The pamphlet comes tucked inside a kit with syringes, sterile water, drug-preparation supplies, and lubricant. Its advice is specific.
"Try to poop before," it says. "This is so your drugs are absorbed better." It suggests users "stand, squat, or lay on your side in a comfortable position," and adds a friendly tip: "It never hurts to have a boofing buddy!"
The kits teach drug users how to take heroin, meth, and ketamine rectally, a practice known as "booty bumping." According to the group handing them out, the method helps drugs "reach the bloodstream quickly" and can "reach a high faster." It can also raise the risk of a fatal overdose.
The kits come from a Minneapolis nonprofit called Southside Harm Reduction Services, and Minnesota taxpayers have helped pay for its work. The state has awarded the group $7.9 million in grants and contracts since 2023.
The woman who helped hand out the money is now running for the U.S. Senate.
Peggy Flanagan has been Minnesota's lieutenant governor for nearly eight years, serving under Gov. Tim Walz. In 2024, the two of them announced $100 million in grants for "Minnesotans facing homelessness." Southside was one of the recipients.
"These grants will ensure that everyone can access the supports they need to find and secure safe, stable housing," Flanagan said at the time. "Together with DHS we are continuing towards our mission of preventing and ending homelessness."
The state's announcement described Southside's work as "syringe exchange, naloxone distribution, education, rapid HIV testing and referrals to social services." It didn't mention the kits or the pamphlet.
The money kept coming. In 2024, Minnesota paid Southside $432,000 for "low-barrier access" to drug supplies. On October 1, 2025, the state signed a $2.5 million contract with the group to run outdoor vending machines, open 24 hours a day, stocked with Narcan, "safer use" supplies, and hygiene items. Southside's website also links to a brochure on injecting meth during sex, which advises: "If you like slamming it makes a lot of sense to learn how to do it well."
The state also requires Southside to hand out voter registration materials to the people it serves.
Asked whether she takes any ownership of the fraud and waste under her administration, Flanagan pointed at her boss. "The governor has been very clear that the buck stops with him," she said. "He was the one who had oversight here."
Then she changed the subject to her record. "I've led on issues like paid family and medical leave, nation-leading child tax credit, making sure that kids get breakfast and lunch at school."
So after nearly eight years as the state's second-highest official, Flanagan takes credit for school lunches and blames Walz for the rest.
Her Republican opponent, former NFL sideline reporter Michele Tafoya, isn't letting her get away with it. "My goodness, she was second in charge in this state, and she's just going to point her finger at Gov. Tim Walz," Tafoya said. "Again, sell it to someone else."
The booty bump kits aren't Flanagan's only problem. Minnesota is home to Feeding Our Future, a scheme that stole an estimated $250 million in federal money meant to feed children during the pandemic, one of the largest COVID fraud cases in the country. "This historic fraud happened under her watch," Tafoya said at their debate.
Flanagan wants voters to believe she was in the room for every popular decision and somewhere else for every scandal. Minnesota voters can decide whether that adds up when they vote on November 3, 11 days from now.