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Daily news & progressive opinion—funded by the people, not the corporations—delivered straight to your inbox.
We have a moral responsibility to set an example for the rest of the nation: one that’s rooted in compassion, humanity, and data-driven approaches.
If you were drowning, I wouldn’t ask how you got there before throwing you a lifeline.
I wouldn’t tell you to swim harder.
I wouldn’t tell you to make better choices, I wouldn’t hope you sink, and I wouldn’t put you in a cage.
If you were drowning, I would reach for you, pull you up, and do everything in my power to keep you alive.
That’s what harm reduction is: keeping people alive.
We don’t criminalize someone for losing a limb to the effects of diabetes. We don’t arrest them for not taking their insulin or for struggling to manage their blood sugar. We surround them with medical care, support systems, and resources to help them live healthier lives.
The first step isn’t forcing someone into a system they aren’t ready for. The first step is keeping them alive long enough to say yes.
Problematic substance use—a chronic, relapsing disease—is no different. And harm reduction is one of the many courses of medical action we’re taking to address this in MacArthur Park, Los Angeles, where the opioid crisis and homelessness collide in painful, visible ways.
I understand the frustration. I hear the anger. Lock them up, people say—oblivious to the harrowing truth that this crisis is made profoundly worse in our jails.
I want a healthy, accessible, thriving MacArthur Park just as much as my neighbors; a MacArthur Park where hardworking families aren’t forced to live amid trauma and visible substance use. But let me be clear: I don’t throw people away—and I don’t invest in failed solutions.
People don’t wake up one day and decide to become homeless or addicted. They end up there because they’ve been failed by an economic system that keeps people in poverty, by a housing system that makes rent impossible to afford, by a criminal justice system that treats problematic substance use like a crime instead of a disease, by a political system that chronically underfunds mental health, and by a for-profit healthcare system that allowed big pharmaceutical companies to manufacture the opioid epidemic and knowingly steal thousands of lives in exchange for billions of dollars.
We’ve spent over a trillion dollars on the failed War on Drugs, and the availability and potency of illicit drugs have only increased—along with our prison population.
It’s time for a different approach.
Decades of research have shown that harm reduction strategies provide significant public health benefits, including preventing deaths from overdoses and preventing transmission of infectious diseases. That’s why our office partnered with the LA County Department of Health Services and Homeless Healthcare Los Angeles (HHCLA) to deploy an overdose response team in the park seven days a week. Every day, they provide wound care, hygiene kits, naloxone, methadone, and harm reduction tools to people experiencing problematic substance use. They clean up biohazardous waste, picking up and safely disposing of left-behind needles and pipes that put our families in danger. They do the work that Recreation and Parks and LAPD can’t while reducing call volume to emergency responders, and we are all safer for it.
Since launching in late 2024, this team has collected over 14,000 hazardous items and distributed more than 3,600 naloxone kits—totaling over 11,000 doses of life-saving medication—and saved 52 lives. Those 52 people have names and faces and stories and hopes and dreams. They are someone’s child, someone’s friend, someone who now has a shot at accepting treatment, because we know that recovery isn’t a straight path—it takes multiple touchpoints. The first step isn’t forcing someone into a system they aren’t ready for. The first step is keeping them alive long enough to say yes.
I also want to be clear about what our office can and cannot do. The City Council cannot make arrests. What we can do is invest in solutions. We can choose to fund the strategies that actually reduce harm, that save lives, that address the root causes of these crises. Or, we can choose to push people out of sight and throw them away.
The fight for humanity goes far beyond MacArthur Park. We see it happening across the country. We see it in how President Donald Trump treats immigrants like pawns, willing to let families suffer for cheap political points. We see it in how he attacks the LGBTQ+ community, stripping away protections and treatment, denying their very existence. We see marginalized communities degraded and vilified and sacrificed at the altar of power, and we see misinformation peddled at every turn to satiate a hungry, desperate base. It is easy to dehumanize. It is easy to discard people. It is easy to think of human lives as inconvenient. But we have to resist that urge. We are better than that in Los Angeles. We have a moral responsibility to set an example for the rest of the nation: one that’s rooted in compassion, humanity, and data-driven approaches. And since my very first day in office, that’s what I’ve always done, no matter how uphill the battle may be.
