fentanyl

Episode 67: Methadone in the Time of Covid with Danielle Russell

February 8, 2022 Narcotica Episodes, Opioids, Overdose Crisis 00:58:10 0 Comments

Harm reduction programs like syringe access, supervised consumption or even just handing out condoms on the street, can be some of the only access to healthcare some people encounter. Definitely not all, but some people who use drugs routinely shun going to the doctor—not because they don’t care about their health, but because our for-profit healthcare system treats almost everyone who uses an illicit substance like complete shit. And people who use drugs have been treated like pariahs long before the covid pandemic, but things got way worse once the virus came to town.

Previously on Narcotica, co-host Chris Moraff did an episode all about how doctors need to work harder to rebuild the patient-trust relationship. And many medical professionals are doing that work, which makes such a huge difference. It’s hard to understate how valuable it can be to receive nonjudgmental medical care that doesn’t hinge on absolute abstinence.

That episode, number 65, which we encourage you to listen to after this one, came from the perspective of two amazing doctors, Ashish Thakrar and Ben Cocchiario. However, on this episode, we want to talk to someone from the other side of the aisle to get a different viewpoint from someone with lived experience in this area.

Why would you go to a healthcare provider for an infection or injury if you’re going to be lectured about your drug use, even if it has nothing to do with why you’re there? Or you might be forced to hand over your urine or have your possessions rifled through by a nurse. Even for people that don’t use illegal substances, our healthcare system is a nightmare to try and navigate. It only gets worse if you happen to self-medicate or enjoy chemicals that aren’t sanctioned by the FDA.

Narcotica co-host Troy Farah speaks with Danielle Russell of Phoenix, Arizona, who is currently a justice and social inquiry PhD student at Arizona State University. She studies how the criminalization of substances used for personal pleasure has become a key issue and tool for social control, contributing to the ongoing legacy of racialized criminalization and mass incarceration in the U.S. Having personally experienced many of the harms that impact people who use illicit drugs, she is passionate about mutual aid and working to change the structures that impose harms on the bodies of drug users. Her research interests are oriented towards community-based participatory research.

Follow Danielle on Twitter @DopefiendPhD and you can read the study she co-authored here:
https://pubmed.ncbi.nlm.nih.gov/33461838/

If you liked this episode, here are others you might enjoy:
Episode 65: Restoring Trust in Doctors Amidst The Overdose Crisis with Dr. Ben Cocchiaro and Dr. Ashish Thakrar
Episode 48: Moms And Methadone with Elizabeth Brico
Episode 56: Drug Use During Disaster with Aaron Ferguson

Follow Narcotica on Instagram, Facebook, Twitter, YouTube and support us on Patreon. Help keep this podcast ad-free! Your support is appreciated! We’re on Spotify, iTunes, Stitcher and more. Tell your friends about us! Rate us! And thanks for your support!

Producers: Christopher Moraff, Troy Farah, Zachary Siegel
Co-producer: Garrett Farah / Troy Farah
Music: Glass Boy / Holly Mangler
Intro voice: Jenny Schaye
Image: Noun Project // edit: Troy Farah

Episode 65: Restoring Trust in Doctors Amidst The Overdose Crisis with Dr. Ben Cocchiaro and Dr. Ashish Thakrar

November 19, 2021 Narcotica Episodes, Overdose Crisis 01:05:20 0 Comments

Over the past two decades, as fatal drug overdoses have risen precipitously, few professions have been hit harder by the crisis than the medical community. Physicians in particular have found themselves in the no-win position of being both blamed for the overdose crisis, which claimed more than 100,000 American lives in the past 12 months, while being tasked with containing it.

According to one dominant narrative, it was cavalier doctors who sparked the crisis in the first place, by overprescribing habit forming narcotic painkillers to millions of Americans after being softened up at lavish dinners and then duped by nefarious pharmaceutical reps using fudged data.

