Ryan McNeil @RS_McNeil Twitter profile

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Ryan McNeil

@RS_McNeil

11 months

Find me on the other side.

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Ryan McNeil

@RS_McNeil

1 year

As true today as it was then.

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@BiggestttHater

1 year

what is y’all most liked tweet?

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Ryan McNeil

@RS_McNeil

3 years

Journalism schools need a mandatory course called "The police press release is not the article."

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Ryan McNeil

@RS_McNeil

11 months

@ABC7

Ryan McNeil

@RS_McNeil

3 years

Journalism schools need a mandatory course called "The police press release is not the article."

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Ryan McNeil

@RS_McNeil

2 years

If folks had been paying attention to what CDC guidance has done to, for example, chronic pain patients, they wouldn't be the least bit surprised by the casual eugenics now informing the response to COVID.

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Ryan McNeil

@RS_McNeil

1 year

That the DEA is actively hindering access to Adderall and driving people to meth is not getting nearly enough attention.

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Ryan McNeil

@RS_McNeil

2 years

I guess this needs to be said: Giving out crack pipes to people who use drugs is consistent with best practices in harm reduction and important in preventing disease transmission and injury. It's also a critical way to build relationships and facilitate access to other supports.

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Ryan McNeil

@RS_McNeil

2 years

I almost tweeted "Eventually someone is going to propose addressing homelessness through mindfulness interventions" only to open up Pubmed and realize it's a thing. This is what people are talking about when they say research is detached from the reality of structural inequality.

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Ryan McNeil

@RS_McNeil

2 years

It's okay to want your kid to not get a virus affecting multiple systems and whose long-term impacts we don't yet understand no matter how badly they want you to sacrifice them for the 'good of the economy'.

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Ryan McNeil

@RS_McNeil

2 years

Medical expertise ≠ public health expertise.

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Ryan McNeil

@RS_McNeil

1 year

Years ago, we published an article on what fentanyl overdoses look like in the 'real world' based on work at overdose prevention sites. I think of this whenever I see one of those outlandish videos of a cop 'overdosing' from fentanyl exposure. It's never what they look like.

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Ryan McNeil

@RS_McNeil

3 years

In the hundreds of hours I've spent at supervised consumption sites, I've *never* seen someone show up to inject for the first time ever. I think about this every time I see someone claim without evidence that these sites "encourage" drug use. They just make it safer.

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Ryan McNeil

@RS_McNeil

3 years

Every day, hundreds of people work in supervised consumption sites across Canada, where fentanyl is the primarily opioid that people are injecting. And yet, not once has someone overdosed because of 'occupational exposure' because it's not a thing. Not for cops, not for anyone.

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Ryan McNeil

@RS_McNeil

1 year

I fucking hate when quantitative folks review qualitative work and apply quantitative frames in ways that are, at best, irrelevant and, at worst, deeply problematic.

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Ryan McNeil

@RS_McNeil

3 years

Anyone else struggling to focus lately? I feel like I've hit an absolute wall at this point of the pandemic.

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Ryan McNeil

@RS_McNeil

2 years

Just got word that I've been promoted to Associate Professor! 🎉🎉🎉

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Ryan McNeil

@RS_McNeil

4 years

Let's be clear: Oregon's decision to decriminalize drugs is supported by research evidence and consistent with rights-based approaches to substance use. Anyone suggesting otherwise -- for laughs, no less - should not be taken seriously.

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Ryan McNeil

@RS_McNeil

2 years

Drinks on me to the first emergency room physician to publish a "incidental fentanyl exposure-induced panic attack among police officer" case study.

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Ryan McNeil

@RS_McNeil

3 years

Homelessness should not be viewed as a punishment for drug use. People who use drugs deserve to be housed. Everyone does.

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Ryan McNeil

@RS_McNeil

1 month

Your friendly reminder that those filming people experiencing homelessness without permission and for social media clout are absolute pieces of shit.

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Ryan McNeil

@RS_McNeil

3 years

Your friendly reminder: "Overdose crisis" or even "drug poisoning crisis", not "opioid crisis". This has long been driven by far more than opioids, and the focus on the latter leads to ineffective or harmful policy responses.

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Ryan McNeil

@RS_McNeil

11 months

@ABC7 This is embarrassing - this is absolutely not a thing and you need to stop with this kind of coverage.

