Rebel Eclectic

To end the war on drugs, surveillance practices that monitor and punish (like drug testing) need to end. In 2011, Medicaid required negative results to cover Bupe & despite my efforts, I tested positive for THC 2x. My Dr abruptly terminated my treatment AND I struggled to pay $500/mo cash, on $800/mo SSDI for my Rx. It would've been 500x easier (and cheaper) to buy drugs on the street. Instead, I picked up what I could afford every 1-3 days, and it was a miracle I made it through that crap. Drug testing not only deters ppl from needed care, it denies ppl the means to survive.

@aphysicist @framework_auto Sweaters are nice but stickers start a movement.

SWEATERGATE: we appreciate the enthusiasm for reindustrialize, but not overseas knockoffs. our friends at @framework_auto have been cooking with us for months on a very special piece of swag for attendees of the summit that's AMERICAN MADE. we weren't planning on showing it off quite yet, but...

@audible_com's 2 books for 1 credit deal just prevented me from purchasing a book. The book is included in the deal. All the other books in my wish list- are not. It's a great deal for people who can search the limited library for hours. But for those of us who want something new to read RIGHT NOW you should at least give subscribers the option to use a credit for one book. Like why am I paying for the top premium tier if I can't even listen to what I want? #notcoolaudible

If I had a magic power, I'd make it so that every adult could buy taxed regulated drugs just like they can buy alcohol.

@BravoTV cutting corners. And body parts. #NextGenNYC

Parents in the 80's and 90's allowed this as well depending on the age. I wasn't allowed to ride my bike around the block near 8 mile in Detroit at 10yrs old, but I roamed free as a teenager with a driver's licence, car, and a job till my 12am weekend curfew. I knew where all the local payphones were. If I didn't have this freedom at a younger age, I'd never leave my house today.

@kaake_rn @ibdgirl76 @StefanKertesz @nabarund @stephenHRNRP OTP = "Opioid Treatment Program" 😊

@ibdgirl76 @StefanKertesz @nabarund @stephenHRNRP What is OTP?

Does anyone have an updated comprehensive list of states that require that OTPs share records with PDMP? I am especially curious since the update to 42 CFR requiring only ONE disclosure from patient in OTP. @StefanKertesz @nabarund @stephenHRNRP any idea?

Committees (like the HHS/SAMHSA advisory committee I currently sit on re: SUD coordination) bring together diverse perspectives from non-federal members with lived & living experience. This ensures the federal approach to treating SUD is comprehensive, evidence-based, and responsive to the needs of the people. For the people by the people. Not for us, without us, right? Committees ensure transparency, oversight, accountability, and public participation. The avg citizen may not be aware of this, but the records are there. If @DOGE eliminates SUD committees during this restructuring @SecKennedy, it will prevent people in recovery and those currently receiving MOUD from providing crucial input on drug policy. I thought ppl in recovery were your people RFK. I thought WE were your people.

We are streamlining HHS to make our agency more efficient and more effective. We will eliminate an entire alphabet soup of departments, while preserving their core functions by merging them into a new organization called the Administration for a Healthy America or AHA. This overhaul will improve the health of the entire nation — to Make America Healthy Again.

It's so rare when chronic pain hits the mainstream media.. unfortunately I don't see the new administration doing a damn thing about it. Still worth a listen. pca.st/episode/1a5d83…

Asking "is one of you handy? which one of you is handy?" after buying a new home- (espesh your first home) is a polite way of saying 1 of 2 things: 1. "Your house needs a lot of work, you do know this, right?" 2. "Maintaining a home is constant work- I hope one of you is handy or you'll go broke paying someone else to do it" But it's so interesting how we internally perceive things, ya know? My guess? First home that needs a lot of work 💯 #thisamericanlife #questionqueen

“What do you think about Beyoncé?” and other questions raised by people on first dates. bit.ly/49duw0i

Well hopefully a majority of patients provided by the advocacy groups are long term pain patients who have been receiving treatment prior to 2016, and are currently receiving treatment. Therefore the Q's re: treatment since 2022 will also reflect the changes implemented in 2016. I'd find out who the advocacy groups are and appeal to them.

