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Yet again, the better we get at "harm reduction," the more people overdose and die
Four years ago, the Canadian province of British Columbia gave addicts legal access to fentanyl and other opioids, hoping to reduce hospitalizations and deaths. The results have been catastrophic.
February 13, 2025
By Nicholas Kristof
Opinion Columnist
I’ve been thinking a lot about how liberals like me ended up perceived as out-of-touch elitists by voters who then went to the polls and voted for Donald Trump. I don’t doubt my core convictions, but I think it is worth acknowledging that it is not possible to walk today through some of the bluest cities in America, like San Francisco or Portland, Ore., and think: This is a triumph of good governance.
I wrote recently about one area where I’ve been forced to adjust my thinking. Like many on the left, I was appalled by the 50-year war on drugs, which shattered families, destroyed lives, devastated Black communities — and was still accompanied by a surge in overdose deaths. I thought people with addictions needed health care, not handcuffs.
And then to my surprise and dismay, I found myself praying that my old pal Drew Goff would be arrested. Drew, 40, was homeless, on the run from the police, using fentanyl and also selling it. His wife, who was with him, was pregnant and had overdosed 27 times. It seemed only a matter of time before Drew killed himself or one of his customers.
In the end, Drew agreed. He hit a low and realized that prison and treatment was the best path to save his life. He turned himself in, and a judge obligingly sentenced him to 15 months in prison. “Thank you, your honor,” Drew replied.
I detail what came next in my column, but suffice to say it’s left me with a more nuanced view of how to handle addiction. Here’s Drew’s story and how it changed my thinking.
Prison is the secret to ending homelessness.
All guards who sneak drugs into prison must themselves immediately be tried and imprisoned themselves.