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Ryan McNeil

@RS_McNeil

2 years

"But what message does handing out syringes and crack pipes give kids?" That we care about people who use drugs and want to keep them from experiencing preventable health problems.

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Ryan McNeil

@RS_McNeil

3 years

Solidarity with people who use drugs today, International Overdose Awareness Day ( #IOAD2021 ). Every overdose death is a political failure. We need safe supply now, more than ever.

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Ryan McNeil

@RS_McNeil

4 years

We can't stop police brutality without putting an end to the war on people who use drugs.

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Ryan McNeil

@RS_McNeil

1 year

Your friendly reminder that there has never been a lab-confirmed case of 'fentanyl-laced cannabis' no matter how many times police have claimed it. So, the more pertinent questions are: Why do police continue to make such unsupported claims? What is the purpose of these stories?

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Ryan McNeil

@RS_McNeil

2 years

I don't think most people really comprehend just how fucked the drug supply has become. It's a toxic mix of fentanyl of fluctuating potency, fentanyl analogs, and adulterants like xylazine & benzodiazepines. The need for safe supply has never been more urgent.

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Ryan McNeil

@RS_McNeil

5 years

Some news: I am starting a new faculty position in the Yale School of Medicine's Addiction Medicine Program ( @YaleADM ) next month. Excited to take the fight for harm reduction and social justice to the east coast.

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Ryan McNeil

@RS_McNeil

2 years

In my lifetime, I want to see opposition to harm reduction render politicians unelectable.

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Ryan McNeil

@RS_McNeil

3 years

"Drug-seeking" is a slur.

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Ryan McNeil

@RS_McNeil

1 year

So much of the debate around drug use boils down to this: There are those of us who think someone dying of a preventable overdose is the worst outcome while others seem to think that someone possibly using drugs is the worst thing that could ever happen.

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Ryan McNeil

@RS_McNeil

1 year

Street sweeps are just state violence directed at people experiencing homeless for the audacity of being visibly poor. They are intended to be traumatizing because that's precisely what those calling for sweeps want them to be.

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Ryan McNeil

@RS_McNeil

3 years

Anyone else finding virtual conference registration fees absurd given the shift in format?

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Ryan McNeil

@RS_McNeil

11 months

Instead of making a test strip for every new adulterant, we should probably just ensure access to a safer, regulated drug supply.

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Ryan McNeil

@RS_McNeil

2 years

Trying to score cheap political points at the expense of people who use drugs - and especially doing so by leaning into racist stereotypes used to prop up the War on Drugs - is callous amidst an ongoing overdose crisis that has cost the lives of hundreds of thousands of people.

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Ryan McNeil

@RS_McNeil

11 months

Your friendly reminder that only assholes go around filming people experiencing homelessness and acting like that's journalism.

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Ryan McNeil

@RS_McNeil

3 years

Too many people need to hear this, but not everyone wants substance use treatment. This is precisely why we need real safe supply.

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Ryan McNeil

@RS_McNeil

4 years

Drug sellers have been wrongly scapegoated during the overdose crisis. Our new article @ijdrugpolicy explores how drug sellers are engaging with drug-checking technologies and buyers to communicate risks and try to keep people alive.

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Ryan McNeil

@RS_McNeil

29 days

I often cannot help but wonder if anyone understands substance use as poorly as people who make policy and funding decisions relevant to substance use.

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Ryan McNeil

@RS_McNeil

3 years

I'm tired of people dying because they're made so very vulnerable by how we organize society. It's not just the overdose crisis - it's all of the ways people are made sick or harmed by the state, directly or through neglect. We have so much to do to fix things.

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Ryan McNeil

@RS_McNeil

3 years

Hi, I'm one of the most widely published experts on the fentanyl-driven overdose crisis, including the presentation of fentanyl overdoses. No one is overdosing from occupational exposure, including cops. Pretending that they are causes panics and ineffective responses.

Doc

@DocRobandino820

3 years

This is medically inaccurate and dangerous to disseminate. I'm flagging this for misinformation -Real Fentanyl is extremely potent (about 100x more than morphine) -It CAN be transmitted transdermally -I believe in supervised consumption -You dont need to trivialize fentanyl

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Ryan McNeil

@RS_McNeil

3 years

This is so completely and utterly absurd. But, "drugs" sure are one hell of a convenient scapegoat - always endowed with magical, if contradictory, powers by police - for poor planning and abysmal security.

