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Safe injection sites in San Francisco could be first in the US

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Re: Safe injection sites in San Francisco could be first in the US

#121
post #119

Earlier quoted context omitted.

Oh please. Enough of your DARE rhetoric. I've been on hydromorphone. It's 8x more potent than morphine on a gram basis. Heroin is only 3x more powerful than morphine. I was on hydromorphone for 4 months, and then went DOWN to oxycodone for another 6 months. After 6 months, went on hydrocodone. By all measurements of addition, I was 100% addicted. Yeah, it felt good having the drugs. But I also quit taking them sooner…

And the problem is the people that are dying of heroin aren't the Silicon Valley tech workers with good jobs and homes that make up the majority of hacker news. They're people living in shithole towns like my hometown. The jobs left decades ago and people are just scraping by. They don't have enough savings to pack up and leave. I've got friends and family dying because it's way too accessible, and the idea of making…

> And the problem is the people that are dying of heroin aren't the Silicon Valley tech workers with good jobs and homes that make up the majority of hacker news.

My girlfriend grew up in a "1%" household. She developed substance abuse problems because she was born premature, because she was adopted, because of some "adverse childhood experience", and because her doctors thought she was a candidate for chemical castration with Provera (which makes some women suicidal).

"Stress" is the main factor in addiction. For some people stress is emotional, for others it's economic, and for others it's biological...

> I trust the average person to use heroin as responsibly as they'd use a military helicopter if they could afford one from a day's work--and that's not at all.

Do you trust organized crime to provide heroin to people who are going to use it anyways?

Re: Safe injection sites in San Francisco could be first in the US

#122
post #118
post #106

Earlier quoted context omitted.

Only about 10% of people who try heroin go on to become addicted. The first few tries just aren't pleasant. Cocaine or methamphetamine are probably more psychologically addictive, although not as physically addictive. And, for addicts, coming off heroin is unlikely to kill you. Coming off alcohol might.

10% is not a number to trivialize. I've noticed a lot of people on HN are for all drugs being legalized, but they look at it from the perspective of fairly wealthy and highly educated tech workers with stable lifestyles. Coming from a small town in the rust belt where people struggle to even imagine a future, heroin is way too easy of an escape. I think helping people who've become addicted is good, but these aren't…

> I think helping people who've become addicted is good, but these aren't things that should be legal and accessible for people to start using.

When addictive substances are illegal they're more accessible than when they're managed appropriately.

Johann Hari tells in Chasing the Scream about a city in the UK that used to have a legal heroin program. Addiction rates were a fraction of the rate of a nearby city with similar economic prospects. The difference was that the addicts who lived under prohibition had to advertise to their friends to support their habit.

Patients who could get what they needed from the NHS had no need to promote heroin/cocaine/etc to their friends.

Re: Safe injection sites in San Francisco could be first in the US

#123
post #119

Earlier quoted context omitted.

Oh please. Enough of your DARE rhetoric. I've been on hydromorphone. It's 8x more potent than morphine on a gram basis. Heroin is only 3x more powerful than morphine. I was on hydromorphone for 4 months, and then went DOWN to oxycodone for another 6 months. After 6 months, went on hydrocodone. By all measurements of addition, I was 100% addicted. Yeah, it felt good having the drugs. But I also quit taking them sooner…

And the problem is the people that are dying of heroin aren't the Silicon Valley tech workers with good jobs and homes that make up the majority of hacker news. They're people living in shithole towns like my hometown. The jobs left decades ago and people are just scraping by. They don't have enough savings to pack up and leave. I've got friends and family dying because it's way too accessible, and the idea of making…

> And the problem is the people that are dying of heroin aren't the Silicon Valley tech workers with good jobs and homes that make up the majority of hacker news. They're people living in shithole towns like my hometown.

First problem - assuming I'm in SV or other high tech areas. I'm not. I'm in south Indiana. By definition, it's a flyover state at best. BTW, most of Indiana is "shithole towns". Thanks for playing.

> The jobs left decades ago and people are just scraping by. They don't have enough savings to pack up and leave.

