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Letter from the Authors Are you working? What do you do for a living? Where do you work? Whether we “work” in the popular use of the word, where we work, and the kind of work we do are important contributors to our sense of personal and social identity. We develop part of our sense of selfworth in relation to the work we do and our employment status gives us a class identity as well. Our social identity not only impacts the kinds of jobs we have access to, but whether the work we do is actually defined as work. In societies that criminalize the use of certain drugs, the users of those drugs face discrimination, exclusion, and persecution, which greatly impacts the kind of work they can do. Harm reduction programs and other organizations that provide services to drug users, in particular, would benefit from employing people who use drugs. Hiring people from the target population you seek to reach seems like a no-brainer. Yet, most paid positions at these organizations go to people who do not use drugs, or to people who are better at hiding their drug use. Drug users have been working to improve the health and rights of their communities for decades—without the benefit of being paid for their efforts. Without their work, methods regarded as essential in saving lives, like HIV and hepatitis prevention, would not have been proven effective in the first place.