Ryan Nobles

@ryanobles

3 years

Incredibly scary- Houston Police Chief Troy Finner confirms there were reports of individuals being "pricked" by something, One security officer was given Narcan and there was evidence he'd been given an injection in his neck. Finner described this as a "criminal investigation".

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Ryan McNeil

@RS_McNeil

4 years

I lost my best friend today. For nine years, Otis stood in for the child we weren't ready to have and then were afraid we couldn't. We have a baby on the way and I'm devastated that they won't meet, but forever thankful for what he taught me about patience and unconditional love.

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Ryan McNeil

@RS_McNeil

6 years

Dear @celliottability : I led a rapid evaluation of the implementation of overdose prevention sites in Vancouver. We are just getting the peer-reviewed papers out now, but I would be happy to summarize: They save lives and should be central to any overdose response. Thanks.

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Ryan McNeil

@RS_McNeil

3 years

I think I post a version of this every few months but it remains true: Any "expert" arguing that opioid prescribing is driving the overdose crisis rather than the toxic drug supply should not be listened to.

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Ryan McNeil

@RS_McNeil

3 years

Conversations about drug-checking need to better recognize that, for people living in poverty, knowing drugs contain potent fentanyl or adulterants doesn't mean they'll be tossed and replaced with something else. We need to *give* people actual alternatives - real safe supply.

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Ryan McNeil

@RS_McNeil

2 years

There are more than 19 million children under 5 and, therefore, not eligible to be vaccinated but you almost wouldn't realize that with the debate around children's COVID risk reduced almost entirely to whether or not schools should be in-person.

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Ryan McNeil

@RS_McNeil

8 months

I'm deeply disappointed by the radio silence from so many in academic public health and medicine - *especially* those who have built careers doing 'health equity' research - on the unfolding genocide in Gaza.

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Ryan McNeil

@RS_McNeil

2 years

Clinging to out-of-date narratives around prescription opioids - as if the overdose crisis is not now driven by a toxic supply - is academic, journalistic, and political malpractice and quite literally killing people.

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Ryan McNeil

@RS_McNeil

4 years

👏🏼Not👏🏼giving👏🏼people👏🏼on👏🏼methadone👏🏼carries👏🏼during👏🏼a👏🏼pandemic👏🏼is👏🏼medical👏🏼malpractice👏🏼

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Ryan McNeil

@RS_McNeil

2 years

We need to confront that so many people opposed to harm reduction feel that way because they don't think a life "on drugs" is worth living and, by extension, the lives of people who use drugs have no value. This is wrong and eugenicist, and we need to always make that clear.

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Ryan McNeil

@RS_McNeil

1 year

Our new study explores why so many people who use drugs who are evicted into homelessness stay that way. Amidst shortages of affordable housing, people are left precarious and navigate what few options exist while trying to survive. A thread...

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Ryan McNeil

@RS_McNeil

2 years

Roses are red Violets are blue Harm reduction Includes crack pipes too #HealthPolicyValentines

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Ryan McNeil

@RS_McNeil

1 year

You cannot police your way out of a housing crisis or an overdose crisis or anything, really. Anyone saying that you can is just trying to distract you from rising inequality and scapegoat people made vulnerable for their failures.

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Ryan McNeil

@RS_McNeil

2 years

In complete seriousness: Someone needs to start filing lawsuits against hospital systems for the maltreatment of people who use drugs.

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Ryan McNeil

@RS_McNeil

2 years

It me! I'm the @Yale researcher quoted on the toxic drug supply by @iamjohnoliver on @LastWeekTonight .

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Ryan McNeil

@RS_McNeil

3 years

Amazing to get the news that @crackdownpod scored two new grants that will fund us to produce some dope episodes in 2021.

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Ryan McNeil

@RS_McNeil

5 years

Why the fuck is the CBC even bothering to air Bernier's concession speech? If tonight has taught us anything, it's that we can stop platforming that racist piece of shit.

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Ryan McNeil

@RS_McNeil

1 year

Blaming harm reduction for the consequences of structural inequality and a housing affordability crisis is the most intellectually lazy/dishonest take.

