Dr. Jeremy Milloy tells us about constructive coercion: a concept created in the 1960's and 70's from concerns that Vietnam veterans would return from war unable to navigate the workplace due to opioid addiction. Industry leaders believed that people (primarily men) would be incentivized to get treatment through the workplace in order to keep their jobs. Assessment of who had problematic substance use then fell on worksite foreman to identify who needed to be sent to see a counsellor and go into treatment.

Employers and workers then began this complex, codependent relationship that we now call extended benefits. If the employee comes forward asking for help, the employer has a duty to support the employee. But if the employee gets caught with a positive drug test, then they are fired and no longer have access to recovery benefits. The only way to access affordable treatment is through the employer, but workers feel obligated to hide their drug use so the employer can continue to be profitable.

The story becomes even more convoluted when we look at drug testing at remote work camps. Jeremy refers to the dance of drug testing as theater where only capitalism wins by creating a drug testing industry and fake urine industry. But neither the employer nor the worker benefit from the practice of drug testing. Furthermore the entire drug testing practice completely ignores the issues of pain and trauma that underlie the vast majority of substance use and employee wellness. 

Dr. Jeremy Milloy says, " Constructive coercion proceeds from a story that work and problematic substance use are disconnected... rather than acknowledging that drugs are helping people meet the demands of the job... The call is coming from inside the house."

Off The Clock Toolbox Talk
Men forging health in the unregulated drug crisis, through real f**king talk.
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