This is a popular narrative: the overdose crisis took a humanistic, "public health" approach

This narrative is almost completely false, if you define "public health" as being driven by evidence, compassion and focus on prevention

What actually took place looks very different 🧵 https://twitter.com/ASlavitt/status/1253526326788730881
"We can't arrest our way out of this problem" became a mantra of overdose crisis response. Leaders from all sectors, incl CJ, readily served it up, highlighting contrast with hyper-punitive and racist drug crises of the past (e.g. crack)

Theory vs reality https://twitter.com/TheCrimeReport/status/722451379793616897?s=20
Harsh penalties were core policy response to overdose, inc "drug-induced homicide" laws, whereby accidental drug ODs refashioned into murder

These laws surged quickly across the US, negating the "we can't arrest our way out" rhetoric https://twitter.com/LeoBeletsky/status/1189597109399379968?s=20
While public was hearing "we can't arrest our way out of this crisis," we were doing exactly that

Prosecutions surged. Most ppl charged were friends, family like @MorganGodvin

Ppl of color disproportionately affected

In other words, rhetoric ≠ reality

https://twitter.com/LeoBeletsky/status/1196923312812675072?s=20
It wasn't just drug-induced homicide. Criminal legal system didn't skip a beat criminalizing substance use. Drug arrests over the course of OD crisis did not see a decline, even as more states legalized cannabis

Of course, arrest, incarceration drive ODs https://twitter.com/LeoBeletsky/status/1114347812592865282?s=20
Public health surveillance is crucial to addressing public health challenges, but surveillance that evolved in response to the overdose crisis took a distinctly punitive turn in the form of prescription drug monitoring programs

https://papers.ssrn.com/sol3/papers.cfm?abstract_id=3175299 https://twitter.com/LeoBeletsky/status/915342868939554816?s=20
Would be unfair to single out criminal legal system, when public health/health care doubled down on punitive, disciplinarian measures in addressing ODs instead of proven treatment and harm reduction

Eg: took till 2016-17 to see major scale-up in naloxone https://twitter.com/LeoBeletsky/status/973077646530764802?s=20
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