Health Affairs September 17, 2024
Mia Shenkman, Tonantzin E. Juarez

As the overdose death rate rampantly grows, with the Centers for Disease Control and Prevention (CDC) reporting 107,941 drug-involved overdose deaths in the U.S. in 2022, mainstream public health officials increasingly endorse harm reduction as a legitimate strategy to address this crisis. As defined by the National Harm Reduction Coalition, harm reduction “incorporates a spectrum of strategies that includes safer use, managed use, abstinence, meeting people who use drugs ‘where they’re at,’ and addressing conditions of use along with the use itself.” Harm reduction includes material practices like syringe services programs (SSPs), safer injection facilities, overdose prevention initiatives, and Medications for Opioid Use Disorder (MOUD) in addition to relational components, like non-judgmental, non-coercive service provision.

The Biden-Harris Administration incorporated harm...

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