Showing posts with label Drug culture. Show all posts
Showing posts with label Drug culture. Show all posts

Saturday, November 11, 2017

Be Careful What You Sniff In Canada

A new crisis is developing in Canada and it’s not the housing bubble.


A far more sinister one, that is taking the country by storm, as a new wave of fentanyl has washed up on the shores of Canada from an unknown origin most likely China, and has made it onto city streets.


To our friends in the business district of Toronto, be - careful what you sniff - it might contain fentanyl. 



Here’s why:


The number of positive tests for fentanyl in samples of heroin seized by law enforcement agencies across Canada have exploded. Health Canada’s Drug Analysis Service (DAS) revealed to CBC News that in 2012 .08% of 2,337 heroin samples tested positive for fentanyl. Fast forward to today and that number stands at 60.1% of 3,337 heroin samples, an astronomical jump visualized below.


Seems as China has turned on the fentanyl spigot in 2016 and 2017…



Over the past five-years of tests, marijuana samples seized by law enforcement agencies contained no fentanyl. But on a more interesting note, cocaine and methamphetamine seized by law enforcement agencies reported an increase. A potential health hazard for the modern day bankers in Toronto…..




The most common drugs the service tests for include marijuana, cocaine, methamphetamine, fentanyl, heroin, hydromorphone, oxycodone, MDMA, alprazolam and GHB.


 


Fentanyl was not identified in any of the marijuana samples tested over the five-year period, while cocaine and methamphetamine saw increases from 0.01 per cent to 1.8 per cent and zero per cent to 1.7 per cent, respectively. Overall, the figures are stark. In 2012, only 217 of the street drug samples tested positive for fentanyl. Just as the number of lives claimed by the deadly opioid has skyrocketed since then, so too has the number of times fentanyl has showed up in samples of illegal street drugs. As of Sept. 30, DAS found fentanyl in 4,568 samples this year – an increase of 2,005 per cent.





According to Dr. David Juurlink, head of clinical pharmacology and toxicology at Sunnybrook Health Sciences Centre in Toronto:


“...the exponential increase of street drugs testing positive for fentanyl over the last five years doesn’t surprise.The illicit drug supply has never been more dangerous because of the profusion of fentanyl-related compounds. This is why so many people are dying. They’re dying because the drugs they’re using contain, you know, much more opioid than they thought.”




In fact, Juurlink is right as shown below...



Dr. Michael Krausz, a professor of psychiatry specializing in addiction at the University of British Columbia, explains drug dealers “want to save money or make higher profits”, so fentanyl is mixed into drugs like heroin or cocaine to stretch their supplies.



Krausz also said drug dealers are not skilled enough to keep fentanyl doses in a survivable range while mixing it with heroin or cocaine, which is why many experts believe overdoses are occurring. Simply, the end user is not realizing what he/she is getting and ends up dead.


Juurlink said several factors sparked fentanyl’s rise:


  • increase in demand for opioids as overprescription of painkillers led to addiction

  • flood of prescription medication

  • fentanyl patches

  • blackmarket

In British Columbia, 80% of the street drugs are laced with fentanyl. Four mothers who have lost their sons to overdoses advocate for state controlled drugs.


The Globe And Mail explains: Fentanyl’s deadly path


China is a key source of illicit fentanyl coming to Canada in response to demand from prescription-painkiller addicts as well as users of street drugs, traffickers are turning to a pharmaceutical-manufacturing giant to produce deadly, black-market versions of fentanyl, according to the RCMP.



Across Canada, police are seizing illicit fentanyl from China - Three examples from 2015: A package of fentanyl declared as a muffler was stopped on its way to Calgary; a man in Brampton, Ont., was charged with importing more than 500 grams of the drug; and a parcel destined for Halifax was found to contain 514 grams, worth about $1-million.



Once the drug is in, it is processed – often in Western Canada - Because illicit fentanyl and fentanyl analogues are so potent, the white powder is cut or mixed with other drugs and fillers, before it can be sold on the street. Most of the 21 clandestine labs dismantled by police since 2013 operated in British Columbia and Alberta, according to a Globe and Mail analysis.