But that’s overly simplistic. For starters, it ignores the fact that the greatest spike in drug deaths came when doctors reigned in opioid prescribing after authorities started targeting so-called pill mills. This left tens of thousands of pain patients stranded and paved the way for the introduction of illicitly made fentanyl into the U.S. to fill unmet demands.

Narcotica co-host Christopher Moraff delves into this topic, asking how the medical community can work to restore trust from their patients who are justifiably suspicious of the U.S. healthcare system, speaking with doctors Ashish Thakrar and Ben Cocchiario, who both work for the University of Pennsylvania medical system in Philadelphia, a focal point of the overdose crisis. They cover everything from methadone prescribing to overfunding the DEA, all of it underlining the importance of patient autonomy.

Follow Ben Cocchiaro at UPenn
Follow Ashish Thakrar on Twitter @especially_APT

If you liked this episode, here are others you might enjoy:
Episode 46: Behind The Pharmacists’ Counter with Jessica Moreno
Episode 36: Moral Hazards and Naloxone, A Toxicologist’s Perspective
Episode 30: Getting Wrecked with Dr. Kim Sue

Follow Narcotica on Instagram, Facebook, Twitter, YouTube and support us on Patreon. Help keep this podcast ad-free! Your support is appreciated! We’re on Spotify, iTunes, Stitcher and more. Tell your friends about us! Rate us! And thanks for your support!

Producers: Christopher Moraff, Troy Farah, Zachary Siegel
Co-producer: Aaron Ferguson
Music: Glass Boy / Nomad1
Intro voice: Jenny Schaye
Image: Stockvault // edit: Troy Farah

Episode 58: How Racism Fuels The Drug War with Kassandra Frederique

June 12, 2021 Narcotica Episodes 00:55:46 0 Comments

Few social justice groups have put in as much work to end the war on (people who use) drugs like the Drug Policy Alliance. Since 2000, DPA has been behind some landmark drug reforms, such as leading a campaign to enact major reforms of New York’s notorious Rockefeller drug laws, assisting in a public education campaign that saw Uruguay legalize cannabis in 2013, not to mention funding and drafting the Oregon drug decriminalization measure that passed last year. According to the organization, DPA has played a pivotal role in roughly half of the campaigns that have legalized medical marijuana in the U.S.

Narcotica co-hosts Zachary Siegel, Chris Moraff and Troy Farah speak with Kassandra Frederique, the executive director of DPA, who has been with the organization since 2009 as an intern. We discuss everything from racist policing, cannabis reform laws, and the future of drug policy reform.

This interview was recorded around the time of the Derek Chauvin trial, so some states, like New Mexico, had not yet legalized adult-use cannabis.

You can follow Kassandra Frederique on Twitter: @Kassandra_Fred and learn more about Drug Policy Alliance’s work at drugpolicy.org

Follow Narcotica on Facebook, Twitter and support us on Patreon. Your support is appreciated! We’re on Spotify, iTunes, YouTube, Stitcher and more. Tell your friends about us!

If you liked this episode, here are others you might enjoy:
Episode 44: Reimagining Public Health and Racial Justice with Dr. Ricky Bluthenthal
Episode 30: Getting Wrecked with Dr. Kim Sue
Episode 11: Beyond Borders — How the U.S. Exports Dangerous Drug Policy with Sanho Tree

Producers: Christopher Moraff, Troy Farah, Zachary Siegel
Co-producer: Aaron Ferguson / Troy Farah
Music: Glass Boy / Aaron Ferguson / Nomad1
Intro voice: Jenny Schaye
Image: Pixabay edit: Troy Farah

Episode 50: Sicarios and Supply Side Economics with Stewart Scott

January 25, 2021 Narcotica Episodes 01:01:36 0 Comments

On this episode, we discuss how Mexico became a flashpoint of the war on drugs, broader trends in American foreign policy and drug policy, as well as the evolution of synthetic drugs as the main category of illicit narcotics. Our guest is Stewart Scott, a security analyst who for years penned one of the best annual assessments of Mexico’s evolving cartels for Stratfor and has since transitioned to Torchstone Global, a private security consulting firm. 

