Miami INHSU HCV SymposiumMiami INHSU HCV Symposium
Challenging Pathos
Today Marc and Kris debrief the International Network on Health, Hepatitis, and Substance Use (INHSU) Hepatitis C Intervention Symposia Series – United States in Miami. Challenges Inc SC staff, Kris and Lysandra were in attendance and we're grateful...
45:43•27 Jul 2026
Miami, Hep C and Harm Reduction: A Street-Level Debrief
Episode Overview
- Hepatitis C treatment is highly effective, yet stigma and individual provider bias still block people who use drugs from accessing care.
- Testing technology such as point-of-contact and RNA machines can cut down multiple appointments and make diagnosis and treatment much easier.
- Strong linkage-to-care networks between syringe service programmes, hospitals and EMS can turn a positive test into an actual cure rather than a dead end.
- Telehealth-based hepatitis C treatment programmes show how zero-barrier, mail-order models can expand access, especially for uninsured people.
- Integrated harm reduction hubs like the University of Miami IDEA Exchange demonstrate how on-site services and medical student involvement can reshape public health.
“Injecting drugs doesn’t spread viruses. Sharing equipment is what spreads viruses.”
Curious about how others navigate their sobriety journey? This conversation from Challenging Pathos drops you right into a harm reduction nerd-fest as Marc and Kris unpack their trip to the INHSU Hepatitis C Intervention Symposium in Miami. You’ll hear them chat through what the symposium actually looked like – a mix of doctor-led presentations, small roundtable chats, and very strong coffee – before shifting into the real meat: why people who use drugs still struggle to access hepatitis C treatment.
One line sums it up: providers “base it on their moral or ethical views… it’s up to providers individually to be a dick or not.” Bureaucracy, stigma and pointless hoops keep people from care, even when cures are simple and highly effective. The episode breaks down key interventions like point-of-care (or as they suggest, point-of-contact) testing, dried blood spot testing, and the use of mobile RNA machines.
They contrast the broken status quo with what’s possible: strong linkage-to-care networks like the one they’ve built with Challenges Inc, Prisma Health and local EMS, and Florida’s low-barrier telehealth model for hepatitis C treatment. A visit to the University of Miami’s IDEA Exchange shows what a fully integrated, one-stop harm reduction hub can look like: syringe services, wound care, food, testing, case management and medical students learning directly from people who use drugs.
It’s practical public health with humanity at its centre. Throughout, the chat stays grounded, funny and real – from empanadas and giant iguanas to the hard truth that “stigma is pervasive and it creates barriers, unnecessary barriers.” If you care about overdose prevention, hepatitis C, or just making health care less cruel and more useful, this one’s worth your time. What small barrier could you help remove in your own community?

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