Bootleg fentanyl is highly lucrative - The math works like this, according to Edmonton physician Hakique Virani: A kilogram of pure fentanyl powder costs $12,500. A kilo is enough to make 1,000,000 tablets. Each tab sells for $20 in major cities, for total proceeds of $20-million. In smaller markets, the street price is as high as $80.



Fentanyl has been found in police busts all over the country -  The first known fentanyl seizure in Canada was from a clandestine lab in Montreal in April, 2013. Since then, police have busted traffickers in almost every province and the Northwest Territories, for a total of 58 across the country, according to The Globe’s analysis.



Bottom line: China is flooding North America with fentanyl through shipping routes into Canada. The opioid crisis is far from over and its about to kick into hyperdrive. The one question we ask: how will bankers in Toronto and or on Wall Street deal with the very real possibility their blackmarket stimulants could contain fentanyl?









Saturday, October 28, 2017

OxyContin Nation: Meet The Billionaire Family Who Helped Spark America"s Opiod Crisis

Via StockBoardAsset.com,


Unbeknownst to many, the Sackler Family, with assets of $13 billion, the nation’s 19th wealthiest family is one the top players in philanthropy. You can find the Sackler Gallery in the Smithsonian museum in Washington, D.C. or visit the Sackler wing at the Metropolitan Museum of Art in New York City. The Sackler’s even have a museum at Harvard, Guggenheim, and dozen of universities around the country. If it’s art— the Sackler family has it.


Participating in the art game takes money and a lot of it. So, where does the Sackler money come from?



According to Forbes, the “Sacklers continue to reap hundreds of millions of dollars in profits from the businesses in 2016– some $700 million last year, by Forbes’ calculations - from an estimated $3 billion in Purdue Pharma revenues plus at least $1.5 billion in sales from their foreign companies”.


Forbes outlines a brief history lesson of how the Sackler family got started in the world of medicine-




The family fortune began in 1952 when three doctors — Arthur (d. 1987), Mortimer (d. 2010) and Raymond Sackler — purchased Purdue, then a small and struggling New York drug manufacturer. The company spent decades selling products like earwax remover and laxatives before moving into pain medications by the late 1980s. To create OxyContin, Purdue married oxycodone, a generic painkiller, with a time-release mechanism to combat abuse by spreading the drug’s effects over a half-day.


 


The FDA approved the medication in 1995 and it soon took off. By 2003 OxyContin sales hit $1.6 billion as the drug helped drive a huge nationwide spike in opioid prescribing. At its peak in 2012, doctors wrote more than 282 million prescriptions for opioid painkillers, including OxyContin, Vicodin and Percocet  — nearly enough for every American to have a bottle.


 


Now opioid prescriptions are declining amid increased scrutiny over drug addiction, down 12% since 2012 according to data from healthcare information firm IMS Health. OxyContin (which is also beginning to face competition from authorized generics while fighting to protect its patents over tamper-proof, extended-release oxycodone) saw prescriptions fall 17%.  




It wasn’t until the 1980’s, as explained by Forbes, the Sackler family through their family-owned drug company called Purdue Pharma created OxyContin. Then in 1995, the FDA approved the medication and sales exploded. Sales hit $1.6 billion in 2003, as a nationwide spike in opioids was seen. By the peak in 2012, doctors wrote more than 282 million prescription for opioid painkillers, such as OxyContin, Vicodin and Percocet. Good times for the Sacklers from 1996- 2012, as the family drug business exploded.



According to The New Yorker, Oxycontin ” has reportedly generated some thirty-five billion dollars in revenue for Purdue” since 1995. OxyContin’s sole active ingredient is oxycodone, a chemical cousin of heroin, which makes it highly addictive.


The New Yorker further says Purdue used marketing techniques to deceive the American public of the drug’s true addictive characteristics.




Purdue launched OxyContin with a marketing campaign that attempted to counter this attitude and change the prescribing habits of doctors. The company funded research and paid doctors to make the case that concerns about opioid addiction were overblown, and that OxyContin could safely treat an ever-wider range of maladies. Sales representatives marketed OxyContin as a product “to start with and to stay with.” Millions of patients found the drug to be a vital salve for excruciating pain. But many others grew so hooked on it that, between doses, they experienced debilitating withdrawal.




Oddly enough, around the time OxyContin was approved, prescription opioid deaths across the United States surged. Fast forward to more relevant times, where heroin and fentanyl deaths are exploding.



