legal regulation of drug manufacture and supply.2 In a linked paper (doi:10.1136/bmj-2023-07633...