The drug crisis in the United States did not start with fentanyl. Its roots lie in a chain of decisions once seen as compassionate. These decisions included prescribing opioids for pain management, reducing punitive measures, and attempting to make drug use safer.
Over time, addiction spread. The introduction of fentanyl changed the dynamics, rendering existing solutions less effective as crises emerged in various communities.
Host Megan McArdle discusses this complex issue with Keith Humphreys, a Stanford professor and psychologist. They explore what America misunderstood about drug addiction.
They analyze the decline in overdose deaths, examining why harm reduction strategies faltered. Their conversation sheds light on how a revised approach might offer a more effective solution.
This discussion helps explain the current state of America’s drug addiction challenges and potential paths forward.

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