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How the medicalization of addiction during the U.S. opioid crisis has driven mass incarceration and mass policing in rural and deindustrialized communities
The nationwide opioid public health emergency has led many advocates and public officials to call for drug policy reforms that reject traditional “law-and-order” approaches. In Policing Pain, Kevin Revier approaches the opioid epidemic from an abolitionist framework that seeks to treat people who use opioids not as so-called criminals, but as people in need of health care. Based on two years of ethnographic research in Upstate New York, a region highly impacted by overdoses, job loss, and deindustrialization, Revier shows that incorporation of treatment within the criminal justice system has ultimately expanded the scope of the drug war, turning individuals into "treatable carceral subjects" who are both medicalized and criminalized.
He argues that the incorporation of medical rhetoric and treatment within the criminal legal system maintains a carceral approach in rural and low-income areas facing high rates of opioid overdose and economic disinvestment, further entrenching the carceral state in the lives of people who use drugs. Ultimately, Policing Pain explores alternative strategies to promote harm reduction from an abolitionist ethic of care that advocates for people who use drugs while seeking to minimize criminal justice involvement in drug-related issues.
"Policing Pain is a bold, nuanced, and incisive chronicle of the perilous contradictions of making cops, judges, prison wardens and guards 'care' for people who use drugs."
"Policing Pain exposes how policing, courts, and jails have absorbed the language of care while upholding racialized control and punishment. Through abolitionist analysis and rich ethnography, Revier reveals how carceral power has adapted, medicalized, and deepened its reach. This is a vital book for anyone seeking to understand the entwined histories of racial capitalism, drug prohibition, and the urgent need for abolitionist care."
"Revier wisely reminds us how carceral societies treat addiction like a problem to be policed, rather than a need for healing justice and harm reduction. Meticulously researched, written with passion and suffused with the author’s vivid abolitionist imagination, Policing Pain makes for compulsory reading for anyone interested in how states arrest their way out of the crises they create and why freedom dreaming and social justice seeking are the only humane response."
"In his intimate portrait of yet another 'drug crisis,' Revier shows that despite reports of its demise, the drug war is indeed alive and well. While attentive to the pain and suffering of those left in the drug war’s wake, Revier charts a hopeful path forward. Not only a vivid account of the present, Policing Pain is essential reading for the crises to come."