from the number of asinine complaints about how "voting is NOT a form of harm reduction" because harm reduction is for ADDICTS! ONLY! I'm seeing around... all coming from OP blogs I don't recognize and which otherwise don't have much presence... well, that coordination alongside the timing of US politics sure feels like the Russian troll bots agitating again. (Yes, they absolutely infested Tumblr; I think @ms-demeanor had a great post about what the bots looked and felt like somewhere that I will have to try and track down tomorrow.)
The thing is, if you actually do know harm reduction well, the complaint makes no sense. It's not as if the origin of harm reduction is a secret or especially hard to find out more about. I am not exactly an expert in the field: I have a educated layperson's interest in public health and infectious disease, I'm a queer feminist of a certain age and therefore have a certain degree of familiarity with AIDS-driven safer sex campaigns, and I'm interested in disability history and self advocacy (and I would in fact clarify harm reduction as a philosophy under this umbrella). So I have about twenty years of experience with harm reduction as a philosophy basically by existing in communities whose history is intertwined with harm reduction, which means I know it well from many different angles, and I know how the story of the philosophy is generally taught.
See, this is a story that starts, as so many stories do, in the 1980s with something monstrous President Reagan was doing. In this case, it was the AIDS epidemic, and Reagan refusing to devote any money or time to what eventually became called AIDS (rather than the original GRIDS, which came with its own baked in homophobia). Knowing themselves abandoned by society in this as in all things, and watching as friends and loved ones died in droves, queers and addicts are two communities who see that they are the only resources that they collectively have to save each other's lives. Queers know that sex, even casual sex, is an important part of people's lives and culture... and people aren't going to stop doing it even if there's a disease, so how can it happen safely? Condoms. Condoms every time, freely available, easy and shameless, shower them on people in the street if you have to. (And other things: this is the origin of the concept of "fluid bonding", for example... both of which were concepts that were immediately adopted in response to COVID, like outdoor socially distsnced greetings and masks and "bubbles." That wasn't an accident. Normalizing sexual health tests and seeing hard results on paper before sex was a thing, too.)
Addicts, too, knew that using was going to happen no matter how earnestly people tried to stop. If it was that easy, addiction wouldn't exist. So: how do you make using safer for longer? If you could stop someone getting HIV before they could bring themselves to get clean, that's a whole life right there. If you could stop someone overdosing once, twice, a dozen times, that's more time you're buying them to claw themselves out of addiction and into a better place. Addicts see, right, needle sharing is getting the diseases spread, so cut down on needle sharing. Well, needles aren't easy to get hold of. Their supply is controlled because people who aren't prescribed needles are theoretically junkies, so taking the needles away makes it harder to use, right— and no one is complicit, and also you see fewer discarded needles lying around where they're unsanitary and unsafe, right? Except that people want to do a buddy a good turn, so they share if there's no other option, and they'll keep a needle going until it's literally too blunt to keep using if need be. So fighting needle sharing means making it easier to get needles to shoot up with: finding a place to discard used ones and get as many fresh ones as you need to use safely!
Making free needles available to junkies and free condoms for the bathhouses was not a popular solution with politicians, for perhaps obvious reasons. Nor was routine testing of the blood supply, because that cost money too. But these things work to stop the spread of disease. Thus the principle of harm reduction: policy interventions in response to communities that frequently engage in risky behavior should focus on whatever reduces aggregate harm by reducing the risk rather than by trying to reduce the behavior. The homos and junkies say look, all your societal judgement in the world hasn't stopped us being homos and junkies yet. You ain't going to look after us? We'll look after our own. And this is the form that takes. Not increasing the pressure to act like people who aren't is, but making it safer to be the people we are while we try to be the happiest versions of ourselves. Even if that means being morally complicit in a whole lot of casual sex and drug abuse.
The thing is, harm reduction is a philosophy rooted in the defiance of people who knew that their society thought they deserved to die painfully, young, invisible and alone. This is not the kind of thing that people come up with and get mad if you adapt it and share it, especially if you tell the story of where it came from. And importantly, harm reduction is not purely the child of addiction: that philosophy, from the get go, was cooked up to apply both to substance abuse and casual sex. It didn't just spread from addiction care; it was born straddling addiction care and queer & feminist health care.
So it doesn't make sense to see actual activists who know harm reduction well complaining that this is a term exhibiting semantic drift when we talk about voting as harm reduction. It's actually a good metaphor: you're reducing the overall risk of the worst case scenario metaphors by voting Democrat, at least until future votes can install a system where multiple parties can flourish on the political scheme. (Democrats and Republicans are essentially coalitions of a pack of arguing factions anyway, and those factions are essentially what would be classed elsewhere as a party in its own right; the US essentially just lumps political granularity rather than splitting it in our political system.) And anyone who understands harm reduction itself knows that.
So it's this wildly inorganic complaint being voiced repeatedly by different sources. Sounds like a pretty good flag for a potential psyop to me.
If you want to learn more about harm reduction and its history, especially from an addiction perspective, I cannot recommend Maia Szalavitz's Undoing Drugs: How Harm Reduction is Changing the Future of Drugs and Addiction (2022) highly enough. Szalavitz has a history of addiction of her own as well as being a clear and accessible writer with an excellent grasp of neuroscience and history. I have a lot of respect for her work.
