You can’t help a person if they are dead! We need to keep people alive so that they can be treated and recover. People with substance use disorder are among the most stigmatized and discriminated in our health care system and in our society. Everyone needs to educate themselves about this chronic disease, which affects people of all ages and backgrounds and is the number one cause of death for people under 50. We need to open communication about solutions, face our fears, and act now to stop the dying from the biggest public health crisis of our lifetimes. OPS is a first step which can be implemented now!