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Social media companies have intentionally designed their products to be addictive to young users; the issue cannot be resolved until the entire architecture of the platforms is overhauled.
You can mute Instagram stories. You can turn off Snap Maps. You can silence every notification on your phone. But try turning off reels. Try removing your “explore page.” Try turning off your TikTok algorithm.
Social media platforms have spent years perfecting the art of giving users just enough control to feel empowered, but not enough to actually break away. The result is a false sense of autonomy. Psychology Today cites that users used to control their feeds by choosing who to follow and which posts to interact with, but most platforms have shifted to algorithms that prioritize content for users based upon its likelihood of engagement. Consumers now get countless settings to reorganize the surface level features of a structure that cannot be fundamentally changed.
These apps enable endless settings to facilitate an illusion of control, whether that be through settings privacy, hiding like counts, or blocking certain pages. But none of these features are meaningful. They all act as a decoy to prevent change from the much deeper issue.
The features you cannot turn off are the ones that keep you scrolling hour after hour. It is the product of years of behavioral engineering, precisely designed to exploit dopamine loops and addiction to keep account holders in a cycle that generates a feeling of continuous rewards. The ability to scroll infinitely on any platform through videos and suggested posts prevents the natural end that a finite feed would create. As time goes on, algorithms adapt to the users employing them. It understands what will make you excited, enraged, or captivated, all at the expense of your attention span and countless unreturnable hours of your life.
The question isn’t about how to not use social media—it's unavoidable. It’s about if you even have the ability to not use it.
In a landmark case in March of 2026, Meta and Youtube were just found guilty of intentionally addicting young users and damaging their mental health. The juries found them both negligent in the design of their platforms, knowing it was dangerous and failing to appropriately warn of the risks. The companies were required to pay $3 million in compensatory damages, and jurors recommended another $3 million in punitive damages.
This verdict is revolutionary because for the first time, the law has indicated that the design of the apps was the issue, rather than the content or the users. It changes the conversation from blaming consumers for being on social media too much to recognizing these apps are designed to make it impossible to walk away. This trial could set the precedent for the over 1,500 similar cases that have been filed against the companies.
The findings of this case are nothing new. For countless years, tobacco companies sold cigarettes knowing the devices engineered customer addiction, while vehemently denying the harm every step of the way. It's easy to reflect on that chapter of history with clearer vision, but it was difficult to spot in the moment. Now we are living through its modern day counterpart.
The difference in these cases is that purchasing cigarettes takes explicit effort, but social media follows you everywhere you go. It’s in your pocket, it’s with you at school, in the office; no place is out of reach and no moment is off-limits. There is no social media equivalent of a “no smoking zone” or too inappropriate of a place to check your phone. It is a socially enabled addiction with no guardrails to limit engagement.
The question isn’t about how to not use social media—it's unavoidable. It’s about if you even have the ability to not use it. When the entire algorithm is designed to keep you from clicking away, and keep the app gaining revenue, it’s not about your personal autonomy anymore, it's about the devices keeping you from being able to physically peel yourself away.
Politicians can see this problem too. California AB 2169 would require companies to provide a copy of their personal data, including behavioral profiles and the digital map of online interactions. It also mandates that platforms build a bridge to allow users to sync their friends and interactions to other apps. Michigan's Kids Over Clicks package SB 757-760 goes further to prohibit platforms from using minors' personal data to fuel recommendation algorithms without parental consent, banning manipulative patterns like streaks and reward systems to incentivize continued app usage, and strictly regulating AI companion chatbots that could encourage self-harm or serve as unlicensed therapists.
While these bills make leaps toward restoring user autonomy, none of them actually address social media addiction head-on. Knowing the features these apps use to trap you into endless scrolling is helpful but doesn’t stop the behavior at its core. The option to turn off these privacy settings and default restrictions is still present. The problem isn’t the content on the apps, but the design. We can’t stop at changing the features and restructuring the settings. The issue cannot be resolved until the entire architecture of the platforms is overhauled.
I’ll leave you with this: We already know how the story ends if we do nothing as we have lived it before. So what are we going to do today to write a different ending?
If you don’t want to acquiesce to the president’s way of doing things, might it not finally be time to make eye contact with those neighbors of ours who are homeless?
The federal takeover of Washington, DC rightfully attracted extensive media coverage, but an executive order called “Ending Crime and Disorder on America’s Streets,” quietly issued on July 24, received remarkably little attention. Perhaps it didn’t make a splash because it wasn’t specifically about policing (or, for that matter, National Guarding), but more generally about how we should treat people who already exist on the outermost fringes of society, human beings who have long been reduced to labels like “addict” or “homeless.”
