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Try thinking of the interaction between drug seeker and practitioner as type of negotiation where the  two parties have very different goals.

There are just too many different forms of manipulation for any of us to be uniformly good at identifying them on the fly.

One sign of vulnerability: the place tended to be too busy or too slow.

Having read the research, I’m confident it’s not just a matter of decision-making, or willpower, or even depression.

Money is a tool that allows some to delay the inevitable. They construct a protective bubble that minimizes the risk of getting caught and the other consequences that follow addiction.

Eventually it’s the business that adapts to a changed environment. But before they do, some will go to great lengths to prop up the revenue from their current opioid products.

Of course, we still lose several hundred thousand people annually. But that’s actually progress.

…we should be looking at modifying our historical approach to the addicted cannabis client, away from emphasis on legal consequences and mandated compliance, and towards a more patient-centered model.

The benefits of the program are framed mostly in terms of harm reduction– what doesn’t happen.

We were warned about such risks, but went ahead anyway.