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Ryan McNeil

@RS_McNeil

2 years

Your friendly reminder: Overdose crisis, drug poisoning crisis, drug toxicity crisis but not "opioid crisis"

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Ryan McNeil

@RS_McNeil

2 years

This is just drug war cosplay. Fentanyl exposure isn't a thing no matter how badly cops want to make it one.

Orange County Sheriff's Office

@OrangeCoSheriff

2 years

While searching a vehicle where suspected #fentanyl was found, 3 deputies became dizzy, deployed Narcan on themselves & were taken to the hospital. They are doing well. If you question the dangers of fentanyl, this is how deputies must suit up to handle it. Thanks, @OCFireRescue !

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Ryan McNeil

@RS_McNeil

3 years

It's fucking criminal that people are dying of overdoses while politicians, bureaucrats, and other decision-makers stall harm reduction, treatment scale-up, and safe supply. Every single one of them is complicit in this ongoing mass casualty event.

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Ryan McNeil

@RS_McNeil

3 years

It's exhausting doing qualitative research with clinicians who think so little of people who use drugs - characterizing them as 'unmotivated patients' when they're failed by addiction treatment systems.

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Ryan McNeil

@RS_McNeil

1 month

You know campus protests are safe because only then would cops be able find the courage to go into them.

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Ryan McNeil

@RS_McNeil

2 years

We need to get better at arguing for harm reduction because it's the moral - the just - thing to do instead of just pointing to the research evidence.

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Ryan McNeil

@RS_McNeil

3 years

Many people *do not* want substance use disorder treatment. Not everyone overdosing even meets the criteria for a substance use disorder. Yes, expanded access to treatment is important, but we don't meaningfully address this crisis without safe supply.

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Ryan McNeil

@RS_McNeil

3 years

I've spent hundreds of hours in these sites without incident, so have members of my research team. And so we need to ask: what are these stories trying to accomplish? They're propaganda in the war on drugs all too often uncritically picked up by media, as has happened here.

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Ryan McNeil

@RS_McNeil

1 year

The recovery industry could not stand up to a fraction of the scrutiny that safe supply is expected to.

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Ryan McNeil

@RS_McNeil

7 months

Lots of people rushing into health equity research now that it is becoming fashionable have no fundamental commitment to justice and that's a big reason why so many are silent right now.

Scientists Who Lift

@ScientistsLift

7 months

What unpopular academia opinion would get you in this situation?

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Ryan McNeil

@RS_McNeil

5 years

Why the fuck are Florida cops making ISIS videos?

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Ryan McNeil

@RS_McNeil

2 years

Too many leftists showing their whole ass by hating on people who use drugs and sex workers like the drug user and sex worker movements haven't been putting in the fucking work for decades. Liberation cannot exist without solidarity with people who use drugs and sex workers.

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Ryan McNeil

@RS_McNeil

2 years

Just your friendly 4/20 reminder that fentanyl-laced cannabis is not a thing no matter how hard cops try to make it one.

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Ryan McNeil

@RS_McNeil

9 months

Police are not a credible source of information about the overdose crisis, and especially forced treatment.

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Ryan McNeil

@RS_McNeil

1 year

People really overestimate how much influence research has on policy - especially drug policy.

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Ryan McNeil

@RS_McNeil

1 month

It's been said on here but bears repeating: The events of the past week make a lot more sense if you understand that the academic mission of Ivy League and Flagship universities has become secondary to their function as hedge funds and real estate corporations.

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Ryan McNeil

@RS_McNeil

2 years

If someone's "solution" to the overdose crisis is advocating for *more* drug enforcement, you probably shouldn't take them very seriously.

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Ryan McNeil

@RS_McNeil

3 years

For fucks sake, drugs aren't causing stampedes at concerts.

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Ryan McNeil

@RS_McNeil

3 years

I *love* how being a substance use researcher means having to listen to people who have no idea what the fuck they're talking about tell you that you're wrong. Especially when those people get to set the policy agenda.

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Ryan McNeil

@RS_McNeil

4 years

I'm designing a graduate-level course on harm reduction. What are your favourite readings and resources?

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Ryan McNeil

@RS_McNeil

4 years

There's a generation of substance use researchers I look forward to seeing retire so that they can no longer stall harm reduction research through their constant gatekeeping.

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Ryan McNeil

@RS_McNeil

2 years

Someone really has to tell the Democrats that caving to bad faith attacks from Republicans harms people *and* makes them look weak.