Diving into the opioid crisis onto the streets of Baltimore. It’s very common to see local citizens shooting up heroin on city streets. In this video, I asked a man how did this addiction start? Guess what he said?... It all started with legal painkillers, such as OxyContin. 



As a few parasitical elites make billions flooding America’s streets with opioids. We the every day American citizen have to deal with the consequences, as President Trump outlined in yesterday’s opioid crisis speech:


  • In 2016, more than two million Americans had an addiction to prescription or illicit opioids.

  • Since 2000, over 300,000 Americans have died from overdoses involving opioids.

  • Drug overdoses are now the leading cause of injury death in the United States, outnumbering both traffic crashes and gun-related deaths.

  • In 2015, there were 52,404 drug overdose deaths — 33,091 of those deaths, almost two-thirds, involved the use of opioids.

  • The situation has only gotten worse, with drug overdose deaths in 2016 expected to exceed 64,000.

  • This represents a rate of 175 deaths a day.

Bottomline: It’s time for the American people to learn the truth about the opioid crisis and the very few elites who have profited. The question You should ask: why did our government allow this to happen?









Friday, October 13, 2017

"Worse Than Big Tobacco": How Big Pharma Fuels The Opioid Epidemic




“I used to think that there was nothing more reprehensible than what the tobacco industry did in suppressing what it knew about the adverse effects of an addictive and dangerous product,” says Berger.



“But I was wrong. The drug makers are worse than Big Tobacco.”



The U.S. prescription drug industry has opened a new frontier in public havoc, manipulating markets and deceptively marketing opioid drugs that are known to addict and even kill. It’s a national emergency that claims 90 lives per day. Berger lays much of the blame at the feet of companies that have played every dirty trick imaginable to convince doctors to overprescribe medication that can transform fresh-faced teens and mild-mannered adults into zombified junkies.


So how have they gotten away with it?


A Market for Lies


The prescription drug industry is a strange beast, born of perverse thinking about markets and economics, explains Berger. In a normal market, you shop around to find the best price and quality on something you want or need - a toaster, a new car. Businesses then compete to supply what you’re looking for. You’ve got choices: If the price is too high, you refuse to buy, or you wait until the market offers something better. It’s the supposed beauty of supply and demand.


But the prescription drug “market” operates nothing like that. Drug makers game the patent and regulatory systems to create monopolies over every single one of their products. Berger explains that when drug makers get patent approval for brand-name pharmaceuticals, the patents create market exclusivity for those products—protecting them from competition from both generics and brand-name drugs that treat the same condition. The manufacturers can now exploit their monopoly positions, created by the patents, by marketing their drugs for conditions for which they never got regulatory approval. This dramatically increases sales. They can also charge very high prices because if you’re in pain or dying, you’ll pay virtually anything.


Using all these tricks, opioid manufacturers have been able to exploit the public and have created a whole new generation of desperate addicts. They monopolize their products and then, as Berger puts it, “market the hell out of them for unapproved and dangerous uses.”


Opioids are a drug class that includes opium derivatives like heroin (introduced by German drug maker Bayer in 1898), synthetics like fentanyl, and prescription painkillers like oxycodone (brand name: OxyContin). A number of factors are aggravating the addiction crisis: There has been a movement in medicine to treat pain more aggressively, while at the same time wide-ranging economic distress has generated a desire to escape a dismal reality. But a key driving force is doctors—who have been wooed by pharmaceutical marketing reps—overprescribing for chronic pain.





“For the first time since the years after heroin was invented,” writes investigative journalist Sam Quinones in Dreamland: The True Tale of America’s Opiate Epidemic, “the root of the scourge was not some street gang or drug mafia but doctors and drug companies.”



Doctors were once reluctant to write prescriptions for opioids. The U.S. drug regulator, the Food and Drug Administration (FDA), would only approve such drugs for severe cases like cancer patients in chronic agony or certain people in short-term pain after, say, an operation. But representatives of Connecticut-based drug maker Purdue, which released OxyContin in 1996, along with other companies, began to flood doctors’ offices with reports asserting that using the drug for off-label purposes was harmless. Often the targets were primary care physicians with little training in addiction. Have a chronic arthritis case? Give your patient OxyContin. Tell folks take it every day, for weeks, even years, to treat just about any kind of chronic pain. The upshot was addiction —typically not because people were getting high for fun, but because they used a legal drug in precisely the way the doctor ordered.


