Lesly-Marie Buer
Medical anthropologist and harm reductionist focused on substance use in Appalachia; author of RX Appalachia, based on her ethnographic research in rural Kentucky and work on harm reduction programs.
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Jan 26, 2026 • 45min
Lesly-Marie Buer, "RX Appalachia: Stories of Treatment and Survival in Rural Kentucky" (Haymarket, 2020)
Lesly-Marie Buer, medical anthropologist and harm reduction worker, draws on ethnographic research in rural Kentucky. She examines gendered pathways through treatment and the limits of drug courts, DCBS programs, and buprenorphine access. She describes stigma, survival strategies like mutual aid, and the rollout of syringe services and harm reduction in deeply resource-poor communities.
