Proposition 36, a state ballot measure, enacted harsher penalties for minor theft and drug offenses, with proponents pledging the crackdown would lead to mass treatment to keep people alive, out of jail, and off our streets. Case records, however, suggest the state is largely failing to meet the central goal of getting people help and instead conducting mass arrests and incarcerating more people with addiction.
There is a unique kind of pain in losing your mind, not just once, but over and over. Losing your perception of reality, of your emotions, of your closest relationships-both across months and multiple times a day. Knowing deep down that something is wrong but being unable to stop it.
Some experts have mischaracterized smoking fentanyl as "safer" than injecting, seeking to reduce risks among users. Narrowly considered, the statement is accurate, as inhalation avoids needle-sharing, reducing risks for HIV, hepatitis C, bacteremia, abscess formation, and infective endocarditis among users. However, there's no clinical-trial-level evidence (randomized trials with real patients) showing smoking illicit fentanyl is safer than injecting it. It isn't, and that conclusion is unsupported by toxicology, environmental exposure science, or emerging data.
The Alaska Department of Corrections does not provide comprehensive access to this life saving medication. "I'm gonna give you a little pinch," Spencer said, sliding the needle into a fold of skin on the patient's belly for the subcutaneous injection. Alaska's not an outlier. Despite the fact that those recently released from incarceration are some of the most vulnerable to dying from drug overdose, addiction experts say that many jails and prisons around the country don't provide medication treatment.
Dr. Elyse Stevens had a reputation for taking on complex medical cases, including people who'd been battling addiction for decades. Some were chronic-pain patients on high doses of opioids; others were sex workers and people living on the street. "Many of my patients are messy, the ones that don't know if they want to stop using drugs or not," said Stevens, a primary care and addiction medicine doctor.
