The debate over San Francisco's drug policy has intensified as Sup. Matt Dorsey promotes legislation emphasizing cessation of drug use over harm reduction strategies. Prominent UCSF doctors warn the abstinence-only approach could endanger lives, potentially denying individuals critical medications that prevent overdoses. They argue that harm reduction is a fundamental aspect of addiction treatment, with evidence showing it helps patients engage in recovery. Dorsey counters that enforced treatment can work, yet concerns persist regarding the efficacy and humanity of an abstinence-first policy, reflecting a broader conflict in public health perspectives on how best to address substance use disorders.
Dorsey’s legislation shifts focus to cessation of drug use, raising concerns about abandoning harm reduction methods which many experts believe are essential.
Dr. Steiger highlights that a strict abstinence-only approach can prevent access to life-saving medications, resulting in more overdose deaths.
Dr. Appa emphasizes that harm reduction approaches are vital, stating they are part and parcel of treatment and recovery, not merely alternatives.
While Dorsey supports forced treatment as sometimes effective, many health experts advocate for harm reduction strategies as essential components of drug policy.
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