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Safe injection sites save money but also they saves lives.

Philadelphia has, for decades, had a reputation of being a major heroin haven on the East Coast, with its heroin being of such high quality that people purposely moved there for that purpose alone. In recent years with the opiate epidemic steadily getting worse, this reputation only grew more steadily — and then dropped off with the introduction of fentanyl analogues such as acetylfentanyl, butyrfentanyl, and carfentanil (drugs whose names correspond to their chemical formula that are dozens to hundreds of times more potent than morphine) into the heroin supply. Nevertheless, people still swarm to Philadelphia in droves. Puerto Rico drops its heroin addicts off into Philadelphia and people from the surrounding counties and states still come to the city seeking its once-legendary (and now extinct) pure fix. With all of these people going to the city seeking an almost mythical fix that’s been tainted with chemicals humans can’t even consume, it’s not a surprise that the number of fatal and nonfatal overdoses in the city has risen to astonishing and record-breaking numbers. From sidewalks and convenience store bathrooms to buses and trains and even the basements and bedrooms of their parents and partners, overdoses are happening and killing addicts and leaving wounds in the hearts of their loved ones. Those who are lucky to survive a serious overdose are left changed by the experience. My most serious overdose convinced me that I needed recovery again, after relapsing with three years clean. Yet, overdoses may not be enough to convince some addicts that they need to seek recovery. And, honestly, that’s okay, there’s nothing wrong with not getting it the first time. Addiction isn’t a rational or reasonable thing, it’s a mental illness that often accompanies other mental illnesses. People who have experience with addiction or with addicts know this about us — they know that many of us simply don’t understand that we have a problem and that we often don't know that we need help until we’ve reached our bottom. For those who don’t know, a “bottom” is a point where people with substance abuse issues realize that we have a problem and hit an emotional, physical, financial, or social wall in our lives. It’s the point where we realize that we’ve, in some way, destroyed our lives in one way or another. Reaching a bottom can take months or it can take years. My first bottom came after years of using and drinking, but my second came only after a few months of using after my relapse. Each person is different.

Racism isn’t “saving” black people from the opioid crisis. It is only ensuring that the chronically ill black kids receive the worst pain management possible.

The current opioid epidemic is being called many things on the internet and in the media. The term that stands out is “the gentler war on drugs.” The name stems from the “war on drugs” of the 80s and 90s which saw the criminalization of crack addiction and the incarceration of hundreds of thousands of people addicted to or selling the drug.   Today’s opiate addiction wave is happening outside the urban communities, originating in doctor’s offices, and inundating the suburbs with heroin and opioid-based pills that carry an addiction that is much worse than crack to overcome. The fact that it’s even called an epidemic is problematic. The opioid addiction situation has led to several programs to benefit addicts, such as needle exchanges, Naloxone-carrying first-responders, and programs where addicts can come to the police station with the drugs and leave in a car ride to rehab—no criminal charges filed. The gentler drug war is not, however, benefiting everyone. According to Dr. Elissa Miller, Director of Palliative Care at Nemours Hospital in Delaware, the new restrictions on opioid prescriptions don’t involve criminal charges, but they do end up criminalizing the children who need the medication the most—young sickle cell patients in chronic pain. She says that these are the kids from families who are already wary of the medical establishment and are already struggling to maintain the outpatient care for the sick child in the family. The restrictions that Dr. Miller is forced to perform now drive a deeper wedge between her and her patients, while also making yet another barrier to care that the families must overcome in order to find care for the sick child. It’s no secret that black children are already the group of patients who receive the least pain management, according to articles like Rachel Rabkin Peachman’s “Why aren’t We Managing Children’s Pain?” which looks at the many ways kids are under-prescribed opioid painkillers when those are the very pain relief the child needs. Peachman says,” data shows that adults with the same underlying condition will get two to three times as many pain medication doses as children.” The inequality in pain management is worse with younger patients.
Related: Stop Stigmatizing How We Recover From Drug Addiction

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