Scott has worked in the trenches of intelligence and security for 35 years and began his career in army reserve and National Guard intelligence before spending 10 years as a special agent with the U.S. Department of State’s Diplomatic Security Service. 

During the height of the drug war’s surge under Ronald Reagan and George H.W. Bush, Scott was assigned to protect a Colombian judge who had signed an arrest warrant for Pablo Escobar. In 1993 he traveled to Bogota to help the Colombian government investigate a car bombing at a school supply market.

You can follow Scott on Twitter @stick631 and learn more at torchstoneglobal.com

If you liked this episode, here are others you might enjoy:
Episode 11: Beyond Borders — How the U.S. Exports Dangerous Drug Policy
Episode 31: Supervised Consumption: Narcotica Breaks Down Safehouse Ruling with Av Gutman
Episode 34: “Inside the Bloody War on Drugs”

Follow Narcotica on Facebook, Twitter and support us on Patreon. Your support is appreciated! We’re on Spotify, iTunes, YouTube, Stitcher and more. Tell your friends about us!

Producers: Christopher Moraff, Troy Farah, Zachary Siegel
Co-producer: Garrett Farah
Music: Glass Boy / Chandiliers
Intro voice: Jenny Schaye
Image: Pixabay // edit: Troy Farah

Episode 32: How Synthetic Drugs Conquered the Globe with Ben Westoff

October 31, 2019 Narcotica Episodes 00:53:05 0 Comments

On today’s show, co-host Zachary Siegel interviews Ben Westhoff about how he gained access to a clandestine lab in China, the prominent role that America’s War on Drugs has played in producing deadlier, more potent drugs that no user actually really wants, and finally, that in order to save the lives of people using drugs, the US must adopt innovative harm reduction strategies that have been tested around the world, like supervised injection sites and drug checking.

Episode 27: What’s the Most Dangerous Drug?

September 6, 2019 Narcotica Episodes 01:31:32 0 Comments

Narcotica co-host Zachary Siegel was in Los Angeles for a conference on depicting drug use in Hollywood films and TV shows, so co-host Troy Farah trudged down from the High Desert and they recorded an episode in a hotel room. Despite doing Narcotica for well over a year, the pair hadn’t met in person before. (Chris Moraff couldn’t make this episode.) Picking an impromptu topic, they decided to riff on a recent USA Today article titled “The 25 most dangerous drugs.”

So… what is the most dangerous drug? Alcohol? Carfentanil? Acetaminophen? And what is with the obsession with ranking these things? Lots of riffing and banter in this episode, so take some of this info with a grain of salt (it’s not medical advice) and we’ll be back to interviewing policy experts and drug nerds next week.

Plus, we hope to get together in person with Chris in St. Louis this November 6th to 9th, for the Drug Policy Reform conference. More details here: http://www.reformconference.org/

Read the USA Today article here:
https://www.usatoday.com/story/news/health/2019/07/31/opioid-epidemic-25-most-dangerous-drugs-side-effects-death-rates/39807161/

Follow Narcotica on Facebook, Twitter and support us on Patreon. Your support is appreciated! We’re on Spotify, iTunes, YouTube, Sticher and more. Tell your friends about us!
Producers: Christopher Moraff, Troy Farah, Zachary Siegel
Co-Producer: Aaron Ferguson
Music: Glass Boy, Aaron Ferguson
Image: Pixabay, edit by Troy Farah

Episode 26: Housing As Harm Reduction

August 12, 2019 Narcotica Episodes 00:49:08 0 Comments
Sarn is a Pathway to Housing participant in Philadelphia via Chris Moraff

The Kensington neighborhood in Philadelphia is often described as “ground zero” in the overdose crisis. The New York Times Magazine gave Kensington’s open air drug market the dubious title, “The Walmart of Heroin.” Of course, if you take a tour of Kensington without a DEA agent nearby, you might meet someone like Sarn, who after years of unstable housing and chaotic drug use, now has his own place to live. Operating from a Housing First model, organizations like Pathways to Housing are fighting the tides of endemic poverty, homelessness, and addiction. On today’s show, the crew interviews Sarn and Matt Tice, of Pathways to Housing, about how “Housing First” is a critical response to Philly’s overdose crisis.