Purdue and others whisked doctors to stylish retreats to push them to prescribe drugs for uses not approved by U.S. regulators—a marketing strategy banned by federal law. They even created fake grassroots organizations to make it seem as though patients were demanding more prescriptions. Pharmaceutical companies like to dodge responsibility for the opioid crisis by blaming dishonest distributors and pointing out that they’re not the ones prescribing or handing out drugs to patients. True enough: They don’t need to, because they’ve done their work hooking you long before the drug is in your hands.





“The marketing is not only fraudulent; it’s incredibly elaborate,” says Berger.



“Fake scientific studies promote the lie that opioids are better than other medications for pain. They’ve gone to just about any length. Bribery, you name it. It’s outrageous.”



OxyContin is so addictive that it can create physical dependency in a matter of weeks. As drug makers and doctors who began to dole out pills by the handful in pain clinics learned, addicts do not behave like ordinary consumers. They don’t “choose” to buy or to wait until next week. They need their drug right away and will do anything to get it because if they don’t, they will suffer excruciating symptoms.


A Los Angeles Times report shows that among the lies Purdue spread about OxyContin was that one pill subdued pain for twelve hours. Except that for many patients it wears off much sooner, exposing them to horrific pain and withdrawal. Purdue knew this, but feared lower sales if it admitted the truth. So sales reps advised doctors to just give stronger doses, which increased the addiction risk.


As the money from hooked patients piled up, so did the bodies. So many bodies that earlier this year the Ohio Coroner’s Office found nowhere to store them


In 2007, Purdue pleaded guilty in federal court in Virginia to misleading doctors and patients about OxyContin’s safety and paid a $600 million fine. But that sum was hardly an annoyance. From 1995 to 2015, Purdue made $35 billion from OxyContin sales alone. The Sacklers, who own the company, are now one of the richest families in America, as revealed by this triumphant Forbes spread. They know that lax regulation keeps the heat off, and that even litigation and criminal prosecutions can do little to stop them. Berger says that until such legal programs are massive in scale and scope, companies will go on with business as usual.


“We have to have injunctive relief [a court order to stop a behavior] that bans the marketing to doctors of opioids completely for unapproved uses, as well as an expansion of the FDA and DEA [Drug Enforcement Agency] to specifically target the drugs,” says Berger. His law firm, Berger & Montague, is involved in the effort to seek relief for the city of Philadelphia, which has seen above-average opioid prescribing and suffered the highest rates of fatal drug overdoses in the state last year.


Even though prescriptions have been slightly reduced across the country since 2012, Philadelphia is finding out what happens to many people hooked on opioids when they can’t get a prescription or find the price too high: They turn to smack. Fatal overdoses of heroin, oxycodone’s close cousin, have been skyrocketing since 2007 across the country.


“Landscapes of Despair”


The opium poppy has been part of human history since at least 3,400 B.C. when it was cultivated in Mesopotamia as the “joy plant.” Derivates, such as laudanum and morphine, offered more convenient and, people wrongly believed, safer ways to get the plant’s benefits. Bayer originally touted heroin as a non-addictive substitute for morphine, even for children, until it was outlawed in the U.S. in 1925. Rendering it illegal did not stop it from destroying the lives of many of America’s most celebrated artists, from Billie Holiday to Philip Seymour Hoffman.


Drug overdoses now kill more people than gun homicides and car crashes combined. In 2015, nearly two-thirds of all overdoses had one thing in common: opioids. As more and more names appear in the obituaries linked to opioid overdoses, most recently Buddhist teacher Michael Stone, Americans begin to wonder who is next.


Syracuse University’s Shannon Monnat, a sociologist focused on rural issues and an INET grantee, has been studying the epidemic and how it impacts various populations. Her research reveals that the rise in drug-induced deaths has been especially sharp among middle-aged people (45-55), with prescription opioid overdoses increasingly impacting both middle-aged and older populations. Heroin, whose sedating and euphoric effects are very similar to prescription opioids, looks to be the culprit in more young adult overdoses.