Indeed, the Trump administration is counting on us to renounce those living on the streets, while struggling with their mental health or the cost of housing (or both). And if history is any guide, that may be exactly what most of us do. While the current moment may feel shocking in so many ways, the president’s order to end what he’s labeled “disorder” represents a further development of norms that have been in place for all too long. They are also norms that we have the power to change.
Identifying a very real crisis, the president’s July 24 executive order noted that “the number of individuals living on the streets in the United States on a single night during the last year of the previous administration—274,224—was the highest ever recorded.” The order went on to state that the majority of those who are unhoused have a substance use disorder, with two-thirds reporting that they have used hard drugs at some point in their lives. What followed was the administration’s solution: “Shifting homeless individuals into long-term institutional settings… will restore public order.” Precisely which institutions was unclear.
One thing we know is that the use of substances is often connected to past trauma or current hardship, including oppression and poverty. Regardless of that reality, not just the president but all too many of us tend to believe that people who use drugs are undeserving of our compassion or support. In 2021, a national survey found that 7 of every 10 Americans believed that those who use drugs problematically are “outcasts” or “non-community members.” (And yes, those were the terms used.)
The president’s executive order fuses drug use and homelessness into a single issue without revealing that homelessness can cause or exacerbate substance use disorder—because people use drugs to cope with privation. As addiction expert Gabor Maté has said, “Don’t ask why the addiction, ask why the pain.” Much like those of us who reach for wine or social media in order to escape, when people who are unhoused use drugs, they are usually searching for a way to make life tolerable. At the same time, they come to be regarded by their peers as non-community members, making it so much less likely that this nation will fight the president on his plans to round them up and erase them from our world entirely.
Meanwhile, many of us with homes never pause to consider our common habit of avoiding unhoused people in every possible way. We cross the street, shift our gaze, anything to avoid the briefest glimpse of their humanity—perhaps terrified to see ourselves in them. Here’s a thought, though: If you don’t want to acquiesce to the president’s way of doing things, might it not finally be time to make eye contact with those neighbors of ours who are homeless? Might it not be time to acknowledge their humanity and, in doing so, recover some of our own?
The Los Angeles nonprofit LA Más helps residents build security through collective economic power and home ownership. As Helen Leung, its executive director, put it recently: “Families who’ve been in their neighborhoods for generations are getting priced out. Vendors who work multiple jobs are sleeping in their cars. Kids have classroom friends disappear mid-semester because rent went up again.” She noted that immigrants and working-class households in particular are experiencing acute displacement pressure, which ultimately pushes some to become houseless—and now they find themselves in the crosshairs of the president’s July executive order.
That order proposes the vast expansion of a practice that has been around for a very long time. In recent years, in fact, in states across this country, there has been an uptick in involuntary commitment, a trade term for the forced institutionalization of people who are unwell—or, now, simply unhoused.
Evidence suggests that rounding up masses of unwell people and institutionalizing them will do anything but benefit public safety, while endangering the individuals who are locked up.
Elected officials of all political stripes, including the current president, have claimed that involuntary commitment is an evidence-based way to treat mental illnesses, including addiction. Research does show that, in certain cases, involuntary commitment can be beneficial. But in all too many cases, it’s both ineffective and inhumane. A recent report by the Federal Reserve Bank of New York found that the institutionalization of individuals who were involuntarily hospitalized in “judgment call cases”—meaning cases where one physician might recommend hospitalization, while another would not—nearly doubled the risk of death by suicide or overdose. It also nearly doubled the likelihood of that person later being charged with a violent crime, perhaps because such institutionalization disrupted employment, subjecting people to still more dire economic circumstances. (Again, don’t ask why the addiction, ask why the pain.) Even a recent essay in the New York Times advocating forced treatment conceded that it must be well funded and thoughtfully carried out—conditions that are virtually certain to be unmet in the current climate.
In other words, evidence suggests that rounding up masses of unwell people and institutionalizing them will do anything but benefit public safety, while endangering the individuals who are locked up. On-the-ground data also indicates that, even before US President Donald Trump focused on that tactic, such commitment was unequally applied, with Black and Hispanic people more likely than White people to be institutionalized against their will.
“We’re not operating with an optimal treatment system, mandatory or voluntary,” according to Regina LaBelle, director of the Center on Addiction Policy at Georgetown University and the former acting director of the White House Office of National Drug Control Policy. “We’re starting from a really bad system. And so pushing people into a really bad system will end really badly.”
In response to the president’s executive order, the American Bar Association published a statement saying that it raises grave constitutional and civil rights issues and “paves the way for arbitrary and prolonged detention.”