That's most of the USA, except for the sweet money in those big city coastal areas. Mining is done gone. Manufacture is gone - where it has come back, is 95%+ automated. IT work is menial tier 1 call center jobs, if you can find them. Trucking is still prevalent, but we all know where that's headed.

There's service jobs. That's what those sweet sweet '60s, '70s, and '80s jobs turned in to. Work your ass off for what, $8/hr? Or maybe you're "lucky" and got a $2.35/hr server job. Or maybe you work healthcare service. Oh, so you're an in-home-health aide? You physically help people with many tasks to be functional? Well, you're worth $7.35/hr . And you get to drive to and fro clients houses. And they will want you to drive them places... That's commercial driving so you're driving uninsured. Enjoy those sweet benefits.

> I've got friends and family dying because it's way too accessible, and the idea of making it legal and even more accessible doesn't appeal to me or my common sense.

Uh huh, like illegalization has made it impossible to get. Oh, that's right. That's why heroin is being cut with all sorts of shit, including fentanyl, strychnine, and other fun things. Many heroin users die cause their supply has been fucked with.

Legalizing it would provide a pure source, and accurate dosage. And it deprives criminal enterprises from capitalizing on these people. And people who are suffering real chronic pain can get their pain fix without dealing with a damned moralistic gatekeeper.

> So congrats on being able to take opiates and not have a problem. If you have stable employment, your situation is in no way relevant to the people this problem is afflicting.

More ass-umptions. I got in a nasty bike accident while working at starbucks. They put me on unpaid medical leave. Job didn't pay well to begin with, and their insurance ended up covering none of my physical therapy. Great insurance it wasn't. I was soon laid off for not being able to do the job. So yeah, I did over a year of opiates, while being unemployed and unemployable. Just blows your narrative all to hell, doesn't it?

> Addicts don't have a chance to just up and get a happier life.

Did it occur to you, that drugs provide a temporary "happier life"? Our society sure as hell isn't interested in fixing these chronic problems of homelessness, lack of food, poverty. They're still thrown away - out of sight, out of mind. Or, it's their problem for being lazy or laggard or making bad choices or getting the wrong degree or joining the military.

So yeah, if we're not willing to start providing ways up for these people, then yeah, provide drugs. It at least provides a snapshot of "not suffering", albeit for a while.

Re: Safe injection sites in San Francisco could be first in the US

#124
post #13

In days gone by, heroin addicts knew how much heroin they needed to 'stay well'. A major factor in the escalation of deaths in the modern era is the contamination of the street pharmacy's heroin supply with more potent synthetic opioids (fentanyl, etc). Overdoses happen when street drugs are more potent than the user expects, or when the user's tolerance has changed. Two factors in my girlfriend's OD were having been…

> Until the politicians find courage to acknowledge that it was a mistake to trust organized crime to control the supply of addictive substances, [...] What would be a better solution in your opinion? Legalizing it, or allowing it with prescription? I see some problems with those alternatives as well; there's probably no magic bullet here.

[deleted]

Re: Safe injection sites in San Francisco could be first in the US

#125
post #118
post #106

Earlier quoted context omitted.

Only about 10% of people who try heroin go on to become addicted. The first few tries just aren't pleasant. Cocaine or methamphetamine are probably more psychologically addictive, although not as physically addictive. And, for addicts, coming off heroin is unlikely to kill you. Coming off alcohol might.

10% is not a number to trivialize. I've noticed a lot of people on HN are for all drugs being legalized, but they look at it from the perspective of fairly wealthy and highly educated tech workers with stable lifestyles. Coming from a small town in the rust belt where people struggle to even imagine a future, heroin is way too easy of an escape. I think helping people who've become addicted is good, but these aren't…

10% is the rate of the people that ever try, and those are currently likely to be the people that are predisposed to develop an addiction. I don't think this can be generalized to the whole population.

> but these aren't things that should be legal and accessible for people to start using.

Then impose a full ban on alcohol as well? It's about as addictive and ranks higher in danger to health than heroin. And it's pretty much freely available to any adult. Well, the US tried, it didn't work out all too well.

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