Monnat considers how the opioid crisis points to bigger societal problems impacting the economy, educational institutions, the health care system, political systems, and communities. Her work centers on investigating the characteristics of what she calls “landscapes of despair”—places where people are hurting economically and socially, like Appalachia, the Industrial Midwest, and parts of New England. She points out that persistent disadvantage and long-term poverty are clearly connected to the opioid crisis, noting that many of the areas most impacted were once robust centers of manufacturing before jobs moved to other countries.


Opioid addiction seems to thrive in downwardly mobile small cities in rural areas—but not all of them.





“What’s fascinating is that some of these areas have very high mortality rates from drug overdose, like Appalachia,” say Monnat.



“But others, like the Southern “Black Belt” [a region which stretches across Alabama and Mississippi], have not seen such rises.”



Originally named for its rich, dark, soil - which attracted cotton planters in the 19th century - the Black Belt has a large African American population. The area has a history of unremitting poverty, low incomes, high unemployment, and high mortality. Yet despite many hardships, which are linked the legacy of slavery, Monnat says that the region is also distinct for its “very tight-knit communities, strong kinship networks, and other networks where people can find emotional support.” It seems that when people have somewhere to turn in hard times, they may build up immunity to an epidemic like the opioid scourge.


Ironically, another factor that may have protected these communities is prejudice, as Quinones discusses in Dreamland. The low-profile heroin dealers originating from a small municipality on Mexico’s west coast who are associated with the current opioid scourge have tended to fear black Americans, preferring to target white communities. They also avoid big cities where large cartels are already established. So small, predominately white towns are their sweet spot.


Appalachia is known for kinship networks, but it also has a legacy of isolation and an outlaw tradition associated with the history of moonshining and bootlegging which can feed into today’s underground selling and distribution of opioid drugs. In this region, much of the struggling white working class has experienced economic distress with little hope of relief from America’s political system. Democrats often openly disdain “rednecks” and “hillbillies” while concentrating on identity politics rather than economic hardship. Republicans promote policies of free trade and deregulation that cast the region further into destitution.


Monnat has found that counties with large numbers of people employed in physical labor—especially occupations with higher rates of disability—have higher rates of drug fatalities. These are places where coal miners work in backbreaking positions and military veterans suffer the pain of injuries. She observes that drug companies have besieged these areas with aggressive marketing of pain pills. “In Appalachia, you’d see mining companies with physicians on staff prescribing opioids to keep people in pain working,” she says. “That was happening before OxyContin, but companies like Purdue targeted these communities to push OxyContin as a safer alternative to other pain medications.”


The National Institutes of Health (NIH) report that the opioid epidemic, which started as a regional crisis, is now a national crisis. It casts a pall over far more than individual lives; it is now decimating communities and even helping to reshape the American political landscape. Monnat finds a relationship between the landscapes of despair and the 2016 presidential election. Voting patterns show that areas in which President Trump did better than expected, like Pennsylvania and Ohio, were also places where opioid overdoses and deaths from alcohol and suicide occurred at high rates over the past decade.


During his campaign, Trump expressed concern for people in regions like Appalachia and flung stinging barbs at the politicians who had failed them. These voters supported him in high numbers, and yet sadly, his policies will likely give more power to the pharmaceutical companies that have turned their suffering into stock windfalls.


Profit Trumps People


Trump the campaigner shook his fist at Big Pharma for “getting away with murder” - one of those statements that occasionally drops from his lips with atomic accuracy. But Trump the President has done an about-face. As journalist David Dayen has pointed out, a draft of an executive order on drug prices (which never materialized) called for deregulation of the FDA and favors to industry. It was written by none other than a pharmaceutical lobbyist.


In March, President Trump issued an executive order creating a commission to study drug addiction and the opioid epidemic. The commission, headed by New Jersey Governor Chris Christie, has so far released recommendations which locate the overprescribing problem “in doctor’s offices and hospitals in every state in our nation,” while making nary a mention of pharmaceutical marketing departments.  The panel suggests insufficient remedies like new treatment facilities and educating schoolchildren on the dangers of opioids, along with ineffective ones like more funds to Homeland Security. Regulation of Big Pharma? Nope.


The federal government did announce that it would team up with drug makers to research and generate non-opioid pain medications and additional medication-assisted treatment options. Among the participants? Purdue.


