2016 Postmortem
Related: About this forumSo what is the cause of the heroin epidemic? Have you connected the dots?
This discussion thread was locked as off-topic by Omaha Steve (a host of the 2016 Postmortem forum).
1. They signed disastrous trade agreements which sucked jobs out of this country (and they didn't plan WHATSOEVER for what the people who lost their jobs would do because they did not give a damn).
2. They import foreign workers to take American Jobs.
3. College has become a pipe dream for many. For others they are saddled with a lifetime of debt and no job security. (See #2)
4. We have a militarized police force that is terrorizing and killing people.
5. We have put people in jail for non violent crimes providing cheap slave labor for the corporations, enriching for profit prisons, and destroying families. Have you ever thought of what happens to the children of those families?
6. People are living in 3rd world housing and sending their kids to mold and rodent infested schools.
7. Our infrastructure and water systems are crumbling and we have talked about fixing it for decades. Instead of fixing it the cost to fix it goes ever higher and our national debt has skyrocketed. And what do we have to show for it? Well, the 1% has become even wealthier feeding at the public trough and benefiting from policies that enrich them at the expense of the masses. And our politicians become rich by letting the 1% do this. And not only do our politicians have no shame, they make jokes about it.
8. They passed a health INSURANCE act that created a mandatory customer base for the insurance companies. The cost of insurance premiums, deductibles, and co-pays has skyrocketed. And will ALL the money spent we still don't have health care for all. We pay more than any other country for lesser quality healthcare!
9. People have lost their homes because they were preyed upon by the devoid of conscience financial crooks (and the limousine progressives of Hollywood put out a movie that depict sub-prime borrowers as strippers with multiple homes and people buying homes in their dogs names).
10. They have created a lot of addicts by pushing the damn pain killers like they are candy. But hey, big Pharma and its investors need to make their money.
11. We act like Wall Street is the only economy to worry about. Wall Street is nothing more than legalized gambling.
Jitter65
(3,089 posts)Skwmom
(12,685 posts)to see where they have invested all the government dollars. Our government is a damn disgrace.
We have created a corrupt government/business partnership in this country. You can't call it capitalism.
And there is also plenty of rural 3rd world housing in this country.
msongs
(73,755 posts)tk2kewl
(18,133 posts)he didn't fix everything while he was in Congress and his campaign hasn't resulted in medicare for all already. what a chump.
Dem2
(8,178 posts)Isn't the O/P blaming Hillary? If not, then this thread doesn't belong in GDP.
tk2kewl
(18,133 posts)Hillary receives no mention.
Guilty conscience?
Dem2
(8,178 posts)Thanks!
tk2kewl
(18,133 posts)take from it what you will
Skwmom
(12,685 posts)He didn't have the power of the presidency.
Socal31
(2,491 posts)Demand: Low-barrier initial opiate prescribing, followed by cold-turkey cut-off, leading to the need for the addicted to seek out alternative sources.
Supply: US protected Afghan poppy fields producing record harvests year after year, flooding the world with cheap and potent heroin.
Bohunk68
(1,455 posts)item in the equation. Private prisons and inmates from marijuana busts. With the legalization of MJ, the police are looking elsewhere for people to put into the private prisons. Since they love the drug things so much, it now becomes the opiates. I do not for a minute think there is a true "epidemic" of opiate use. There may well be more scrips written, but , epidemic? Just in the minds of those who profit from calling it that.
fasttense
(17,301 posts)During the civil war, it was considered patriotic to plant opium poppies for the war injured.
Just more jobs that have been outsourced.
Jitter65
(3,089 posts)Ghost Dog
(16,881 posts)refers collectively to those who control, 1. how your tax dollars are spent, and, 2. how the rest of the financial system (including that part supposedly looking after middle and working class savings, if any) behaves. And those who control those who control... often by means of simple, barely-disguised bribery.
Cobalt Violet
(9,976 posts)There is no end to it for the working class these days. No matter how much one tries it's still a pretty hopeless situation in this economy. The powers that be don't even see it so change will not be coming. Just more hopelessness. At least opiates numb the pain of a hopeless existence for a short while.
And yeah that hopelessness is/was caused by the terrible economic policies of the ruling elite. We really need a drastic change. The kind of change we won't get with a Clinton. NO we can't.
moriah
(8,312 posts)There have been several who have been very considerate of my health conditions and allergies making the only NSAID I can take being Celebrex, so have used opiates along with it or newer drugs that act on opiate receptors.(on Tramadol for post-surgical pain, they drilled a hole in my fibula for part of the surgery) or have combined either/both with pain relievers that work better on nerve pain than opiates (because my chronic pain includes neuralgia).
But I am not an addict, either to prescription opiates or to Heroin. I also have only been on opiates for short-term needs.
In fact, the epidemic of undertreated chronic pain, because of fear of addiction or diversion, costs lives too. The suicides from chronic pain, however, rarely make the news.
Arkansas Granny
(32,265 posts)
https://www.drugabuse.gov/about-nida/legislative-activities/testimony-to-congress/2016/americas-addiction-to-opioids-heroin-prescription-drug-abuse
There are certain physicians in my area who are known as "pill doctors" who dispense these prescriptions freely. They usually call themselves pain clinics. Some are connected to established medical organizations, but others are not as ethical.
moriah
(8,312 posts)... such clinics.
