It is too late to keep trying to convince individual GPs & addiction med docs to prescribe safer drugs. It's not about more training. They don't want to do it, they're scared to do it, and the incrementalism is deadly.
It's time for publically funded drugs to be stocked in pharmacies, clinics, OPS, drug user orgs etc where willing healthcare practitioners can follow assessment, dosing & titration protocols informed by how people *actually* use drugs, not according to withdrawal management.
This is a #PublicHealth approach to a public health emergency which Medical Health Officers should be supporting and implementing immediately. We know this can be done because we just spent 2 years taking a public health approach to another emergency.
This is not a replacement for urgent & necessary systemic change, nor for copping out of supporting people who use drugs to have full access to substances & take care of one another.
But all of this time spent begging individual docs to step up & prescribe to 20 people at a time is a strategy we need to move on from.
Credit to my bud @CoreyRanger for articulating these thoughts in our ongoing convos. Listen to people who use drugs and the folks who work hard to be allies and accomplices.
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People working in harm reduction are treated as disposable beings who should have the individual capacity to solve all systemic problems. Then we are blamed for having bad boundaries. As burnout pressure rises, so does our ability to offer one another empathy & community care.
As Covid shifts into a new phase, please don't forget 'the other' public health emergency. For all of the resilience, determination & commitment amongst frontline workers, people are deeply struggling.
We need (better) help. That includes people working for systemic change.
It also includes funders giving a ton of room in budgets to support staff health & wellness (ie personnel TIME).
Wanna support staff more individually? Donate in-kind time, GCs or cash to workers for food, health/wellness therapies, medicines, childcare, entertainment etc.