I will continue to bridge the research-policy divide in drug policy by highlighting that:
- all drug research is political (for better or for worse);
- people who use drugs should be centered in research;
- researchers cannot hide in ivory towers.
I will continue to challenge the media and other experts who uncritically uplift police and law enforcement interpretations of drug use, drug effects, and drug risks without acknowledging their vested interest in prohibition.
I will continue to unapologetically advocate for harm reduction- the only fundamentally PRO-LIFE approach to helping people who use drugs in a world that would rather them "hit bottom" than get another chance.
I will keep reminding people that the drug war affects you even if you've never used an illegal drug:
- routine workplace drug testing;
- tax dollars towards 1.5 million US arrests per year;
- cops & drug-sniffing dogs at schools, etc.
I will continue to acknowledge that pleasure and fun are just as valid reasons to use drugs as:
- self-medication,
- productivity,
- focus,
- enlightenment,
- spiritual growth,
- pain management,
- experimentation.
I will not affirm the idea that "recovery" is the only valid end goal to harm reduction, or that recovery necessarily requires long-term sustained abstinence from all mood-altering substances.
I will not use the term "pill mills" to describe pain clinics. It specifically stigmatizes the treatment of pain with opioids as though pharmacies and hospitals don't dispense pills every day. That's the point.
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We often talk about the ‘success’ of our public health measures to reduce cigarette smoking- taxes, smoking bans, stigma, etc.
But no policies are neutral-we see racial disparities in smoking rates, also by class, ability, and education status.
Smoking still stratifies us.
As long as cigarettes:
- Are cheaper than therapy,
- Help us work long hours,
- Suppress appetite while food prices go up,
- Help us manage medication side effects,
- Are less stigmatized than e-cigarettes, and
- Make us function in this neoliberal hellscape, we will smoke.
🚨The DEA is soliciting public comments on their production quotas for Schedule 1 and 2 drugs and they are due in 2 days - at 11:59pm Tuesday Nov 16th.🚨
Some of these quotas are GREAT! Some aren't.
Join us at @DrugPolicyOrg and submit your comments today!!
A thread 🧵(1/n)
Why should you submit comments? Because the DEA decides annually how much of these Schedule 1 and 2 drugs should be produced every year for:
🩺 medical purposes,
🔬 scientific purposes,
🔍 research purposes, and
🏭 industrial purposes.
(2/n)
Drugs in Schedule 1 like heroin, marijuana, LSD and others have been deemed to have "no medical use" and "high abuse potential" even though many of us know they DO have medical uses. Higher quotas are good because we can study them more to find uses. (3/n)
And they did something absolutely unforgivable that will cost people their lives and freedom: They proposed extending the class-wide scheduling of fentanyls.
1) Currently, fentanyl is a scheduled substance. Some analogues with proven high potency have been scheduled as Schedule 1.
Class-wide scheduling means that EVERY FENTANYL ANALOGUE EVER SEIZED IN THE FUTURE will be treated as a Schedule 1 drug with harsh penalties. Huge problem.
2) Schedule 1 status means a drug has "high abuse potential" and "no medical use." It also means harsh penalties.
But not all fentanyl analogues are psychoactive or are potent. Some have no effects or milder effects than fentanyl. This incorrectly presumes analogue = dangerous.
2) Although the sample size is small, based in Dayton OH, their findings are aligned with several other recent studies highlighting similar motivations for use.
Here's a part of their descriptive table showing how many used it to manage opioid withdrawal and for other reasons:
3) The study used the Drug, Set, and Setting model to really synthesize and tie together the numerous factors that contribute to increased use.
Setting: Increased availability of meth
Set: Expectancies and beliefs about how it could work
Drug: Meth characteristics being helpful
✅Illicit drug use occurs in every zip code but drug arrests don't.
✅A drug arrest record (even without a conviction or incarceration) can mess up your life.
✅The drug war has made social workers, doctors, teachers, etc. into frontline enforcers like cops.
✅Drug use disorders are the only health condition where being actively 'symptomatic' makes you a 'criminal' too.
✅The drug war and criminalization makes recovery harder to achieve.
✅The drug war incentivizes unsafe drug use and behaviors to avoid law enforcement detection.
✅You're still a drug warrior if you only want to free your drug of choice (looking at you, plant activists)
✅You're still a drug warrior if you see drug users as 'victims' who need saving
✅You're still a drug warrior if you only want decrim, but not a safe supply
🧵A THREAD 🧵 1) I've been doing harm reduction work for 15 years and I've learned a few lessons about how to talk about it with people who aren't quite there yet.
I presented on this a few years ago and I'm going to share my slides and talking points here with you today -
2) First of all, it's important for US to reframe.
Rather than seeing non-harm reductionists as RESISTANT, I think it's more helpful to see them as RELUCTANT.
This helps us to approach conversations with more compassion and patience (altho not always easy!)
3) Then it's important to think about the types of reactions and responses you often hear from folks who may be reluctant about harm reduction.