Economist William Lazonick of the University of Massachusetts Lowell and an INET grantee, agrees with Berger that the way the pharmaceutical industry operates amounts to a catastrophe for the public.





“It’s crazy that each and every drug is not treated like a regulated monopoly,” he says. “Taxpayers fund much of the research that goes into creating these drugs through the NIH and other public research facilities. Moreover, the companies are gifted with a monopoly through patents which last two decades.”



Lazonick notes that Big Pharma claims that it needs high profits to keep inventing new drugs, but it spends more of its profits buying back its own stock than increasing investment in R&D on new drugs. Executives running drug companies are incentivized to make profits any way they can because they are rewarded by high stock prices. Lazonick explains that they stoke those stock prices by gouging patients or lying about the safety of products—whatever it takes.


He observes that for the past several decades America has undergone a devastating experiment based on the philosophy of economist Milton Friedman, who claimed that the only social responsibility of a company is to make a profit. Untimely deaths from tobacco-related illnesses, auto safety failures, and now, harmful opioid drugs, prove that the experiment is a tragic failure.


Lazonick sees the need for nothing less than a new structure of corporate governance that ensures the ethical responsibly of drug makers to do what they are supposed to do: create high-quality, low-cost products that are safe. The current structure, based on the misguided idea that companies should be run for the sole purpose of enriching shareholders, is particularly perverse when it comes to products that are potentially fatal. The problem with this model is that when shareholders are the only people who matter, the rest of us suffer.


Since taxpayers support pharmaceutical companies by funding public research and many other things they require to do business, Lazonick says it is only fair and logical that someone representing the public sit on their boards. Berger adds that companies should be required to make drugs widely available at affordable prices in return for their use of publicly-funded, basic research at no cost whatsoever.


America, for the time being, stands out among nations in letting pharmaceutical companies run amok to inflate drug prices, advertise and market drugs without proper regulation, and use taxpayer resources while exposing them to egregious harm.


“The only thing America’s drug companies are competitive about,” says Lazonick, “is getting people addicted."

Sunday, September 10, 2017

Here Are The California Counties Where Annual Opioid Scripts Outnumber People

The California Department of Public Health just dropped some staggering statistics about the level of opioid abuse in America"s progressive paradise of the left coast.  As the Sacramento Bee points out, there are a remarkable number of counties in California where annual prescriptions for pain killers actually exceed the population.  





Trinity County is the state’s fourth-smallest, and ended last year with an estimated population of 13,628 people.



Its residents also filled prescriptions for oxycodone, hydrocodone and other opioids 18,439 times, the highest per capita rate in California.



Besides Trinity, other counties with more prescriptions than people include Lake, Shasta, Tuolumne and Del Norte counties. In the Sacramento region, El Dorado, Placer and Sacramento counties had prescription rates above the statewide average, with Yolo County slightly below the state average.



A county’s prescription total represents all opioids dispensed via prescriptions filled at a pharmacy and tracked by the state. Statewide, 15 percent of Californians were prescribed opioids in 2016, ranging from 7.3 percent of residents in tiny Alpine County to almost 27 percent in Lake County.



As might be expected, the scripts per capita are highest in California"s more rural northern counties.




So who is participating most in this deadly epidemic?  Well, according the Centers for Disease Control and Prevention, the biggest abusers of opioids are high-school educated, unemployed, white people living in small towns...





“The following characteristics were associated with higher amounts of opioids prescribed: a larger percentage of non-Hispanic whites; higher rates of uninsured and Medicaid enrollment; lower educational attainment; higher rates of unemployment; (small-town) status; more dentists and physicians per capita; a higher prevalence of diagnosed diabetes, arthritis, and disability; and higher suicide rates,” concluded the authors of a Centers for Disease Control and Prevention study released in July.



“What you’re seeing in California is what you’re seeing in many parts of the country, including Oregon,” Korthuis said. “There are still a lot of rural counties around the U.S. that are awash in prescription opioids.”



...oh, and grandma and grandpa are getting high on the reg as well.





