Joan's story is not unique. As a society we have elected to declare a "war on drugs." In reality, the war on drugs is a war on people. Drug use can clearly be harmful: heroin can cause respiratory collapse, alcohol can cause cirrhosis, and methamphetamines can cause psychosis. However, no known drug causes hepatitis C, wound botulism, necrotizing fasciitis, or HIV infection. Every day these infections disseminate among drug users, causing disease, disability, and death. The illegal, marginalized social context in which drug users are forced to exist sustains and perpetuates these infectious diseases.