How CDC Will Evaluate the Impact of Its Opioid Guidelines #cdc #2022CDCGuidelineOnOpioids #PainMedications #pain #chronicpain #acutepain painnewsnetwork.org/stories/2025/1…

We're here, trust me. I was on the panel (as a person w/living experience) for the revision of the federal OTP guidelines published in late 2024. The level of resistance (🖕 stigma) to low threshold methadone treatment is one thick wall to penetrate. OTP's follow state SOTA's req's, the SOTA's follow federal guidance minimums. SOTA's often go above it. For example, SAMHSA requires 6 or 8 drug screens per year, when patients actually average 1/day-1/mo. The barriers are thick & deep rooted. Considering the latest regulations are technically a historic breakthrough- they're still not ideal. It will take time and buy-in from stakeholders over many years. With less stigma around Bupe, we can only hope by lowering that threshold it eventually lowers the threshold to methadone (and opioids for pain) as well. It all kills me though. You can imagine the frustration.

Where are all the low threshold Suboxone advocates when it comes to methadone patients? Why is the only low threshold MOUD treatment that’s important to anyone - Suboxone? Nobody seems to care about methadone clinic patients. Don’t tell me you care so much about removing stigma when you don’t say a word about what’s happening here. This is disgusting and atrocious and with billions of dollars coming in from settlement funds, surely somebody can help methadone clinic patients.

@billkinkle I think of you and your situation often Bill. Thank you for sharing ♥️

The reason I initially called the board of nursing was due to the conditioning I rec’d in my first inpatient rehab where I was taught adxn is the result of a character defect and rigorous honesty was the only way I’d recover, so I reported myself and my license was suspended.

@MyHarmReduction Link to purchase book?

Maryland tweeps! Join me on February 4th at People's Book in Takoma Park at 8pm for a book talk and signing! Bring a friend and help me spread the word! Limited seats, so register: bit.ly/HarmReductionG…

@johnrich The doctors featured on the the Dr Death podcast series obviously.

A little experiment: Who comes to mind when you hear the title "Dr Death?"

It should be ILLEGAL for hospitals/clinics to be 'opioid free' by policy or practice. Opiates are the most effective pain relievers we have for great pain. Providers who refuse to RX an opioid for pain should have to provide a (per patient) CLINICAL reason why. #PainCareCrisis

Your claim options when dealing with a house fire: 1️⃣ DIY: High stress, lower payout 2️⃣ Hire contractors: Less money in your pocket but the work gets done 3️⃣ Public Adjuster Cash Out: Pay expert help a percentage of your settlement for handling your claim 4️⃣ Hybrid: Public Adjuster + Restoration Contractors + Insurance + Homeowner all work together on the claim & getting things back to normal * This is not legal advice- I'm currently navigating a house fire claim.

🚨 House Fire Claim Red Flags & Smart Moves 🚨 Watch out for: 🚫 Content Restoration companies that: • Pack up everything • Decide what's "damaged" • Store your stuff • Won't give you a written quote before performing the work • Block insurance adjuster communication These contractors: • Profit from packing, storing, cleaning • Eat into YOUR personal property settlement ($30k ++) #firerestoration #personalproperty #contents #housefire

While I haven't faced the same devastating fire destruction as many in California, it was difficult to find information by those with lived experience. I'm currently in the middle of a house fire claim and have some tips. 🔥 Fire Claim 101: What Every Homeowner Needs to Know 🏠 Key Terms • Total Loss: Structure &/or contents beyond repair 😢 • Dwelling Coverage: Max $$ for structure damage 🏚️ • Personal Property Coverage: Max $$ for your stuff 📦 • Damage: Anything you determine is not in pre-fire condition 🔥 • Mitigation: Anything you (or others) did to prevent further damage 🧯🧹 #PalisadesFire

Progress in addiction treatment will only come when medication is easier to access than fentanyl, and the only barrier to treatment is personal choice.