Recovery Revolution: Major Shifts in 2025
Episode Overview
Federal action on kratom's potent compound. San Francisco shifts from harm reduction to abstinence. New York's significant decrease in overdose deaths. Scotland's success with legal injection site. India's rehab clinics face overwhelming demand.
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In this episode of 'Recovery in the Middle Ages', hosts Mike and Nat take listeners through the significant addiction and recovery stories shaping 2025. They begin with the federal government's crackdown on kratom, a plant whose opioid-like compound has recently been isolated and amplified, leading to concerns over public safety and debates about regulatory measures. This move is seen by some as necessary, while others argue it's merely the government playing an endless game of whack-a-mole with emerging substances.
Shifting focus to San Francisco, Mike and Nat discuss the city's recent pivot from its longstanding harm reduction approach—characterized by open-air clinics and needle exchanges—to a recovery-first model that emphasizes abstinence-based treatment. This change marks a significant departure from policies that have defined San Francisco's progressive stance on drug use and recovery. The hosts then explore the remarkable drop in overdose deaths in New York, delving into the possible factors contributing to this positive trend.
They highlight efforts in harm reduction and community engagement that may be responsible for these encouraging statistics. Scotland's first legal injection site is also making headlines, as it provides a safe environment for users and reduces harm within the community. The hosts examine the implications of this initiative and how it could serve as a model for other countries grappling with similar issues.
Lastly, Mike and Nat address the overwhelming demand facing India's rehab clinics, reflecting on the socio-economic factors driving this surge and what it means for the global conversation on addiction treatment. Throughout the episode, Mike shares personal updates, including his recent decision to close his company and the challenges of transitioning to a new phase in life. As always, the hosts encourage listeners to engage with the podcast community and reflect on their own recovery journeys, emphasizing progress over perfection.