On May 6th, the class-wide scheduling of fentanyl analogues expires. We should let it.

Hear me and @grantwilder3 explain why this policy is old fashioned drug hysteria + racism that will only increase criminalization and overdose.

fb.watch/4UDbnv6Lbs/
This is a bit of a tricky issue to explain, but basically - the DEA wants to preemptively schedule every fentanyl analogue in existence and that will ever exist as a Schedule 1 drug with 'high abuse potential and no medical use.' BUT THIS IS A TERRIBLE IDEA...
1) Not every fentanyl analogue is necessarily even psychoactive, let alone MORE potent than fentanyl.

With class-wide scheduling, someone could get a harsh sentence for trace detectable amounts of a non-psychoactive or less potent fentanyl analogue.
Class-wide scheduling means that there is no burden on a prosecutor to prove that the fentanyl analogue is psychoactive or potent. This makes mounting a defense very difficult and sets up defendents who may not even know what or how much was in what they bought/sold.
2) This will make it hard for researchers to study fentanyl analogues like other Schedule 1 drugs.

Imagine if we did this with other opioid class drugs in the 1970s - we would never have discovered naloxone, an analogue with no psychoactive effects that REVERSES OVERDOSE.
3) This will lock in racial disparities. Data from the US Sentencing Commission in fiscal year 2019 already shows that 70% of those sentenced for fentanyl analogue charges were Black or Latinx. ussc.gov/research/resea…
4) Class-wide scheduling has NOT targeted 'kingpins' even though every advocate for class-wide scheduling claims that they are the intended targets.

Instead, US Sentencing Commission data from FY 2019 shows half of all sentenced were street-level dealers.
5) We also don't NEED new legislation or penalties for fentanyl analogues, because we ALREADY have the Analogue Act which can be used to prosecute and charge unscheduled and harmful new analogue drugs.

Class-wide fentanyl analogue scheduling is DRUG WAR THEATER.
6) Since all of this legislation has passed, we have only seen fentanyl and fentanyl analogue overdose deaths continue to increase. There is no clear evidence that the class-wide scheduling strategy has saved lives yet.
7) Fentanyl and fentanyl analogues are an entrenched part of some drug markets already, and because of tricky data collection, we'll never know the real extent.

But prohibition teaches us one thing - when you play whack-a-mole with one drug, another more dangerous one appears.
8) So what is the solution? So glad you asked!

The STOP Fentanyl Act is a piece of legislation that offers a better approach grounded in public health:
kuster.house.gov/news/documents…
9) For more background on the history of the issue, check out a report I worked on with former Director of our Office of National Affairs Michael Collins: drugpolicy.org/resource/crimi…
FIN!

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More from @MyHarmReduction

3 Apr
A thread 🧵

On Monday, JAMA Pediatrics published a new study about the time from drug use initiation to substance use disorder among young people 12-17 and 18-25 for different drugs.

Some politicized it's findings. But they're complicated.

jamanetwork.com/journals/jamap…
It's tricky to design a study that looks at someone's drug use independent of all their life circumstances and to draw a straight line from that use to the development of a substance use disorder.

Drug use doesn't occur in a bubble.
Though they controlled for some variables like gender, race, family income, ever having a depressive episode, and other substance use disorders, that may not capture other pre-existing personal, social, familial, and environmental factors that may surround a person's drug use.
Read 19 tweets
25 Mar
All the good tweets condemning the fatphobic and moralistic tone have been written. (She's clearly been ratio'd)

I'd like to zoom out to look at what this post says about our puritanical culture how we think about *pleasure* and *treats* and DRUGS.
1) There is clearly this belief that because they are available for free, that somehow every vaccinated person will show up every day for their daily free donut.

They won't. Some might. But that's not how most people work. Most people moderate pleasure.
2) It's also clearly *RICH* to individualize something as policy-driven as sugar consumption, weight, and obesity. An innocent campaign for a free donut isn't going to undo systemic policy choices. (Not my wheelhouse, so I defer to the other tweets on this)
Read 12 tweets
23 Mar
Two projects I collaborated on with colleagues have been released TODAY and they're both on ✨STIMULANTS ✨

A mini-thread, I promise...
1) ✏️We filled a gap in the policy space by developing a resource on policy responses to stimulants since everything is opioid-focused these days.

"Policy Proposals to Reduce Stimulant-related Harm: How to Address the Fourth Wave of the Overdose Crisis"

drugpolicy.org/sites/default/… Image
2) Just in time for #NDAFW (National Drug and Alcohol Facts Week) which ends up being a week about fear and stigma, we have released our "10 facts about methamphetamine" page and fact sheet!

drugpolicy.org/drug-facts/met…
Read 4 tweets
7 Jan
Gonna switch gears for a second to tweet about the problem with Dryuary and other self-imposed periods of 100% abstinence since I’ve now read 5 different tweets about people “failing” their Dryuary goals bc 2021 is currently a dumpster fire and people want to drink. (1/?)
2. First of all, goals like Dryuary for a month free of alcohol are actually quite admirable and probably a good practice for most of us. A break never hurts. And they can be a chance to reboot and get perspective on our patterns of use, role of alcohol in our lives, etc.
3. BUT these kind of goals can also be a troubling set up for a lot of us because these kinds of efforts actually require a bit more conscious planning and preparation than most of us do in advance. And they require us to practice different strategies in the moment.
Read 15 tweets
4 Jan
The NYC Dept of Health and Mental Hygiene (@nycHealthy) released some 2019 overdose death data and preliminary 2020 overdose death numbers for the first quarter of the year. It's not good news. A thread 🧵🧵🧵
1) Overdose deaths remained high in 2019; similar to 2018 rate of 21.2 per 100,000. Opioids involved in 83% over all overdose deaths, fentanyl most commonly involved drug in overdoses (in 68% of deaths). You can read more here:

www1.nyc.gov/assets/doh/dow…
2) You can see here that the overdose death rates in NYC increased in recent years. Not a coincidence that we saw this jump after fentanyl entered our heroin supply. Image
Read 9 tweets
8 Dec 20
A lot of really important and interesting myth-busting studies, articles, and papers have been released lately about people who sell drugs.

Here's a thread highlighting them and some key themes (1/?)
1) Just today, @Talkingdrugs ran a piece on a small study with 13 dark net drug sellers, which found many were motivated to keep customers safe and informed of drug risks, including harm reduction education talkingdrugs.org/consider-the-d…
2) A few days ago, @SessiBlanchard wrote a piece for @Filtermag_org based on leaked FBI documents showing they knew drug sellers were selling customers new syringes and fentanyl test strips, as well as testing their own meth supplies for fentanyl: filtermag.org/fbi-dealers-ha…
Read 18 tweets

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