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60 journalists all spend one week covering Cincinnati's battle with heroin

cincinnati.com

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Re: 60 journalists all spend one week covering Cincinnati's battle with heroin

#51
post #33

Earlier quoted context omitted.

> Perhaps you could include poverty and despair (and trace back from there to a collapsing education system, ideological pathology...). It's really not about that -- although that certainly contributes to some drug use. "The opioid epidemic began in the 1990s, when doctors became increasingly aware of the burdens of chronic pain. Pharmaceutical companies saw an opportunity, and pushed doctors — with misleading market…

Chronic pain is strongly correlated with poverty and low educational attainment. You can't separate medical, social and economic factors - they're far too deeply intertwined. https://www.ncbi.nlm.nih.gov/pubmed/28092650

You can because some poorer countries don't have an opiod epedimic. For example, opiod use is higher in West Virginia than Mexico.

Certainly true that comparative poverty plays a role but we need to first hold accountable those directly responsible.

http://geocurrents.info/wp-content/uploads/2012/05/Per-Capit...

Re: 60 journalists all spend one week covering Cincinnati's battle with heroin

#52
post #33

Earlier quoted context omitted.

Perhaps you could include poverty and despair (and trace back from there to a collapsing education system, ideological pathology...). It's hard not to see the opioid crisis as anything but an "ensemble effort" of everything that's falling apart in America - punctuated by the refusal of pundits and politicians to acknowledge these problems or move towards solving them. Edit: you could even say the willingness of drug…

> Perhaps you could include poverty and despair (and trace back from there to a collapsing education system, ideological pathology...). It's really not about that -- although that certainly contributes to some drug use. "The opioid epidemic began in the 1990s, when doctors became increasingly aware of the burdens of chronic pain. Pharmaceutical companies saw an opportunity, and pushed doctors — with misleading market…

I should probably use a throwaway, but I won't.

I'm an addict. I was a functional addict, for many years. When I retired, I no longer needed to be functional. Things went downhill quickly. Today, I am on Suboxone. It reduces the harmful behavior.

I tell you that as a way to share that I have some experience.

Anyhow, it was in the early-to-mid 70s when I first started. My first exposure was to codeine and morphine. Those were relatively easy to get. There just weren't a lot of people trying to get them.

Later, I'd relocate and heroin became easier to get. I'd sobered up in the Marines, mostly. But I'd still 'chip' and sometimes get morphine from legitimate sources. Off-base, heroin was pretty easy to get. It was, at that point, largely a drug used in the black communities.

To pay to survive through grad school, I'd return to the military. Again, I'd sober up a bit and sometimes chip, but drug testing was becoming more popular.

I'd get out, finish grad school, and continually using. I was the very definition of functional addict and did quite well for myself. I was always able to provide for my family and never had to beg, borrow, or steal my fix.

Then, the 90s came. Oh, we addicts were in heaven. They were throwing oxy out like candy, to anyone who asked. The prices were so cheap. The street price for an oxy 80 was $5. It was less if you bought in bulk.

It stayed like this for a while. It was like manna from heaven. Nobody used that wasn't already using, and the patients too which they were prescribed. It was not all that bad.

Sometime in the mid-2000s is when it all changed. You could tell that it changed, because the prices for that oxy 80 went from $5 to $80. You can expect to pay $120 for it, today.

I'm not going to speculate about what prompted the change. I'm simply giving a timeline of events.

Now, these prices coincided with the start of them really cracking down on prescriptions being diverted. It is also when I noticed the color of the heroin users skin changing. It was being consumed in the white communities, more and more.

The prescription drugs were, if nothing else, usually not counterfeit and consistent dosages. But, heroin was cheaper and, compared to some opiates, stronger. So, people did the natural thing and switched to heroin.

I'd also notice a lot more folks buying insulin needles. People were junking out all over the place. These people were probably popping pills or snorting pills, just a few years before.

Me? I'd move to fentanyl. I found a reliable source, learned to extract the drug, and would IV it. I can't complain, I had a good time.

Anyhow, part of the trouble comes from the crackdown on consistent quality and dosaged drugs. It's comfortable to place the blame on the pharmaceutical companies, but I think a larger discussion should be had about the right to ingest drugs of your choosing. People are going to do drugs. It seems better to minimize the harm than it does to push the uses into engaging in riskier activities.

Prohibition is woefully ineffective. We have a drug problem because it's not difficult to get drugs. It never will be difficult to get drugs.

Anyhow, there's some timeline and info. If you want to understand addiction, try this: I switched to fentanyl, straight, because I learned that was what was in the dope and was killing people. My thought was that I had to get some of that. And, to be honest, it's pretty damned powerful stuff. It will knock your dick in the dirt and make you feel like you're being embraced in a loving hug.

I'm not really sure what my point is. I mostly wanted to share a bit of the timeline, as I experienced it. I don't mind posting this attached to my username.

Re: 60 journalists all spend one week covering Cincinnati's battle with heroin

#53
Is this journalism or just a publicity stunt for journalists? And why is everything a "battle", "war", etc. War against drugs. War against terror. Battle against heroin.

And must everything be a "crisis". Maybe just knowing how the news industry works has me a bit cynical.

Anyways there is always a "crisis". A few years ago, there was the meth crisis. A few years before that, the ecstasy crisis. Before that there was the crack crisis. Before that the marijuana crisis. All the way to opium.

I guess as more things change, the more they stay the same.

Re: 60 journalists all spend one week covering Cincinnati's battle with heroin

#54
post #33

Earlier quoted context omitted.

