John Makohen combines lived experience and counseling expertise to argue that harm reduction is survival, not surrender. Naloxone, fentanyl test strips, medications, and overdose prevention centers keep people alive, reduce harm, and connect them with care.

Part II of Lisa’s family story... a clear, compassionate explanation of why addiction is a chronic medical illness, not a moral failing.

Critics continue to question substance use harm reduction. Advocates persist in fighting for it. But the data is precise: harm reduction saves lives. As patterns of drug use shift and risks increase, strategies such as overdose prevention centers, fentanyl test strips, and naloxone access offer a proven path forward. This isn't theory; it's survival.