MacArthur Park is struggling. Yes, we are frustrated, scared, and sometimes, angry. But I refuse to abandon the people suffering in front of us.
We don’t throw people away. We fight for them.
This National Recovery Month, learn about an Ohio community agency taking a stand for recovery justice.
As we mark National Recovery Month this September, I find myself reflecting on my own journey with Substance Use Disorder, or SUD, and the vital role that community plays in both addiction and healing. My experience is a testament to how crucial a supportive environment is for people to rebuild their lives with dignity, especially now, as communities across our country try to close the door on those who deserve a chance at recovery.
My story is not unique. Like so many others, I struggled in silence. Substance use was a topic never openly acknowledged in my family—it was treated like dirty laundry, something to be disregarded, not diagnosed. As a nurse and a loving mother, I presented a picture-perfect life to those around me. I was in denial myself, too: I believed I was immune to any of the pressures that could lead to substance use, despite living in a city and state where it was so prevalent. And even with my medical background, I was unable to see my own addiction for the health issue that it was.
It wasn’t until I confronted my internalized stereotypes and became vulnerable with others that I began to heal. Since there was a lack of official recovery services in my hometown, I realized recovery cannot occur in isolation, it requires a supportive community and dedicated spaces and professionals. Even with a lack of drug courts, reentry drug courts, and support groups available in my city at the time, my own recovery was made possible because of my friends and family: the very community I had feared to share my truth with.
Shunning and shaming does not stop SUD. Our siblings, children, and friends deserve our support and should not be labeled as “dangerous” or “criminals.”
Once my truth was laid bare, others became more vulnerable with me and began to share their own stories. There were fellow parents, neighbors, and friends all of whom believed they were the only ones struggling. I learned that SUD thrives in secrecy. This experience inspired me to create a recovery center so others could heal within the community and find the support they need, free from stigma.
Alongside my family, I founded Lawrence County Recovery, LLC (LCR), an agency dedicated to breaking the cycle of shame surrounding SUD, and providing recovery services that empower individuals to reenter their communities with pride. Too often, people in recovery are met with judgment instead of compassion, turned away when they should be welcomed. Recognizing that peer and community support makes the recovery process more sustainable, LCR has set up recovery housing, or sober living homes. In these homes, small groups of people in recovery can live together, support one another, and hold each other accountable as a step toward independent living.
Despite these successes, and after more than five years of supporting over 1,500 people in recovery, I am still witnessing firsthand how discrimination harms and stigmatizes LCR’s clients.
This past August, LCR filed a lawsuit against the Village of Coal Grove, Ohio for engaging in a uniquely egregious and discriminatory campaign targeting individuals in recovery from SUD. The complaint alleges that Coal Grove has imposed a moratorium on new recovery homes, enforced invasive and restrictive requirements on existing providers, and pursued criminal charges against LCR’s leadership, all based on unfounded fears and prejudices.
It is deeply painful to watch as some of my local leaders and neighbors turn their backs on members of our community. Shunning and shaming does not stop SUD. Our siblings, children, and friends deserve our support and should not be labeled as “dangerous” or “criminals.”
People in recovery are protected under federal and state disability laws, including the Fair Housing Act and the Americans with Disabilities Act, which are designed to ensure access to the resources necessary to rebuild lives. This lawsuit is about more than just one city or one recovery provider—it represents a broader struggle for recovery justice.
In Lawrence County alone, zoning proposals in Ironton and South Point have threatened treatment facilities. Throughout Ohio and across the country, local governments are enacting policies that actively hinder recovery services, often driven by misinformation, fear, and stigma.
If we are to make real progress, we must dismantle the harmful stereotypes that surround substance use disorder and embrace the true values of community—belonging and acceptance. My hope is that this stand against discrimination sends a message across the state, that hate has no place in our homes and that healing takes a village.
Recovery is possible, but it cannot happen in the shadows. As a society, we must do better—opening our communities and our hearts to those who need support. This National Recovery Month, let us remember that addiction does not discriminate, and neither should we.
