Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

How stigma and online trolls stopped an intervention that could save lives

Bonzo Reddick, MD, MPH
Physician
April 5, 2022
Share
Tweet
Share

I came across an article a few weeks ago with the heading, “Biden administration denies funding handing out crack pipes to addicts to improve ‘racial equity.'” As similar articles came out across the United States and the United Kingdom, I was immediately bombarded with questions from friends and family members who were in disbelief that the government would do something as ludicrous as giving out crack pipes. Much to their surprise, I told them that it was actually a good idea, and I was wondering why the current administration decided not to do it.

The first thing I recognized from the articles was a disturbing lack of empathy that was worsened by the media saying things like, the president wants to “dole out crack pipes to drug addicts.” This is stigmatizing language and contributes to bias against — and a lack of compassion towards — people dealing with substance abuse. Unfortunately, the media (and social media) reaction caused the president to reverse course after initially committing to a major harm reduction initiative from the Department of Health & Human Services (DHHS).

Harm reduction is an approach to substance abuse that attempts to reduce the negative consequences of a behavior as opposed to trying to change or eliminate the behavior. In other words, if a patient is not interested in decreasing or stopping their drug use, a harm reduction approach attempts to decrease their risk of overdosing or contracting an incurable viral infection. One method of doing this is to develop harm reduction kits that contain antidotes for drug overdose and that also contain clean smoking and injection supplies that can decrease the risk of infection. The DHHS initially said that harm reduction kits could include pipes for smoking drugs like crack (crack-cocaine) and crystal meth (methamphetamine), but after the media and political backlash, they decided that kits would not include pipes. The administration put out a statement that said, “no federal funding will be used directly or through subsequent reimbursement of grantees to put pipes in safe smoking kits.”

Here are a few facts:

  • 75 percent of crack users shared pipes in one study.
  • Sharing pipes is an independent risk factor for acquiring HIV and HCV (hepatitis C virus) infection.
  • Providing clean glass pipes and rubber mouthpieces leads to less injection drug use, less HIV and HCV, and fewer health problems related to drug use.

Harm reduction does not encourage or accelerate the behavior that creates the health risks. I received a lot of arguments from people that HIV and HCV are not transmitted by saliva, but this does not reflect the mechanism of action whereby clean pipes decrease viral transmission. The point is that we know that harm reduction works, and none of the detractors that I have encountered have provided any evidence to the contrary. I think that it is a shame that the government allowed stigma and the loud noise of political opponents, online trolls, and misinformed individuals to stop an intervention that could save lives.

Bonzo Reddick is a family physician.

Image credit: Shutterstock.com

Prev

Physicians and the weight of expectations [PODCAST]

April 4, 2022 Kevin 0
…
Next

Palliative care: Most doctors do not know how to talk to their patients

April 5, 2022 Kevin 4
…

Tagged as: Public Health & Policy

Post navigation

< Previous Post
Physicians and the weight of expectations [PODCAST]
Next Post >
Palliative care: Most doctors do not know how to talk to their patients

ADVERTISEMENT

ADVERTISEMENT

ADVERTISEMENT

Related Posts

  • How to balance confidence and humility online

    Brian A. Primack, MD, PhD
  • 3 ways to advance the credibility of online health information

    Robert Pearl, MD
  • Medical students in solidarity: Black Lives Matter

    Anna Delamerced
  • 5 must-haves for great physician online profiles

    Brian R. Dooley
  • The fight to save Howard University College of Medicine

    Vicky Li and Naveen Balakrishnan
  • Why academic medicine needs to value physician contributions to online platforms

    Ariela L. Marshall, MD

More in Physician

  • How scales of justice saved a doctor-patient relationship

    Neil Baum, MD
  • Rediscovering the soul of medicine in the quiet of a Sunday morning

    Syed Ahmad Moosa, MD
  • The broken health care system doesn’t have to break you

    Jessie Mahoney, MD
  • How a $75 million jet brought down America’s boldest doctor

    Arthur Lazarus, MD, MBA
  • The dreaded question: Do you have boys or girls?

    Pamela Adelstein, MD
  • When rock bottom is a turning point: Why the turmoil at HHS may be a blessing in disguise

    Muhamad Aly Rifai, MD
  • Most Popular

  • Past Week

    • What’s driving medical students away from primary care?

