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The article presents the discussion on group of public health researchers and practitioners. Topics include aware of the devastating impact the drug toxicity crisis has had across North America and the challenges faced by health care providers; and drug toxicity crisis is impacting the spectrum of PWUD across demographics and socioeconomic status.

The authors comment on research by Molldrem and Smith on molecular HIV surveillance and the implications of phylogenetic analysis and cluster detection. It cites imperfections of the science of molecular surveillance due to concerns raise about discrimination, health disparities and criminalization. The authors also explore the issues of ethics, data justice and oppression to examine the global COVID-19 pandemic.

The article focuses on the moral and ethical aspects of telecare and telemedicine and on the article "Telecare, Surveillance and the Welfare State" by Tom Sorell and Heather Draper. In the article the authors offer their opinions on several points which are raised in Sorell and Draper's article and on the moral and ethical issues that are raised with the use of technologies which are used in telemedicine to remotely monitor patients.

The article discusses digital medicine panopticon's impact on issues of autonomy and trust in marginalized communities in the article by Klugman et al. in 2018. Topics covered include questions on the neutrality of digital technologies, and concerns on smart pharmaceuticals' surveillance of patients with the human immunodeficiency virus (HIV) or psychiatric disabilities. Also noted are the technologies' potential in eroding the duty to care and in integrating within larger governance systems.

The article presents a commentary in response to the article "Our Life Depends on This Drug: Competence, Inequity, and Voluntary Consent in Clinical Trials on Supervised Injectable Opioid Assisted Treatment" (siOAT). Topics discussed include concern about the ethics of conducting further trials on the efficacy of siOAT, the need for siOAT as a health care intervention in the context of the North American wide opioid overdose epidemic and a different research direction for siOAT.