On a December night in 2023 Providence Milwaukie Hospital staff discharged 26-year-old Jean Descamps from the emergency room despite bodycam footage showing him limp, moaning, drooling, and unwell; officers who urged the hospital not to release him later watched him cover in a parking lot and Descamps died soon after of an overdose from drugs already in his system. Hospital staff had given naloxone earlier that day, then described Descamps as malingering and said there was "no medical reason" to keep him; the hospital later issued a statement saying it "fell short" and acknowledged care was inadequate. NPR reviewed research and government data and interviewed more than a dozen doctors, scientists, federal officials, and addiction activists and found this case reflects a national pattern in which clinicians often view people with alcohol or drug addiction with suspicion and hostility. The reporting says proven, safe addiction treatments are frequently not offered to patients and that clinicians withhold medications that can reduce overdose risk. NPR links that withholding and stigmatizing care to higher overdose deaths and documents repeated examples of emergency and hospital clinicians discharging or denying treatment to people in need. The story highlights systemic bias in medical settings rather than isolated clinician errors and ties that bias to concrete, preventable patient harm.