A response to the president’s executive order, published in the Psychiatric Times, a journal for psychiatry professionals, noted that it “invokes fear of people with psychiatric illnesses, talks of indiscriminate incarceration of people who have not committed a crime, as well as collection and sharing of sensitive health information with law enforcement, and yet proposes no actual solutions.”
Unfortunately, the president and his crew undoubtedly do regard the involuntary commitment of unhoused people as an “actual solution.” Indeed, many people who have homes or apartments feel unhappy at the sight of human beings living on the streets of their neighborhood and want something done about it. But the underlying problem isn’t that people live on the street or use substances in public in order to tolerate despair. As Helen Leung put it, “When someone loses their housing, it’s not because they need to be institutionalized—it’s because we’ve allowed housing to become a commodity instead of a human right.”
“What works best is making sure that we have affordable housing for people,” says LaBelle. New research out of Philadelphia, for instance, found that a program of cash assistance for housing costs more than halved the odds of participants becoming homeless.
But our prevailing housing system—in which the purpose is less to provide shelter than to generate profits for those who own real estate—has resulted in rents or costs that are beyond reach for increasing numbers of Americans. And as if such a state of affairs weren’t bad enough, President Trump now plans to make “alternative” investment assets, including real estate, available to anyone with a 401(k). If he succeeds in doing so, far more people will compete to own real estate for the purposes of turning a profit, which will undoubtedly raise real estate prices yet more, driving rents higher still.
Notably, his July 24 executive order provides law enforcement with the vague instruction to institutionalize people who “cannot care for themselves,” which could result in a kind of real estate roulette. In essence, those who lack the cash to pay for housing at market rates—no matter how high those rates rise—could be deemed unable to care for themselves, and therefore would become eligible to be rounded up and taken… where?
On one matter there is widespread agreement: There’s already a distinct shortage of mental health services, especially for those who can’t pay for them.
“Our current system does not provide for long-term institutionalization,” noted the Psychiatric Times in its response to the president’s executive order, which itself does nothing to expand the inpatient capacity of treatment facilities or increase funding for mental health services. The administration actually slashed funding for such programs this spring and has approved cuts to Medicaid, a program that currently funds 24% of all mental-health and substance-use care in the United States.
It’s easy to blame Trump, but far harder to engage in self-reflection: How have I participated in the dehumanization of unhoused people or those who use drugs?
So where will people be taken? Health and Human Services Secretary Robert F. Kennedy Jr. has proposed rural camps for addiction recovery, but that (controversial) policy would require substantial new funding, rather than cuts, to healthcare. The president and Congress do seem to have an appetite for increasing funding for military and enforcement programs. The hastily constructed immigration detention facility in Florida known as “Alligator Alcatraz” offers a nightmarish example of how this administration pursues the development of new carceral space.
Already, immigrants are being rounded up and institutionalized, a practice likely to be expanded to still more of our neighbors. While all of this may feel unprecedented, it’s all too precedented. This nation has a long history of institutionalizing people who have not committed a crime, including Indigenous people and those with mental health struggles. It’s easy to blame Trump for all that’s now happening, and he certainly bears enormous responsibility, but he’s not responsible for everything.
He is not, for example, responsible for the longstanding and pervasive stigma attached to people who are unhoused or mentally unwell or both, which has pushed all too many of us in the wealthiest nation on Earth to live in isolation and poverty and even to perish. It’s easy to blame Trump, but far harder to engage in self-reflection: How have I participated in the dehumanization of unhoused people or those who use drugs? Do I have the capacity to recognize the humanity in everyone without exception?
Perhaps it seems that acknowledging the humanity of those who have so long been dehumanized is far too little and too subtle to make a difference now. And it’s true that we need much more than that, including strong collective action to create housing that people can afford and that’s accessible to those who have experienced addiction and criminalization. But it’s also true that nonjudgmental support from peers makes a difference in the lives of those who are struggling, raising the odds that they may heal and go on to live fruitful and connected lives.
In the past half-year of Donald Trump’s second term as president, raids by masked US Immigration and Customs Enforcement (ICE) agents have become a fixture of American life. ICE now operates in the shadows—and that’s how stigma works, too. Stigma toward people who use drugs or who live without homes is a corrosive force that makes it acceptable to withhold compassion, care, and connection from certain of our neighbors. But unlike forces equipped with military-grade tactical gear, stigma can be overcome by any individual who chooses to witness and affirm the humanity of all our neighbors. And in our present American world, doing so is surely a revolutionary act.
