Ethical issues are both personal (micro) and societal (macro). Often there is a struggle between the government or community attempt to regulate morality for the “public good” and fighting to retain an individual’s right to autonomy. It is the intense emotional nature of such concerns that takes an issue from a personal level to a societal level. Two such ethical issues related to substance use are a) communities with needle exchange programs to reduce incidence of HIV/AIDS and other blood borne disease and b) the availability of Narcan (Naloxone), which is an antidote for opioid (heroin, painkillers) overdose. What are the ethical issues involved? What is the role of a social worker? Whose best interest does the social worker serve? What are your own concerns about these issues? What does research tell us?