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Skwmom

(12,685 posts)
Mon May 2, 2016, 03:24 AM May 2016

So 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.

35 replies = new reply since forum marked as read
Highlight: NoneDon't highlight anything 5 newestHighlight 5 most recent replies
So what is the cause of the heroin epidemic? Have you connected the dots? (Original Post) Skwmom May 2016 OP
hve you been in an inner city lately or over the past 50 years? nt Jitter65 May 2016 #1
Yes I have. And it was like a third world country. Off course you don't have to travel to far Skwmom May 2016 #5
meanwhile bernie has been in congress the past 25 years nt msongs May 2016 #6
blame Bernie tk2kewl May 2016 #22
tit for tat, right? Dem2 May 2016 #28
you must have read something into the OP that wasn't there. tk2kewl May 2016 #29
Then I guess it doesn't belong in GDP Dem2 May 2016 #32
issues related to the primary. tk2kewl May 2016 #33
And he has fought damn hard to get amendments added to legislation and fought hard for the vets. Skwmom May 2016 #34
Easy one. Socal31 May 2016 #2
I think that is a big part of the equation. I think there may also be another Bohunk68 May 2016 #12
You know poppies grow easily here in the US fasttense May 2016 #27
Oh, it "they" again. nt Jitter65 May 2016 #3
I think "they", essentially Ghost Dog May 2016 #9
Hopelessness. Cobalt Violet May 2016 #4
I have never seen a physician who handed them out like "candy". moriah May 2016 #7
Prescriptions for synthetic opiods have increased dramatically in recent years. Arkansas Granny May 2016 #13
In your area, then, you might need to encourage your State Medical Board to audit.... moriah May 2016 #17
You might find this Front line documentary interesting. Arkansas Granny May 2016 #18
I'll check it out, but I live in Central Arkansas. moriah May 2016 #19
I live on the border with Oklahoma. That's where the clinics I know of are located. Arkansas Granny May 2016 #21
Dentist, doctor, you name it Dem2 May 2016 #30
THANKS, OBAMA/$HILLARY!!!!11111!!!!!....dotdotdot betsuni May 2016 #8
This message was self-deleted by its author Th1onein May 2016 #10
I see the connection Demnorth May 2016 #11
No reason this shouldn't be posted in GD... berni_mccoy May 2016 #14
"They" huh? NurseJackie May 2016 #15
Where are all the poppies grown? RunInCircles May 2016 #16
I want to do a filk with your topic.. moriah May 2016 #20
Afghan heroin goes to Asia, Australia and Europe primarily, US gets heroin from Latin Bluenorthwest May 2016 #31
Are you blaming heroin usage on the Clintons? gollygee May 2016 #23
+1 iandhr May 2016 #25
My step dad is a psychologist Holly_Hobby May 2016 #24
Oh please. iandhr May 2016 #26
Locking after a review by forum hosts Omaha Steve May 2016 #35
 

Jitter65

(3,089 posts)
1. hve you been in an inner city lately or over the past 50 years? nt
Mon May 2, 2016, 03:32 AM
May 2016

Skwmom

(12,685 posts)
5. Yes I have. And it was like a third world country. Off course you don't have to travel to far
Mon May 2, 2016, 03:36 AM
May 2016

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)
6. meanwhile bernie has been in congress the past 25 years nt
Mon May 2, 2016, 03:56 AM
May 2016
 

tk2kewl

(18,133 posts)
22. blame Bernie
Mon May 2, 2016, 08:45 AM
May 2016

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)
28. tit for tat, right?
Mon May 2, 2016, 11:06 AM
May 2016

Isn't the O/P blaming Hillary? If not, then this thread doesn't belong in GDP.

 

tk2kewl

(18,133 posts)
29. you must have read something into the OP that wasn't there.
Mon May 2, 2016, 11:09 AM
May 2016

Hillary receives no mention.

Guilty conscience?

