Leo Beletsky 🌈 Profile picture
Public health impact of laws & law enforcement @NUSL @hijAction @NUbouve @UCSDMedSchool | Harm reductionist | Nomad | Dad to 2 bandits & cat ⛵
Jun 11, 2021 4 tweets 2 min read
🚨NEW ANALYSIS🚨

When it comes to the surging overdose crisis, DOJ's role is widely ignored

Much of what DOJ is doing is fueling ODs. But it could be helping to curb them

How The DOJ Can Flatten the Overdose Curve theappeal.org/the-lab/report…

w/@MorganGodvin @JeremiahGoulka As others have pointed out, RESTRAINT on drug-related prosecutions can help reduce overdose and other drug-related harms

This includes absurdly punitive efforts like drug-induced homicide prosecutions that make ODs into homicides and litigation to block harm reduction facilities
Apr 24, 2020 11 tweets 5 min read
This is a popular narrative: the overdose crisis took a humanistic, "public health" approach

This narrative is almost completely false, if you define "public health" as being driven by evidence, compassion and focus on prevention

What actually took place looks very different 🧵 "We can't arrest our way out of this problem" became a mantra of overdose crisis response. Leaders from all sectors, incl CJ, readily served it up, highlighting contrast with hyper-punitive and racist drug crises of the past (e.g. crack)

Theory vs reality
Sep 17, 2018 20 tweets 8 min read
So the safe consumption discussion got me thinking: what has the DOJ, and especially the DEA, done to address the crisis they claimed will be "worsened" by the introduction of a proven public health measure? Stand by for some news So in thinking about what has the DEA done to address the overdose crisis, the tally is...not very positive. It does appear that the agency has done far more harm than good. Here's my take, in tomorrow's @nytopinion nytimes.com/2018/09/17/opi… … w @JeremiahGoulka. Thread to follow
Mar 12, 2018 64 tweets 14 min read
Been following @jenniferdoleac @anita_mukherjee naloxone paper w trepidation since learning about it last summer. Frustrating to watch how few constructive conversation emerged from the paper's recent broad exposure. My attempt to remedy w long #thread papers.ssrn.com/sol3/papers.cf… First, let me just say criticizing the paper or its authors for doing what is standard in their field (e.g. publishing online before formal peer review) is patently unfair. Whether or not those academic conventions make sense is a different, longer conversation
Oct 13, 2017 13 tweets 4 min read
Generally sensible @JAMA_current piece, but several key elements not rooted in evidence, missed opps for @DrFrieden @andrewkolodny #thread 1/x Do need better surveillance on SUD. But "newly filled prescriptions for >30d" is not a marker for "addiction." Frankly puzzled by this