Four months ago, the New York Times published a startling article on the sharp increase in heroin use across New England and the tragic consequences that have accompanied it. Last year, heroin killed 21 Mainers, three times as many as 2011. Across the state, many more are battling their addiction, at risk of transmission of blood-borne diseases such as HIV (in 2009, nearly a third of Maine women living with HIV reported injecting drugs) and hepatitis C and facing criminal sanctions and the many consequences of contact with our criminal justice system. This is a tragic public health problem with tremendous human cost. As we look for ways to reduce the harms of substance abuse across our region, it is of the utmost importance that we reach for thoughtful and compassionate health based solutions that protect individuals and our communities.