However, those drugs have gone up in prescription usage because they work better orally, with fewer side effects, than codeine, meperidine (which has been learned to have toxic metabolites), and because the liver must process the drug into the active metabolite (Dilaudid or Opana) the rate of rise of opiate receptor agonism is slower than drugs like Dilaudid, Opana, morphine, and fentanyl.
They are the "intermediate guns" -- and for my surgery, I was on Percocet, then Loricet, then now Tramadol (it, along with Tylenol-3, are the "little guns" on the opiate receptors).
The one not often mentioned, methadone, has a worse reputation than jt deserves. It is pretty much the reverse of fentanyl when it comes to length of onset and length it lasts in the body. Both are in the "big gun" category, along with hydrocodone and oxycodones metabolites, morphine, etc. Both must be very carefully dosed and have safety issues, but for selected patients, methadone is much older, cheaper, and better tested in many patient populations.
----
Why do I know all this?
Because my grandfather had spasmodic torticollis, and died before they learned they could cure it with botox injections. He tried everything before the pharmaceuticals, chiropractic, even acupuncture. He was still in pain, but the then-available aspirin with codeine, in combination with muscle relaxants and bracing, allowed him to play, a little, with his grandchild.
Because an ex had a horrible wreck and a lot of metal in his body as a result. The doctors and physical therapy got him out of a wheelchair within a year, but he suffered daily. And others who have had accidents that have led to chronic pain.
Because of people damaged by doctors who will never admit that it was more than one of the possible complications, who aim for just a 6 on the pain scale but will settle for a 7-8 before taking something...
Because of my own father, who died of HIV, had a hip replacement, had cancer, and deserved better pain control than he got but could manage on methadone without abusing his prescription and lead some quality if life even if they didn't trust him with fentanyl, and in the end was only able to receive morphine in an in-patient hospice....
Arkansas Granny
(32,265 posts)moriah
(8,312 posts)I don't know what part of Arkansas you're in, but I've never heard of any pill mill pain clinic here.
The people who are in need of pain control that bad have all had to struggle to find any that actually do prescribe, even if a neurosurgeon is saying surgery and they're scared of what the surgical outcome might be.
Arkansas Granny
(32,265 posts)Dem2
(8,178 posts)They hand the stuff out like candy around here.
I'm going to threaten a lawsuit against the next one who hands me a prescription for one of these pain killers without even saying a word about the potential for addiction.
I took 1! Vicodin pill and besides feeling like I was going to vomit, I also felt a severe addictive crash after it wore off. Assuming that I just needed to 'get used' to it, I took a second one. All it did was stop the depressive crash that happened after the 1st one wore off. Vile! I was addicted after one pill!! Are you fucking kidding me? I'll fucking hurt a doctor who tries to get me and hundreds of others addicted to pain killers. We've had a record number of deaths from opiates around here - it was even mentioned during the campaign. I blame the doctors since they are the one and only gateway to the original addiction.
As the maps show, it's not just that overdose deaths rose as a result of the opioid crisis; these deaths also spread to all parts of the country. The deaths are, truly, an epidemic.
How did this happen? In short, doctors resorted to opioid painkillers to help Americans deal with pain a serious medical issue, given that chronic pain alone afflicts about 100 million Americans. But these drugs are very addictive and dangerous, so millions of people got hooked on the drugs, and tens of thousands died.
So why did doctors turn to opioids? One big reason was a concerted campaign by pharmaceutical companies that characterized these drugs as largely safe and effective claims so misleading that Purdue Pharma, producer of OxyContin, and some of its executives would later pay hundreds of millions of dollars in fines.
http://www.vox.com/2016/4/9/11392856/opioid-heroin-epidemic-map
I don't let politics make me angry, but this topic infuriates me.
betsuni
(29,078 posts)Response to Skwmom (Original post)
Th1onein This message was self-deleted by its author.
Demnorth
(68 posts)to the title in your point #10.
berni_mccoy
(23,018 posts)RunInCircles
(122 posts)Heroin is now the cheapest drug on the street. We invaded Afghanistan, under our stewardship Opium exports sky rocketed, Heroin prices collapsed, Heroin addiction increased. You would think that our government is actively involved in supporting the heroin trade.
moriah
(8,312 posts)Of "Where Have All The Cowboy's Gone", but I lack the creativity.
Still, I have seen too many people in undertreated pain to encourage the DEA's war on chronic pain patients.
Bluenorthwest
(45,319 posts)American sources. That's just the facts of the matter. Of course the influx into other markets from central Asian sources frees up the Opiates of the Americas for use by Americans, so it connects but it's not a simple as all that.
gollygee
(22,336 posts)Oh please.
Holly_Hobby
(3,033 posts)In his opinion:
1. War on Drugs
2. Afghanistan war made it cheap
3. ADD/ADHD drugs
iandhr
(6,852 posts)There has been an addition crisis in this country for years before all these negative things. But when it primarily was people of color no one cared.
The only reason people now care about "heroin epidemic" is that it is now affecting nice white people.
Omaha Steve
(109,234 posts)Statement of Purpose
A forum for general discussion of the Democratic presidential primaries. Disruptive meta-discussion is forbidden.