This conversation centers harm reduction not as a checklist, but as a justice-rooted framework, a commitment to dignity, autonomy, and survival in a world that often withholds those things. We’ll explore how harm is exacerbated by systems of criminalization, medical neglect, stigma, and control, especially for people who use drugs, sell sex, live with chronic illness, or navigate poverty, racism, and ableism. We’ll interrogate how harm reduction gets watered down, co-opted, or professionalized into meaninglessness, and what it means to reclaim it as a radical, liberatory practice.