Coercive interventions have been the preferred response to substance use in many countries. When evaluated, these programs are documented to have success rates lower than four percent. Beyond their marginal benefits, forced treatment programs come with their own downsides, including heightened risk of fatal drug poisonings.

In Massachusetts, where involuntary treatment has been the law of the land since 2018, the state public health department found that the risk of fatal overdose was twice as likely compared to post-voluntary treatment.

Last year the Red Deer Recovery Community opened its doors. The provincially funded 75-bed treatment centre is managed by Edgewood Health Network, a for-profit health care company which operates 11 similar sites across Canada. For Edgewood’s services in Red Deer, the province has found itself dishing out $13 million a year.

With so much profit to be made, Bay Street has rushed to insert itself into the equation. Expecting huge returns, Peloton Capital Management (PCM), a billion-dollar Toronto-based private equity firm, began financing Edgewood Health Network’s expansion 2021.