This is great. Thanks for posting. Both studies described in this are among reams of research with to-date vastly untapped potential. We have to invest in better and more accessible treatment, but without upstream efforts we’ll never materially bend the curve. 1/4 of 18-25 y.o. with SUD is insane.

Paradise on Mt. Hood. I think out and back on the PCT from Timberline lodge is about 10 miles. Huckleberries, wildflowers, glacial runoff, meadows

👍. And education/supports for those w genetic risk.

I agree wholeheartedly that a singular supply focus won’t do it. However, the authors’ focus is on only trtmnt & hr to reduce demand while primary prevention is completely ignored. Believing that the number who enter harmful use in the 1st place is unchangeable or not worth changing is flawed.

For the fentanyl-focused crowd...

There are many reasonable arguments against the Law. Your fiction is not one of them. Class 2's are not being rescheduled to Class 1.
As in "shall nonetheless not be treated as a (frs) subject to this schedule if the substance.. is otherwise expressly listed in a schedule other than this schedule.”

You seem set in your beliefs. Good luck to you. Let me know when you talk to a doctor or any of every single hospital in the country that plans on changing their use of fentanyl because of this law. It doesn’t apply.

No, this law applies to “fentanyl related substances.” What is used in hospitals, etc is not affected. www.congress.gov/bill/119th-c...

Rx fentanyl is not affected.

Real sugar in coke is next most obvious move.

A giant

OR has been captured by the false myth that “treating harmful substance use & addiction as a health issue” only means bettering the justice system while settling for unmitigated substance use. We can & should aim to reduce youth initiation, w/o which we fail.
www.thelundreport.org/content/trio...

Need so much more data collected on fatal and non-fatal overdose to be able to isolate causes on the user side! Injury data collection just not designed to be diagnostic. Harder, but I’m sure more is possible.

The full piece from @brianmannadk.bsky.social on youth drug mortality; a fantastic & hopeful read. More research needed to isolate what works & support w policy.

Slowing initiation w evidence-based primary prvntn & awareness/ed could be most effective & efficient. (3/3) www.npr.org/2025/06/10/n...

This 4 min. audio @brianmannadk.bsky.social shares excellent insights on hopeful youth drug mortality trend. (2/3)
www.npr.org/2025/06/10/n...

Great job, great goal! That sounds hard.

It was indeed a remarkable year amidst a decades long tragedy, far from done.