> Perhaps you could include poverty and despair (and trace back from there to a collapsing education system, ideological pathology...). It's really not about that -- although that certainly contributes to some drug use. "The opioid epidemic began in the 1990s, when doctors became increasingly aware of the burdens of chronic pain. Pharmaceutical companies saw an opportunity, and pushed doctors — with misleading market…

If I was given an infinite supply of free heroin and all the time in the world to sell it to my neighbours, friends, family, workmates and anyone else in the locality then I would struggle to make a sale. My client base would be zero and I would have to go back to the day job. If you rewind America to before the opioid epidemic then that would be the situation for anyone aspiring to sell heroin in normal America. The…

Err... Heroin was available before the current epidemic. It was easy to find. There were plenty of sellers and users.

It may be that you are not a user? However, it was there and easy to find. A user can spot another user, though I'm not sure why. They look just like normal people, to you. Most users aren't homeless and dirty. They have jobs and houses. They have cars and families.

Heroin has been here for a long, long time. The dealers were making money for as long as I've been alive.

Source: Me. I started using in the 70s.

Re: 60 journalists all spend one week covering Cincinnati's battle with heroin

#55

Shocking to read. But what really shocks me is the amount of arrests mentioned for possession of heroin or syringes. When will the US (and the rest of the world) finally learn that locking users up just perpetuates the problem - you won't get a job with a criminal record, same for housing. All this arresting does is fill the coffers of (private) jails and creates needless suffering. Also, why do people keep calling t…

Families calling the cops is absolutely essential when the addicted person is harmful to others and refuses to get help, even if for understandable reasons (like fear of withdrawal). Hopefully the courts would offer a choice to get themselves interned into a rehabilitation house, like they do here, but that's a second step.

It took me eight months before I spoke to the police about a friend's addiction problems, plus a child protection issue (dealer selling crack and living life as a single mum). Looking back on it now with all the excuses I made for them, not talking to the police was enabling the habit. I thought I would never have reason to report a friend to the police, I could not imagine not being in that situation. You have to go a long way before you go to the police and out of love for someone tell them everything you know in the vain hope that the situation can change. Prison is better than hell or death. We tried other 'rock bottoms' but there is an end to the road plus you do have a responsibility to do the right thing, if my friend died and then I thought of the eight months that I sat on the fence, how would I feel then?

Not going to the cops about class A drugs is enabling. As per the law it is that intent to supply that is the detail, people buying these things are on it, they aren't accepting a cup of coffee at a friends, they are buying it.

There is shock and horror seeing someone die of addiction and this also stymies one's efforts to go to the police about the situation.

Re: 60 journalists all spend one week covering Cincinnati's battle with heroin

#56
post #28
post #20

Earlier quoted context omitted.

We don't have socialized (single-payer) medicine but we are still over-prescribing painkillers. Why do you think socializing medicine would change this? Do countries that have single-payer healthcare have more or less problems with heroin and prescription drug abuse?

I believe countries with single-payer healthcare have less problems with this, but they also have very different cultures around the amount of healthcare and drugs they provide. I can't see it being politically viable to impose single-payer-style restrictions on access to healthcare in the US any time soon.

Also, the US does more drugs, per capita, than the rest of the planet - unless those numbers have changed recently. It's probably a cultural thing, in some regards. We love our drugs.

Re: 60 journalists all spend one week covering Cincinnati's battle with heroin

#57

ibogaine. saved my life. it's sad more people don't know about this miracle. even sadder that government has chosen to outlaw the best available treatment for addiction that exists. please, if you or someone in your family suffers from drug addiction, especially heroin, please investigate ibogaine. seriously, just google it.

The fact that ibogaine, a drug with little if any neurotoxicity, is a Schedule 1 drug in the U.S. while millions of opioid pills get handed out every year to hopelessly addicted poor people makes me very, VERY upset. Does your government care if you live or die?

Only if you are an embryo.

Re: 60 journalists all spend one week covering Cincinnati's battle with heroin

#58
post #35
post #32

Earlier quoted context omitted.

Really? Take a look at everything else the federal government does and tell me it could possibly end up being anything better.

Sure, but that's the choice of people electing anti-government wreckers and crass opportunists, like that guy charging his security detail to stay in his own hotels. It's also the country that went to the moon. Your choice.

The US is not the country that went to the moon. That was their grandparents. The US is their poor, obese, undereducated, and overconfident offspring.

Re: 60 journalists all spend one week covering Cincinnati's battle with heroin

#59

Earlier quoted context omitted.

Chronic pain is strongly correlated with poverty and low educational attainment. You can't separate medical, social and economic factors - they're far too deeply intertwined. https://www.ncbi.nlm.nih.gov/pubmed/28092650

You can because some poorer countries don't have an opiod epedimic. For example, opiod use is higher in West Virginia than Mexico. Certainly true that comparative poverty plays a role but we need to first hold accountable those directly responsible. http://geocurrents.info/wp-content/uploads/2012/05/Per-Capit...

Overprescribing is undoubtedly a key part of the problem, but so is poverty. The opioid epidemic is having a vastly disproportionate effect on poor communities, in large part because poor people are vastly disproportionately likely to suffer from chronic pain.

Doctors didn't cause the crack epidemic in the 80s. We can't isolate any single factor, but must consider the problem in a holistic manner. Fixing the problem of overprescribing is a really important step, but the problems of poverty and addiction won't just disappear if we stop dishing out vicodin and oxcycontin.

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