My daughter exists because someone gave me a hotel room, a hospital bed, and a second chance. If EO 14321 had been in place, I would have been treated like a criminal, not a patient.
Last month, US President Donald Trump signed Executive Order 14321—“Ending Crime and Disorder on America’s Streets.” By criminalizing homelessness, addiction, and mental health crises, the order strips federal support from lifesaving public health solutions like Housing First and harm reduction—the very policies that saved my life and my daughter’s, and made my nearly three years of recovery possible.
I spent over a decade unhoused in San Francisco. I was already used to instability—much of my childhood was spent living in cars, motels, and campgrounds, until I landed in foster care. They kept placing me in institutions, each more restrictive than the last. I ran away often. The threat of forced placements where abuse was common taught me early to value my freedom. But freedom, without any foundation, can come at the cost of survival. I used substances to manage trauma I had no tools to process. It wasn’t glamorous. I did what I had to do to survive.
By age 29, I was pregnant and living in a makeshift shelter beside the freeway with my partner. A massive storm hit and everything we had was washed away. We were soaked, freezing, and standing in knee-deep water when the city’s Homeless Outreach Team arrived. No judgment. Just one question: “Are you safe where you are right now?” They got us into a hotel that night. That simple act saved my life—and gave me a chance.
With shelter, I was able to schedule a prenatal appointment. When I missed it due to withdrawal symptoms, a public health nurse came to me and helped get me into a hospital bed to safely taper off opioids. I spent the rest of my pregnancy hospitalized due to complications. My daughter was born prematurely and spent two months in the Neonatal Intensive Care Unit. It was a long road, but we made it. That wouldn’t have been possible under Trump’s executive order.
If Trump chooses cages, we can choose clinics. If he chooses punishment, we can choose prevention. If he chooses fear, we must choose humanity.
EO 14321 eliminates federal support for Housing First policies—programs that provide housing without requiring sobriety. It prioritizes forced institutionalization over voluntary care. It defunds services like naloxone distribution, clean syringes, and mobile health teams that meet people where they are. It punishes cities like San Francisco for offering compassionate, evidence-based care.
After giving birth, I entered treatment, using methadone to taper slowly. I’ve been sober nearly three years. That wouldn’t have happened if I’d been forced to quit cold turkey. The first time I was pregnant, I did exactly that—thinking it was best for the baby. I got violently ill and miscarried. I didn’t know opioid withdrawal could be fatal during pregnancy.
That’s why harm reduction matters. When you’ve used for years, quitting all at once can kill you. I needed time, support, and nonjudgmental care. If someone had tried to force me into abstinence, I would’ve run. The only reason I could stay was because I was met with dignity, not demands.
Harm reduction tools—like clean syringes and naloxone—kept me and my partner alive long enough to heal. Narcan brought us back more than once. These aren’t fringe ideas. They’re public health basics. Without them, I wouldn’t be a mother today.
My daughter is 2 now—chubby, curious, thriving. I still receive medication-assisted treatment, not because I’m still using, but because my tolerance was high after years on the street. My partner is now in the sheet metal union. We have housing. We have hope. But under EO 14321, the very services that helped build this life would have been gone. The care I needed would’ve been criminalized.
Trump’s order doesn’t just shift funding—it reshapes the system around coercion. It calls for expanded civil commitment laws that make forced treatment easier. But science and lived experience say the same thing: Coercion kills, voluntary care heals. I was institutionalized for nearly a year at 16—not because I was violent, but because I was suffering. It didn’t help. It hurt. It made me distrustful and traumatized. If you strip away someone’s autonomy, you strip away their will to recover.
This order tries to legislate suffering. It replaces housing and support with jail cells, locked wards, and abstinence-only programs that don’t work for most people. It replaces hope with fear. But addiction doesn’t respond to punishment. Recovery grows in trust, safety, and connection.
So what does compassion look like in practice? Start with Housing First—always. Fund syringe access and safe-use spaces. Offer medication-assisted treatment without strings attached. Train outreach workers in trauma-informed care. Build trust. Respect autonomy. Celebrate survival instead of punishing it.
San Francisco has already shown it’s possible. Our city is on track to become the first major US city with no new HIV infections—precisely because we invested in harm reduction and met people where they were, without shame. As the federal government rolls back those strategies, we face a choice. Do we follow them down a path of fear and criminalization, or do we lead with evidence, compassion, and courage?
My daughter exists because someone gave me a hotel room, a hospital bed, and a second chance. If EO 14321 had been in place, I would have been treated like a criminal, not a patient. I might not be here. She definitely wouldn’t be. Until a person dies, there is hope. That hope is sacred. It’s not flashy. It takes time. But it works. If Trump chooses cages, we can choose clinics. If he chooses punishment, we can choose prevention. If he chooses fear, we must choose humanity. Let’s not squander the hope we still have.
