The Displacement and Erasure of Disabled Voices in the Downtown Eastside

Earlier this fall, Vancouver’s Gallery Gachet was notified that 100 percent of their funding from Vancouver Coastal Health (VCH) will be cut by December. With the implementation of VCH’s new DTES Second Generation Health Strategy Plan, the services provided at the gallery were no longer deemed to fall within VCH’s primary mandate of providing “core health services.”

Although VCH argues that Gachet’s resources will be reallocated to services targeting mental health and addictions more directly, the decision shifts resources away from a grassroots peer-run community organization that has been successful and effective for 21 years. Gallery Gachet is a platform for artists to speak their truths about their experiences with mental health and social marginalization. The gallery is a place for educating the public and promoting social and economic justice, while at the same time providing necessary support – such as housing advocacy, studio space, and economic security – to those who experience marginalization.

The cuts will impact the Gachet community most directly but the decision also has broader ramifications, reflecting a trend within VCH towards an increasingly limited definition of health care. They also come in the context of the continuous loss of affordable housing, increased policing, and accelerating gentrification in the wake of the City’s two year old Local Area Plan for the Downtown Eastside. Together these decisions and policies are contributing to the systematic displacement of people with disabilities in the DTES.[1]

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During the Canada Post strike announced September 25, 2025, the following measures will be undertaken to minimize service disruption to BC-CfE clients and providers.

  • The BC-CfE Laboratory has transitioned to private courier for delivery of outgoing reports and documents. Results required urgently can be faxed upon request. (Lab Contact Information: Phone 604-806-8775; FAX 604-806-9463)
  • The BC-CfE Drug Treatment Program (DTP) will fax outgoing forms and documents to the provider’s office. (DTP Contact Information: Phone 604-806-8515; FAX 604-806-9044)
  • St. Paul’s Hospital Ambulatory Pharmacy has transitioned to private courier for delivery of medications. We recommend requesting medication at least 2 weeks in advance in case of delivery delays, particularly to rural/remote parts of BC. (Contact Information: Phone 1-800-547-3622; FAX 604-806-8675)

During the Canada Post strike, we recommend that documents be faxed or couriered to our sites, versus utilization of regular mail service

The BC-CfE Laboratory is streamlining reporting processes for certain tests in order to simplify distribution and record-keeping, and to ensure completeness of results. Beginning September 2, 2025, results for the ‘Resistance Analysis of HIV-1 Protease and Reverse Transcriptase’ (Protease-RT) and ‘HIV-1 Integrase Resistance Genotype’ tests will be combined into a single ‘HIV-1 Resistance Genotype Report’.
For more details and example reports, please click on the button below