Follow Matt Tice on Twitter and learn more about Pathways on their website.

Follow Narcotica on Facebook, Twitter and support us on Patreon. Your support is appreciated! We’re on Spotify, iTunes, YouTube, Sticher and more. Tell your friends about us!

Producers: Christopher Moraff, Troy Farah, Zachary Siegel
Co-Producer: Aaron Ferguson 
Music: Glass Boy, Aaron Ferguson
Image: Christopher Moraff, Troy Farah

Episode 23: Bring Back Prescription Heroin! with Travis Lupick

July 3, 2019 Narcotica Episodes 00:42:04 0 Comments

With perhaps the exception of fentanyl, no drug is seen as more dangerous or controversial than heroin. But when you look at decades of medical literature, it’s clear that heroin, also known as diacetylmorphine, is just another opioid, and it has a place in medicine. On this episode, Troy Farah and Zachary Siegel discuss the controversial idea of prescription heroin with Canadian journalist Travis Lupick, author of Fighting for Space.

You can follow Travis Lupick @tlupick Twitter here.

Follow Narcotica on Facebook, Twitter and support us on Patreon. Your support is appreciated! We’re on Spotify, iTunes, YouTube, Sticher and more. Tell your friends about us!

Producers: Christopher Moraff, Troy Farah, Zachary Siegel
Co-Producer: Aaron Ferguson
Music: Glass Boy and Aaron Ferguson
Image Credit: Wikipedia / Edit by Troy Farah

Episode 18: Drug User Unions – The Rebirth of Harm Reduction with Jess Tilley and Albie Park

May 7, 2019 Narcotica Episodes 01:03:30 0 Comments

In this episode, Zach and Troy interview two veteran harm reduction activists: Jess Tilley and Albie Park. Jess and Albie have organized on behalf of drug users for decades, building community to ensure that no one has to die a preventable overdose death. You’ll learn about how they met, how they work, and what policies and ideas they are currently prioritizing. You’ll also hear about what they envision for the future of harm reduction in the midst of, in Jess’s words, an “overdose apocalypse.” Zach and Troy mostly let them do the talking. Enjoy.

Harm Reduction Hedgehogs /@HRH413/Media Toolkit

Follow Narcotica on Facebook, Twitter and support us on Patreon. Your support is appreciated! We’re on Spotify, iTunes, YouTube, Stitcher and more. Tell your friends about us!

Producers: Christopher Moraff, Troy Farah, Zachary Siegel
Co-producer: Aaron Ferguson
Music: Glass Boy
Image: edit: Troy Farah

Episode 12: Beyond Borders — “El Chapo” and the Mexican Fentanyl Pipeline with Keegan Hamilton

February 13, 2019 Narcotica Episodes 00:33:42 0 Comments
This week Joaquín ‘El Chapo’ Guzmán was convicted by the U.S. government. Guzman rose to prominence in the Sinaloa Federation drug trafficking organization, where he allegedly became the most prolific and successful drug profiteer in history.


From 2008 until his second capture in 2014, Guzman’s pharmaceutical manufacturing giant, if you will, was the primary supplier of illicit marijuana, heroin, cocaine and methamphetamine to the United States.

During Guzman’s rein, Mexico’s drug trafficking gangs experienced a tenuous but measurable peace, known among academics as Pax Sinaloa. But now that a head of the hydra has been severed, who knows what will emerge. On this episode, Narcotica’s Christopher Moraff spoke with VICE News editor Keegan Hamilton, who has been closely tracking this trial since it began.

