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A coalition of more than 200 drug policy, healthcare, and other community-based organizations on Thursday delivered a letter to U.S. President-elect Joe Biden’s transition team, urging the incoming administration to pursue public health solutions to substance use and bring an end to the disastrous war on drugs.

The letter (pdf), sent to Rahul Gupta, team lead for Biden’s Office of National Drug Control Policy (ONDCP), advocates for the implementation of policies that prioritize harm reduction rather than prop up criminalization.

“We are urging the administration to abandon criminalization as a means to address substance use, and instead ensure universal access to equitable evidence-based solutions rooted in racial and economic justice and compassion,” the coalition wrote.

“We cannot wait another year to address the skyrocketing deaths, harm from the criminal-legal system, and heartbreak in our nation,” said the groups. “The time for urgent, bold change is now.”

The effort—led by People’s Action, VOCAL-NY, the Drug Policy Alliance, and National Harm Reduction Coalition—comes as the U.S. confronts a surge in overdose deaths exacerbated by the federal government’s catastrophic mishandling of the coronavirus pandemic as well as the injustice of a trillion dollar-plus drug war that has contributed to the build-up of the world’s largest carceral system while doing little to reduce violence and harm.

By sidelining “interventions proven to turn the tide on the overdose crisis and heal the traumas of criminalization,” the coalition wrote, the war on drugs has exacerbated preventable overdose deaths and mass incarceration, both of which have disproportionately affected Black, brown, and low-income communities. 

Responses to substance use that are based on surveillance and police violence, the groups explained, have “separated families, facilitated deportations, disenfranchised communities, fostered mistrust in healthcare and social services, and perpetuated poverty and stigma.” Moreover, the coalition said, “tough-on-crime and prohibitionist policies” have made the country’s drug supply “more deadly now than ever.”

“In the past decade alone, overdose has devastatingly killed nearly half-million people in our country,” the coalition wrote. As a result of the pandemic’s collision with “the nation’s neglected overdose epidemic… preliminary data indicates 2020 will be the worst year on record for fatalities.”

As the groups explained: “Impacts from Covid-19, such as physical distancing and wide-ranging unemployment, have led to isolation, stress, and despair among many people, including people who use drugs and people engaged in sex work. All of these factors are increasing overdose risk, and emerging evidence confirms fears that the overdose crisis is worsening during Covid-19.”

The coalition, comprising stakeholders that represent people who use drugs, people in recovery, and family members impacted by overdose, outlined immediate and longer-term policy recommendations that seek to mitigate the overdose crisis and dismantle the drug war. The proposed solutions include:

“Like the president-elect, we too have watched the nation stigmatize our loved ones for substance use, and, instead of judging, we unconditionally love and support them. And, like the president-elect, we too have experienced the insurmountable grief brought on by the loss of family members,” the groups wrote.

“It is our strong hope and belief that ending the drug war that has inflicted incredible harm in communities across this nation, and centering evidence-based solutions to address the overdose crisis, could be a great catalyst for a national transformation,” the coalition added.

Citations

[1]https://peoplesaction.org/wp-content/uploads/2021/01/FINAL_1.14.21_ONDCP_Letter.pdf[2] Making Economic Sense | Drug Policy Alliance ➤ https://drugpolicy.org/issues/making-economic-sense[3] #PolicyRecommendations hashtag on Twitter ➤ https://twitter.com/hashtag/PolicyRecommendations?src=hash&ref_src=twsrc%5Etfw[4] National Harm Reduction Coalition on Twitter: "#PolicyRecommendations! Evidence-based drug policies, backed by science and public health approaches. Commitment to dismantling the drug war and prioritizing harm reduction, treatment, and recovery in ways that don't perpetuate mass incarceration.… https://t.co/mNHCVYKkaf" ➤ https://t.co/lFgi7bkA7U[5] National Harm Reduction Coalition on Twitter: "#PolicyRecommendations! Evidence-based drug policies, backed by science and public health approaches. Commitment to dismantling the drug war and prioritizing harm reduction, treatment, and recovery in ways that don't perpetuate mass incarceration.… https://t.co/mNHCVYKkaf" ➤ https://twitter.com/HarmReduction/status/1349805689569349633?ref_src=twsrc%5Etfw