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Ryan McNeil

@RS_McNeil

3 years

Drug decriminalization would be an effective anti-stigma campaign, FYI.

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Ryan McNeil

@RS_McNeil

4 years

A public health emergency is terrifying when you're afraid you might be impacted. That's why so many politicians are panicking about coronavirus who couldn't care less about the overdose crisis. It's an empathy gap.

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Ryan McNeil

@RS_McNeil

6 months

Far too many people mistake their hatred of people experiencing homelessness as expertise about housing and drug policy.

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Ryan McNeil

@RS_McNeil

1 year

Far too many recovery grifters out here trying to turn a housing crisis and rising homelessness into an argument for forced "addiction treatment"

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Ryan McNeil

@RS_McNeil

3 years

It's wild that you can apparently become a whole ass professor focusing on substance use at a prestigious university and yet have no understanding how drug markets function outside of what you seemingly read in tabloid news or see on CBS cop dramas.

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Ryan McNeil

@RS_McNeil

3 years

Is this where you plug your podcast? We do @crackdownpod - reporting on the drug war from the trenches. In this episode, @garthmullins gives a master class on how to interview police:

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Ryan McNeil

@RS_McNeil

3 years

We should start preparing now for disruptions to Afghanistan's opium supply. If disruptions lead to the further proliferation of fentanyl, we're going to see the worst of the overdose crisis quickly spread to places thus far insulated from it. We need global safe supply.

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Ryan McNeil

@RS_McNeil

3 years

I legit wonder sometimes how many people still think we're in a "prescription opioid overdose epidemic" because they don't understand what illicitly manufactured fentanyl is. I swear this goes double for people in charge of public health decision-making.

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Ryan McNeil

@RS_McNeil

2 years

Let 2022 be the year we stop getting goaded into debates about harm reduction with people devaluing the lives of people who use drugs. They're not going to 'come around' so let's build something beautiful on our own, without them.

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Ryan McNeil

@RS_McNeil

1 year

Conservative attacks on safe supply aren't really about safe supply or the overdose crisis. It's about finding a group of people - in this case, people who use drugs - to blame for society's problems and justify their regressive policies.

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Ryan McNeil

@RS_McNeil

3 years

Harm reduction approaches to COVID not addressing the structural conditions rendering people vulnerable to the disease are doing it wrong. COVID harm reduction is guaranteed income, eviction and mortgage moratoriums, and more.

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Ryan McNeil

@RS_McNeil

1 year

Would people attend a conference workshop about writing qualitative papers for substance use journals? I review enough of them for journals - often with common shortcomings - that I feel there might be a need for some guidance for novice/intermediate researchers.

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Ryan McNeil

@RS_McNeil

2 years

There's a particularly ghoulish view too often expressed in discussions about harm reduction: that reviving someone who has overdosed is only delaying their inevitable death. We can't let those so eager to consign others to death steer the debate - here or elsewhere.

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Ryan McNeil

@RS_McNeil

3 years

Here's the thing about being in a medical school: you're expected to constantly write grants to 'build a research program and cover your salary.' You're basically an independent contractor nominally housed at a university. It's a weird set-up and one most people don't get.

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Ryan McNeil

@RS_McNeil

3 years

Untold millions have been spent researching alternatives and yet it remains: Heroin is probably the most effective treatment for heroin addiction.

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Ryan McNeil

@RS_McNeil

1 year

I never want to hear another fucking word about how we can't afford universal healthcare or to forgive student debt or end homelessness. It's all a political choice and, as ever, they're choosing the rich.

NBC News

@NBCNews

1 year

BREAKING: U.S. Treasury announces it will back Silicon Valley Bank deposits beyond the federally insured ceiling of $250,000.

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Ryan McNeil

@RS_McNeil

1 year

I can't believe this needs to be said but: Reducing or cutting off opioids for people who use drugs who are dying is fucking ghoulish.

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Ryan McNeil

@RS_McNeil

4 years

Welcome to the world, Cooper William. @lb_dilley and I love you completely.

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Ryan McNeil

@RS_McNeil

1 year

If you're a social worker casually throwing around the word "addict" and betraying a complete ignorance about drugs, you should probably have your license revoked.

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Ryan McNeil

@RS_McNeil

3 years

Supervised consumption sites are life-saving interventions that have been rigorously evaluated over the past two decades. They should be implemented across America - not as pilot projects but as essential services.

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