      ​​Vineeth Amba, MPH, Archita Goyal, and Wayne Altman, MD | Education
    • Make cognitive testing as routine as a blood pressure check

      Joshua Baker and James Jackson, PsyD | Conditions
    • The hidden cost of delaying back surgery

      Gbolahan Okubadejo, MD | Conditions
    • The dreaded question: Do you have boys or girls?

      Pamela Adelstein, MD | Physician
    • Rethinking patient payments: Why billing is the new frontline of patient care [PODCAST]

      The Podcast by KevinMD | Podcast
    • The broken health care system doesn’t have to break you

      Jessie Mahoney, MD | Physician
  • Past 6 Months

    • What’s driving medical students away from primary care?

      ​​Vineeth Amba, MPH, Archita Goyal, and Wayne Altman, MD | Education
    • What happened to real care in health care?

      Christopher H. Foster, PhD, MPA | Policy
    • Internal Medicine 2025: inspiration at the annual meeting

      American College of Physicians | Physician
    • The hidden bias in how we treat chronic pain

      Richard A. Lawhern, PhD | Meds
    • A faster path to becoming a doctor is possible—here’s how

      Ankit Jain | Education
    • Residency as rehearsal: the new pediatric hospitalist fellowship requirement scam

      Anonymous | Physician
  • Recent Posts

    • How scales of justice saved a doctor-patient relationship

      Neil Baum, MD | Physician
    • Rediscovering the soul of medicine in the quiet of a Sunday morning

      Syed Ahmad Moosa, MD | Physician
    • An introduction to occupational and environmental medicine [PODCAST]

      The Podcast by KevinMD | Podcast
    • Does silence as a faculty retention strategy in academic medicine and health sciences work?

      Sylk Sotto, EdD, MPS, MBA | Conditions
    • Why personal responsibility is not enough in the fight against nicotine addiction

      Travis Douglass, MD | Conditions
    • How dismantling DEI endangers the future of medical care

      Shashank Madhu and Christian Tallo | Education

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 7 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • What’s driving medical students away from primary care?

      ​​Vineeth Amba, MPH, Archita Goyal, and Wayne Altman, MD | Education
    • Make cognitive testing as routine as a blood pressure check

      Joshua Baker and James Jackson, PsyD | Conditions
    • The hidden cost of delaying back surgery

      Gbolahan Okubadejo, MD | Conditions
    • The dreaded question: Do you have boys or girls?

      Pamela Adelstein, MD | Physician
    • Rethinking patient payments: Why billing is the new frontline of patient care [PODCAST]

      The Podcast by KevinMD | Podcast
    • The broken health care system doesn’t have to break you

      Jessie Mahoney, MD | Physician
  • Past 6 Months

    • What’s driving medical students away from primary care?

      ​​Vineeth Amba, MPH, Archita Goyal, and Wayne Altman, MD | Education
    • What happened to real care in health care?

      Christopher H. Foster, PhD, MPA | Policy
    • Internal Medicine 2025: inspiration at the annual meeting

      American College of Physicians | Physician
    • The hidden bias in how we treat chronic pain

      Richard A. Lawhern, PhD | Meds
    • A faster path to becoming a doctor is possible—here’s how

      Ankit Jain | Education
    • Residency as rehearsal: the new pediatric hospitalist fellowship requirement scam

      Anonymous | Physician
  • Recent Posts

    • How scales of justice saved a doctor-patient relationship

      Neil Baum, MD | Physician
    • Rediscovering the soul of medicine in the quiet of a Sunday morning

      Syed Ahmad Moosa, MD | Physician
    • An introduction to occupational and environmental medicine [PODCAST]

      The Podcast by KevinMD | Podcast
    • Does silence as a faculty retention strategy in academic medicine and health sciences work?

      Sylk Sotto, EdD, MPS, MBA | Conditions
    • Why personal responsibility is not enough in the fight against nicotine addiction

      Travis Douglass, MD | Conditions
    • How dismantling DEI endangers the future of medical care

      Shashank Madhu and Christian Tallo | Education

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

How stigma and online trolls stopped an intervention that could save lives
7 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...