If those of us in the harm reduction movement are not intentional about working from a paradigm of racial justice, we will continue to perpetuate the same pernicious attitudes, beliefs and actions of the broader system we are enmeshed in. We are part and exist within that larger structure and we must acknowledge that reality. We must engage in a process of self-reflection and action if we want to undo the damages that this racialized War on Drugs has caused our communities, particularly to brown and black women.