In California, residents aged 15 to 29 got 1.7 million prescriptions in 2016, representing 7.2 percent of the state total. That’s down from the 1.9 million prescriptions in 2015, which represented about 7.8 percent of the state total. The age range that featured the largest prescription rate increase were 70- to74-year-olds, whose prescriptions grew from almost 1,354 per 1,000 people in 2015 to 1,394 per 1,000 people in 2016.





Of course, growth in opioid addiction is hardly just a California phenomenon.  According to the CDC"s Annual Surveillance Report of Drug-Related Risks and Outcomes, addiction-related deaths are far more prevalent in the rural "rust-belt" states of the Midwest.




Meanwhile, the epidemic is growing far more severe every year with overdose deaths up 167% across the country since 1999.





The rate of drug overdose deaths increased from 6.1 per 100,000 population in 1999 to 16.3 in 2015; for unintenttional drug overdose deaths, the rate increased from 4.0 per 100,000 in 1999 to 13.8 in 2015; for drug overdose deaths involving any opioid, the rate increased from 2.9 per 100,000 in 1999 to 10.4 in 2015 (p<0.05); for unintenttional drug overdose deaths involving any opioid, the rate increased from 2.1 per 100,000 in 1999 to 9.3 per 100,000 in 2015 (p<0.05). For all four categories of drug overdose deaths, increases in rates were largest from 2013 to 2015, with the rate increasing on average by 9% per year for overall drug overdose deaths (p<0.05), 11% per year for unintenttional drug overdose deaths (p<0.05), 15% per year for drug overdose deaths involving any opioid (p<0.05), and 16% for unintenttional drug overdose deaths involving any opioid (p<0.05).





But don"t worry too much because, as Princeton Economist Alan Krueger told us yesterday, there is a simple solution to the opioid epidemic in the U.S...apparently it can all be solved with just a little more Obamacare.

Tuesday, August 22, 2017

The Real Cause Of America&#039;s Opioid Epidemic

The Opioid epidemic is spreading across the heartland of America. The number of drug overdose deaths from both prescription (e.g., Oxycontin) and black market (e.g., heroin) opiates exceeded 30,000 in 2015. Initial estimates for 2016 indicate yet another new record of deaths. It is such an enormous problem that I taught a special class on it at our undergraduate instructional conference, Mises University, which you can listen to here.


Recently the Commission on Combating the Opioid Crisis issued a preliminary report and recommended that the president declare a national emergency.


From 2002 to 2015 the number of such deaths has increased by 280%. The chart below shows that prescription opiates were the main contributor from 2002 to 2011. Illicit opiates have been the main contributor since:



opioid.gif


It is vitally important that we understand what is causing this epidemic and even more important, how do we solve it. Plus, we need to avoid becoming a victim of it. In the past, most people ignored the issue of drug overdoses as merely an urban “junkie” problem, but this epidemic is hitting ordinary Americans such as coal miners, teachers, and high school football players.


The Washington Post asserted that the problem arose because of “aggressive marketing” on the part of the pharmaceutical companies that sell opiate painkillers. Others on the left think it is an arbitrary explosion of demand. They make it sound like market failure, but the “aggressive marketing” was not slick TV commercials. Rather, the drug companies targeted doctors, not consumers. They provided many lucrative carrots to doctors and spent resources lobbying to change regulations and pain prescribing guidelines in order to rig the FDA/AMA system in their favor.


In terms of solutions, leftists advocate spending lots of more money on just about everything they can think of, especially drug addiction treatment programs, but such programs are both extremely expensive and ineffective.


Conservatives tend to think of the cause of the epidemic in terms of the evil Mexicans and Chinese, along with street dealers and drug gangs. The Trump administration thinks that building the Mexican wall will help. They have also advocated for policies that have been demonstrated to be failures, such as expanding minimum mandatory prison sentences and asset forfeiture programs. They think expanding the D.A.R.E. program will help solve the problem, but several government-sponsored reports have discredited the effectiveness of the Drug Awareness Resistance Education program.


The real cause of this epidemic is various government policies and the real solution is the dismantling of those same policies, in perpetuum.


The Four Causes


Let us start with drug prohibition which dates back to the Harrison Narcotic Act of 1914. Drug prohibition results in a black market where illegal products are not commercially produced and where suppliers are not constrained by the rule of law and product liability law. The result is that illegal drugs are more dangerous than legal drugs. Potency varies greatly from batch to batch and products often contain dangerous impurities and substitute ingredients. Opiate overdoses often occur when an addict is unaware that a particular dose is highly potent or contains Fentanyl, a pain medication that is 50 to a 1,000 times more potent than morphine.