Follow Keegan Hamilton on Twitter.

Follow Narcotica on Facebook, Twitter and support us on Patreon. Your support is appreciated!

Producer: Christopher Moraff / Troy Farah
Image credit: Eduardo Verdugo
Music: Scanglobe, Glass Boy, and Fourmi
Thanks to the VICE offices for letting us record in their studio.

Episode 9: Speed Up, Slow Down Pt. 3 — The Cocaine Fentanyl Blues

November 19, 2018 Narcotica Episodes 00:29:56 0 Comments

For more than a century, Americans have had a love-hate relationship with cocaine. Once viewed as a cure-all tonic for everything from hemorrhoids to morphine addiction, the drug has inspired infamous rock songs and brought people to their knees.

In the third and final segment of Narcotica’s ‘Speed Up, Slow Down’ series on stimulants, reporter Christopher Moraff examines the strange and perplexing history of cocaine and it’s latest demonization—fentanyl adulteration. He speaks with toxicologist Kevin Shanks, Dennis Cauchon of Harm Reduction Ohio and fentanyl test strip guru Tino Fuentes.

Follow Narcotica on Facebook, Twitter and support us on Patreon. Your support is appreciated!

Photo credit: Christopher Moraff, edit by Troy Farah.

Episode 8: Collateral Damage—Patients Fight Back

November 2, 2018 Narcotica Episodes, News 00:41:00 0 Comments

With the midterms just days away, Zach, Chris and Troy explore America’s newest marginalized political constituency—millions of people with chronic pain or illness that have been ground under the wheel of American opioid policy. We speak with Lauren DeLuca, President of Chronic Illness Advocacy & Awareness Group about how we got here and how the sickest Americans can we come one of the strongest political forces in coming years.

Listen HERE

Follow Narcotica on Facebook, Twitter and support us on Patreon. Your support is appreciated!

Photo credit: K-State Research and Extension, edit by Troy Farah.

Episode 7: Drug War Déjà Vu

October 24, 2018 Narcotica Episodes 01:30:08 0 Comments

Narcotica co-host Zachary Siegel moderated a panel at the 12th National Harm Reduction Conference in New Orleans. The panel was the brainchild of the Drug Policy Alliance’s Michael Collins, titled: Drug War Déjà Vu: How harm reductionists can push back against drug-induced homicide laws, harsh fentanyl penalties, and the further demonization of drug users.” Panelists include Lindsay LaSalle (Drug Policy Alliance), Jasmine Tyler (Human Rights Watch), William Miller Jr. (BMore Power), and Dan Ciccarone (UCSF).

Follow Narcotica on Facebook, Twitter and support us on Patreon. Your support is appreciated!

Learn more about HRC at: http://harmreduction.org/conference/

Photo credit: Logan, edit by Troy Farah.

Episode 1: Opioid of the Masses

May 24, 2018 Narcotica Episodes 00:57:49 2 Comments

Episode 1 of Narcotica is here! In the first segment Zachary Siegel does some mythbusting around overdosing by touching fentanyl; Troy Farah gives a nuanced take on what’s driving the overdose crisis; and Christoper Moraff talks with experts and drug users about the disease-model of addiction.

Follow Narcotica on Facebook, Twitter and support us on Patreon. Your support is appreciated! We’re on Spotify, iTunes, YouTube, Stitcher and more. Tell your friends about us!

If you liked this episode, here are others you might enjoy:
Episode 44: Reimagining Public Health and Racial Justice with Dr. Ricky Bluthenthal
Episode 30: Getting Wrecked with Dr. Kim Sue
Episode 11: Beyond Borders — How the U.S. Exports Dangerous Drug Policy with Sanho Tree

Producers: Christopher Moraff, Troy Farah, Zachary Siegel
Co-producer: Jon Ehrens
Music: Glass Boy
Intro voice: Jenny Schaye
Image: Public domain photo