Dem2

(8,178 posts)
32. Then I guess it doesn't belong in GDP
Mon May 2, 2016, 11:27 AM
May 2016

Thanks!

 

tk2kewl

(18,133 posts)
33. issues related to the primary.
Mon May 2, 2016, 12:01 PM
May 2016

take from it what you will

Skwmom

(12,685 posts)
34. And he has fought damn hard to get amendments added to legislation and fought hard for the vets.
Mon May 2, 2016, 12:10 PM
May 2016

He didn't have the power of the presidency.

Socal31

(2,491 posts)
2. Easy one.
Mon May 2, 2016, 03:33 AM
May 2016

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)
12. I think that is a big part of the equation. I think there may also be another
Mon May 2, 2016, 07:03 AM
May 2016

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)
27. You know poppies grow easily here in the US
Mon May 2, 2016, 10:46 AM
May 2016

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)
3. Oh, it "they" again. nt
Mon May 2, 2016, 03:34 AM
May 2016
 

Ghost Dog

(16,881 posts)
9. I think "they", essentially
Mon May 2, 2016, 06:24 AM
May 2016

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)
4. Hopelessness.
Mon May 2, 2016, 03:35 AM
May 2016

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)
7. I have never seen a physician who handed them out like "candy".
Mon May 2, 2016, 05:14 AM
May 2016

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)
13. Prescriptions for synthetic opiods have increased dramatically in recent years.
Mon May 2, 2016, 07:03 AM
May 2016




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)
17. In your area, then, you might need to encourage your State Medical Board to audit....
Mon May 2, 2016, 07:42 AM
May 2016

... 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)
18. You might find this Front line documentary interesting.
Mon May 2, 2016, 08:13 AM
May 2016

moriah

(8,312 posts)
19. I'll check it out, but I live in Central Arkansas.
Mon May 2, 2016, 08:24 AM
May 2016

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)
21. I live on the border with Oklahoma. That's where the clinics I know of are located.
Mon May 2, 2016, 08:38 AM
May 2016

Dem2

(8,178 posts)
30. Dentist, doctor, you name it
Mon May 2, 2016, 11:24 AM
May 2016

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)
8. THANKS, OBAMA/$HILLARY!!!!11111!!!!!....dotdotdot
Mon May 2, 2016, 05:23 AM
May 2016

Response to Skwmom (Original post)

Demnorth

(68 posts)
11. I see the connection
Mon May 2, 2016, 06:53 AM
May 2016

to the title in your point #10.

 

berni_mccoy

(23,018 posts)
14. No reason this shouldn't be posted in GD...
Mon May 2, 2016, 07:11 AM
May 2016

NurseJackie

(42,862 posts)
15. "They" huh?
Mon May 2, 2016, 07:26 AM
May 2016

RunInCircles

(122 posts)
16. Where are all the poppies grown?
Mon May 2, 2016, 07:35 AM
May 2016

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)
20. I want to do a filk with your topic..
Mon May 2, 2016, 08:28 AM
May 2016

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)
31. Afghan heroin goes to Asia, Australia and Europe primarily, US gets heroin from Latin
Mon May 2, 2016, 11:26 AM
May 2016

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)
23. Are you blaming heroin usage on the Clintons?
Mon May 2, 2016, 08:46 AM
May 2016

Oh please.

iandhr

(6,852 posts)
25. +1
Mon May 2, 2016, 10:17 AM
May 2016

Holly_Hobby

(3,033 posts)
24. My step dad is a psychologist
Mon May 2, 2016, 09:51 AM
May 2016

In his opinion:

1. War on Drugs
2. Afghanistan war made it cheap
3. ADD/ADHD drugs

iandhr

(6,852 posts)
26. Oh please.
Mon May 2, 2016, 10:20 AM
May 2016

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)
35. Locking after a review by forum hosts
Mon May 2, 2016, 01:16 PM
May 2016

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