Injection drug users say they often encounter discrimination in mainstreamcare settings; many delay seeking care until they’re extremely ill, at which point their care can be very costly, and that affects everyone. Indeed, any unsafe behavior (such as needle sharing) that raises the rate of bloodborne infection has significant consequences for individuals, communities, and overall public health. Many believe that improved community care that includes harm reduction measures can reduce rates of ED use, hospitalization, incarceration, and public drug use