Like cigarettes, online platforms denounced as products "whose business model depends on addicting kids."
U.S. Surgeon General Vivek Murthy on Monday called for warning labels on social media that address platforms' mental health effects on adolescents, drawing support from experts and advocacy groups.
Murthy issued the call in an op-ed in The New York Times, citing social media platforms' association with "significant mental health harms" for adolescents and connecting it to a mental health crisis among young people. He said he'd push for congressional action, which would be required for a formal surgeon general's warning to be issued.
"Why is it that we have failed to respond to the harms of social media when they are no less urgent or widespread than those posed by unsafe cars, planes, or food?" Murthy wrote. "These harms are not a failure of willpower and parenting; they are the consequence of unleashing powerful technology without adequate safety measures, transparency, or accountability."
The @Surgeon_General is telling everyone the extreme health and emotional dangers of social media for kids, and asking for phone-free schools AND design feature rules (no infinite scroll, filters, algorithmic addictions). https://t.co/fq5BcJdDHa
— Zephyr Teachout (@ZephyrTeachout) June 17, 2024
Murthy drew attention to the power disparity between parents who don't know how to keep their children safe and companies that can design products based on profit motives.
"There is no seatbelt for parents to click, no helmet to snap in place, no assurance that trusted experts have investigated and ensured that these platforms are safe for our kids," Murthy wrote. "There are just parents and their children, trying to figure it out on their own, pitted against some of the best product engineers and most well-resourced companies in the world."
Experts supported the surgeon general's call, noting that the ad-driven platforms—which vacuum up huge amounts of personal data regardless of the users age—are designed to be addictive for children.
"Social media today is like tobacco decades ago: It's a product whose business model depends on addicting kids," Josh Golin, executive director at Fairplay, an advocacy group, said in an emailed statement. "And as with cigarettes, a surgeon general's warning label is a critical step toward mitigating the threat to children."
Major social media platforms made nearly $11 billion in advertising revenue from U.S.-based users under age 18 in 2022, with YouTube alone making nearly $1 billion off of users age 12 and under, a recent study showed.
The human brain continues to develop until the mid-to-late 20s, and the prefrontal cortex that controls decision-making and prioritization of tasks is among the last parts to develop, according to the National Institute of Mental Health.
"We can give our children smartphones, or we can give them a childhood," X user John Stoffel said in response to the surgeon general's call. "We can't give them both."
NBC News reported Monday that social media companies gave a muted response to the surgeon general's warning.
Social psychologist Jonathan Haidt, author of The Anxious Generation, a new book that has amplified discussions of the harm social media may be inflicting on young people, praised the surgeon general on Monday. "Thank you, Surgeon General Murthy, for your leadership on this issue," Haidt wrote on X. "Yes, this is a consumer product that is unsafe for children and teens," he added.
Haidt has tied the rise of social media in the late 2000s to a prolonged rise in suicidal behavior since that time, though other experts have cited other possible causes, including "economic hardship, social isolation, racism, school shootings and the opioid crisis," according to The Times, which reported on the op-ed that it published.
In the op-ed, Murthy told the story of a Colorado woman whose teenage daughter had committed suicide after being bullied on social media. That woman is Lori Schott, a member of advocacy group Parents for Safe Online Spaces, who made a statement in conjunction with Fairplay on Tuesday.
"Just as we have strict warnings and regulations for car seats, baby formula, and the like, we must also ensure that parents and children are fully informed about the real dangers that social media can pose," Schott said.
Murthy's call for warning labels follows an advisory he put out last year warning of evidence of social media's "profound risk" to the mental health of children and adolescents, which drew praise from many medical and psychology associations.
Two proposed congressional bills, the Kids Online Safety Act (KOSA), which Fairplay supports, and an update to the existing Children and Teens' Online Privacy Protection Act, sometimes called COPPA 2.0, deal with social media regulation and data privacy. Murthy didn't specify support for either bill but did call for tighter regulations—and soon.
"One of the most important lessons I learned in medical school was that in an emergency, you don’t have the luxury to wait for perfect information," Murthy wrote. "You assess the available facts, you use your best judgment, and you act quickly."