Trump's new executive order on homelessness is not a departure from policy failure. It is the logical continuation of a governance model that confuses erasure with resolution.
There are words that live quietly in the margins of law, waiting for the right conditions to become instruments of control. Vagrancy is one of them. It does not name a crime so much as a condition—a presence deemed out of place, a body detached from property, purpose, or permission. It has always been a word that grants the state an elastic mandate: to sweep, to detain, to erase.
Its history is older than this country. In 14th-century England, following the Black Death, the ruling class faced a labor shortage that briefly shifted the balance of power toward the working poor. Rather than negotiate, they legislated. A series of statutes criminalized idleness and movement, branding those who wandered without employer or land as enemies of order. The offense was not what they did—it was that they could not be accounted for. Vagrancy became a pretext for containment, a tool to bind the body to power, and a signal that survival outside sanctioned structures would not be tolerated.
The word arrived in the Americas with that logic intact and found new utility in a country built on hierarchy and extraction. Across centuries, it was used to arrest freed Black men for walking without proof of employment, to justify the confinement of Indigenous people who had refused removal, to expel Chinese workers labeled as moral contagions, to target queer youth and disabled residents whose lives defied social norms. It appeared on signs and statutes alike, a vague but potent summons of disorder, always defined from above. It did not require action. It required only that someone be seen.
Now, the word has returned—not as metaphor or memory, but as mandate. On July 24, 2025, President Trump signed an executive order titled “Ending Crime and Disorder on America's Streets”—a sweeping directive that promises to fight “vagrancy” and reframes homelessness, addiction, and mental illness not as public health crises or systemic failures, but as threats to civic peace.
The order offers no new housing, no expanded care infrastructure, no commitment to addressing the material conditions that produce displacement. Instead, it offers a rubric for removal. Under its provisions, federal grants from Housing and Urban Development, Health and Human Service, the Department of Justice, and the Department of Transportation will prioritize jurisdictions that criminalize public presence—cities that ban urban camping, prohibit loitering, penalize “urban squatting,” and track individuals deemed out of bounds. Programs that offer harm reduction, low-barrier shelters, or evidence-based treatment models face new restrictions or disqualification. Legal safeguards against involuntary psychiatric commitment are to be rolled back, consent decrees reversed, and behavioral nonconformity redefined as detainable.
Vagrancy persists because it works—not in reducing harm, but in reallocating blame. It shifts public anxiety about inequality, addiction, and disorder away from the systems that produce them and toward the individuals who cannot hide them.
This is not a departure from policy failure. It is the logical continuation of a governance model that confuses erasure with resolution. The language remains soft—beautification, humane treatment, restoration—but the infrastructure it supports is hard: surveillance in place of service, confinement in place of care, disappearance in place of dignity. It teaches agencies to measure success not by outcomes but by optics: How many tents are gone? How few bodies remain visible? How fully have we restored the image of control?
Vagrancy persists because it works—not in reducing harm, but in reallocating blame. It shifts public anxiety about inequality, addiction, and disorder away from the systems that produce them and toward the individuals who cannot hide them. It casts the existence of suffering as a provocation and conditions civic belonging on legibility, order, and stillness. In doing so, it grants governments a new kind of authority: the power not simply to punish what people do, but to penalize who they are when no performance is possible.
This order does not restore order. It reinstates a hierarchy of visibility. It tells those without shelter, treatment, or family that the problem is not what they lack—but that they can still be seen. And in doing so, it signals to the rest of us that our security lies in distance, that the absence of suffering from view is proof that it has been addressed. It invites the public to mistake silence for peace, stillness for stability, emptiness for care.
But the history of vagrancy tells a different story. It is a word that rises not in response to crisis, but in response to fear: the fear that the margins might speak, might move, might disrupt the fictions we tell about what this country is and who it serves. When the powerful feel that their order is slipping, they do not ask what has failed. They ask who can be removed.
If there is any hope in this moment, it lies in refusing the comfort of euphemism. This is not about restoration. It is about removal. Not about care, but control. Not about safety, but sightlines.
We do not have to accept the return of vagrancy into our political vocabulary. We can name it for what it is: a centuries-old code for managing the inconvenient poor, repackaged as policy. We can refuse to let language do the work of violence. And we can insist—still, again—that visibility is not disorder, and that survival, even unkempt, even unsanctioned, is not a threat to be eliminated.
It is a truth to be answered. With housing. With care. With courage. And with clarity
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."