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Washington faltered as fentanyl gripped America

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Re: Washington faltered as fentanyl gripped America

#241
post #47

Earlier quoted context omitted.

Prescription drug sales reps market to doctors , attempting to convince them to prescribe certain drugs more frequently. Who pays for the drugs is largely irrelevant to that interaction, but I wouldn't be shocked to learn it's illegal in the UK.

> Prescription drug sales reps market to doctors, attempting to convince them to prescribe certain drugs more frequently. I dated a girl who went into pharmaceutical sales. They're basically bribed. They get kickbacks in some form or fashion. They get invited to speak a medical conferences by drug company reps, those conferences just happen to be at luxury retreats.

Not really. The speakers are paid for their time and get a free meal. But those in the audience get a free meal, which you can't bring a non-medical person to, and which most doctors could easily afford on their own.

Medical students and residents will attend these, because they can't afford to eat those meals.

Now, the device industry... that does not operate under the PhRMA rules.

The one drug I've ever given a talk for (sugammadex, trade name Bridion) is an excellent drug that has a unique mechanism of action for which there is absolutely no equally-efficacious substitute. It is expensive, at around $90 a vial cost to the hospital, but it can and has prevented overnight ICU stays that would have cost the hospital far more. I was a big fan of the drug even before it was released in the US, so I didn't need a bribe to do the talk. But if they're going to pay someone, I saw no reason it shouldn't be me. I didn't say anything I didn't already believe.

Re: Washington faltered as fentanyl gripped America

#242
post #102
post #99

Earlier quoted context omitted.

And yet, it never got as bad as right now. Congrats, prohibition has made the situation worse.

I don't know that that follows. Fentanyl's cost to the end user is like 100x cheaper than 19th century opium (or more? I can't find data but that's probably about right). Don't market economics explain the issue better than regulatory decisions?

I would say safe consumption (of a not random concentration) matters, particularly as reflected in the death toll.

Re: Washington faltered as fentanyl gripped America

#243
post #55
post #19

The phrase "leading cause of death" has circular reference there. Each article is pointing to the other. I wanted to see where they got that figure. At the bottom of the current article it says "in a provisional tally seven months ago, [The Centers for Disease Control and Prevention] calculated the overall number of drug overdoses at 107,622. Two-thirds were due to fentanyl." So fentanyl is the drug most people overd…

It's not laid out explicitly, but you can see the numbers here and pull the 2 textual representations to get the detail: "Top Ten Leading Causes of Death in the U.S. for Ages 1-44" https://www.cdc.gov/injury/wisqars/animated-leading-causes.h... "Unintentional Injury" holds overdoses, which are called "unintentional poisoning" in the breakdown in the bottom chart. For 2020: 80,208 Unintentional Injury deaths (consisti…

Following your limk it appears to me that only 46.6% [1], or 23132 deaths, of the unintentional poisoning deaths are classified as X42, or “Accidental poisoning by and exposure to narcotics and psychodysleptics [hallucinogens], not elsewhere classified” [2]. I can”t find any further split into fentanyl and non-fentanyl among those.

[1] https://wisqars.cdc.gov/data/lcd/drill-down?lcd=eyJjYXVzZXMi...

[2] https://icd.who.int/browse10/2015/en#!/X40-X49

Re: Washington faltered as fentanyl gripped America

#244
post #203

Earlier quoted context omitted.

You suspect the CDC would massage their messaging to manipulate (nudge?) public opinion towards achieving a desired outcome, rather than just straightforward factual scientific reporting the likes of which most people would expect?

Hard to speculate on motivation, but it's very odd that the information is arranged in a way that makes it very difficult to figure out "overdoses are the #1 killer of people aged 1-44".

Is there any reason to believe this has been changed from the 5 years or so ago when overdoses were not the #1 killer?

Re: Washington faltered as fentanyl gripped America

#245

Earlier quoted context omitted.

It's worse than neither side agreeing on a fix. One side claims it's a mental health issue and then cuts funding for mental health. https://www.businessinsider.com/abbott-cut-mental-health-ser...

Their view is mental health breakdown is a part of a larger social-structure breakdown and no amount of spending will fix that problem. Not all solutions can be fixed with infinite dollars. So no, it isn’t “worse than that.” Meanwhile we have folks creating problems then taxing the populace then shifting tax dollars to unaccountable private sector friends and donors. True problems.

They also prevent social measures to help reduce mental health issues.

Re: Washington faltered as fentanyl gripped America

#246

Earlier quoted context omitted.

San Francisco has 0 safe usage sites. I think the U.S. overall has low single digits. And even those exist in an extremely dubious legal space, requiring the cops to turn a blind eye to their existence.

NYC does and the problem got worse :/

Any links for this? The evidence I saw a while ago showed that they had 0 deaths and the staff had in fact saved many people from ODs already.
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