Andrew Tatarsky and Maia Szalavitz: How 'Harm Reduction' Is Transforming Drug Policy
As the drug war retreats, individualist approaches to substance use and abuse will make us all better off.

With more states and localities legalizing what the government still calls "illicit" drugs, how should we rethink criminal penalties and treatment for people with substance abuse problems? What policy and cultural frameworks will allow all of us to make better use decisions, reduce harm to ourselves and others, and make sure people who need help can get it?
At the latest Reason Speakeasy—a monthly live event in New York City with outspoken defenders of free speech and heterodox thinking—Nick Gillespie talked with Andrew Tatarsky, the founder of the Center for Optimal Living and the author of Harm Reduction Psychotherapy: A New Treatment for Drug and Alcohol Problems, and Maia Szalavitz, the author of Undoing Drugs: How Harm Reduction Is Changing the Future of Drugs and Addiction [Right?] and Unbroken Brain: A Revolutionary New Way of Understanding Addiction.
Tatarsky is widely recognized as one of the trailblazing pioneers behind the "harm reduction" movement, which seeks to minimize negative consequences of drug use rather than eradicate it. Szalavitz's work (including her articles for Reason) has long explored the role of agency and compassion in understanding and treating addictive and self-destructive behavior, and she writes with the authority of a former heroin user.
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So are the druggies going to get their own flag, or are they going to have to settle for a stripe on the pride flag?
Do we have any months left to Celebrate Addiction, or are they going to have to share with the Indigenous Basket Weavers?
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There should be NO government "strategies" for drug abuse, drug addiction or drug use. Government policy should be neither "harm reduction" nor criminalization. Emergency responders, whether government or private, should treat medical emergencies as medical emergencies and law enforcement officers should have no role except scene security.
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The Overton Window is narrow here. They're constrained to picking one or the other, so it might as well be the less destructive.
Let's bring in Michael Shellenberger and get his take.
I still like the idea of harm reduction as a general principle. But not the way it's being taken now where it's crossed into outright enabling. My take on harm reduction would be to make the supply of drugs safer through legalization. Then hold people responsible for their actions and criminal behavior. What's going on now in SF and other places seems like the worst of both worlds. All of the harms of the drug war, plus failing to hold anyone responsible for their own actions.
Shellenberger has a totally reasonable take on this stuff, and he gets unfairly treated like a fascist by the harm reduction proponents. Nick really should have pushed back harder on how you practically address the massive homeless addict and mentally ill population in places like the Bay Area, because nothing they said sounded very compelling on that front.
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Let's all pile on the "[Right?]" slug that got left in. But now HyR bloggers have "editing error" as an excuse for their content. You know, like when the word "not" gets deleted.