In a fortuitous alignment, the medical journals with the three largest print circulations ( JAMA , American Family Physician , and The New England Journal of Medicine ) each recently published editorials or features making the case for opening supervised sites for injection drug use in the United States as a form of harm reduction for patients with substance use disorders. A news feature in JAMA observed that these sites come in many varieties depending on agency resources and patient needs: Supervised consumption sites can be as modest as a social service agency restroom stall, the door shortened at the bottom to make it easier to spot an unconscious person, or as expansive as Vancouver’s trailblazing Insite , which averaged 312 injection room visits per day in 2019 and offers detox rooms with private bathrooms, transitional housing for people in recovery, and other wraparound services. In the U.S., a legal statue forbidding the operation of establishments where illicit drug