Without civic engagement, organization, and recovery advocacy, millions of people will never access the life-saving support they need. Currently, less than 10 percent of people will ever seek medical help of any kind for their addiction. Hundreds of people lose their lives daily, leaving behind family members, friends, loved ones, children, and community members. Yet, when the recovery community organizes, reform is possible. Activists have successfully accessed funding for recovery supports, effective and ethical standards for treatment, and changes to employment processes. When recovery speaks, people listen. Yet, finding solutions is delayed by lack of access to other community groups and difficulty connecting with like-minded people. We follow in the footsteps of social justice movements such as the Civil Rights movement, ACT UP, and the fight for LGBTQ rights. What we’ve learned is that policy change is crucial to keeping the hard-won gains of grassroots activists who took to the front lines in the fight for equality. With more people engaged, we make more progress. As a mobilized, civically engaged constituency of consequence, we can turn the tide of the epidemic and create sustainable change at every level that doesn’t end with a single march or fundraiser.