The next cause is called the Iron Law of Prohibition, a phrase first used by Richard Cowan to describe the phenomenon that when drug law enforcement becomes more powerful, the potency of illegal drugs increases. One of the effects of enhancing prohibition enforcement is that suppliers will produce a higher potency drug. For example, during alcohol prohibition in the 1920s suppliers switched from producing beer and wine to highly potent spirits, such as gin and whiskey.


A second result of more rigorous prohibition enforcement is that suppliers will switch from lower potency drug types to higher potency drug types. For example, during Ronald Reagan’s “war on drugs” during the 1980s, smugglers switched from bulky marijuana to highly concentrated cocaine and domestic suppliers turned much of this cocaine into crack cocaine, resulting in the crack cocaine epidemic. The Iron Law of Prohibition explains why we see more and more dangerous drugs on the black market and why we see decreases in overdoses in states that have legalized cannabis.


Government intervention in the economy is a largely unrecognized cause of addiction. Intervention has at least two distinct channels of creating addicts. The first is war. War creates addicts through both painful physical injuries and painful emotional and psychological disorders, such as Post Traumatic Stress Disorders. The second cause is the general impact of widespread government intervention in the economy. Much of government interventionism results in the creation of privileges and monopoly power. For example, licensing requirements provide members of a profession, such as medical doctors, with monopoly profits by restricting the number of practicing physicians. This enriches licensed doctors and impoverishes potential doctors who must find work in another profession. These excess potential doctors thereby suppress wages in other labor markets. Given the pervasiveness of government intervention, this creates two classes in labor markets — the advantaged and the disadvantaged and addiction tends to develop in disadvantaged labor markets where people are more likely to be despondent and lack hope and economic resources.


The three above causes have been around for a long time creating the environment for drug overdoses, but at much lower levels than we see today.


The final cause has only been around for a couple of decades, but it is now responsible for the majority of deaths. Alluded to above, Big Pharma undertook “aggressive marketing” in order to encourage doctors to write massive numbers of prescriptions for opiate painkillers and to change to pain prescribing guidelines in order to sell more of these heroin-like pills.


As a result, doctors began prescribing drugs such as Oxycontin and Vicodin, which are similar to opiates, such as morphine and heroin, for ordinary injuries and minor surgeries. The problem with this is that if you take these pills for 30 or 60 days, there is a distinct possibility that you will become physically addicted to them. The doctor is not going to write you refills for the prescription once the injury has healed.


This leaves the addict with three bad choices.





One, you can enter a drug addiction rehabilitation program, but these programs are expensive and are not necessarily effective.



Two, you can go cold turkey. However, detoxification comes with a slew of physical and psychological symptoms and can result in suicide and death.



Three, you can go into the black market and buy illegal Oxycontin and Vicodin pills. The problem with this option is that such pills are expensive and have an unstable supply. What happens if you choose this option, but run low on money or have trouble acquiring the pills? Well, very often the drug dealer who sold you the pills can also sell you heroin or tell you where to buy it. Heroin is often cheaper per dose and has a more stable supply. This is how people who would never even consider entering a room in which heroin was present become heroin addicts. This process is what has caused the major surge in drug overdoses.



The solution to the epidemic is to legalize drugs. Doctors should be able to put their patients on drug maintenance and recovery programs. Commercially produced opiates would be pure and relatively safe. Addicts could go about their lives, attempting to recover physically, psychologically, socially, and economically without having to worry about how to obtain and pay for their drugs. Drug addiction is often a multi-faceted problem that simply cannot be fixed with a 30 day rehab experience. Addicts that are successfully detoxed, but without solving more basic problems, often relapse and die because the dose they take is now too strong for their detoxed body.


Legalizing cannabis would also be a key to solving the epidemic. Legal cannabis improves the epidemic through two channels. First, medical formulations of cannabis can be a potent, but non-addictive pain killer. Therefore, legalization leads to a reduced level of opiate use, abuse, and mortality and there are several peer-reviewed studies that confirm this. Second, because cannabis reduces pain and anxiety, and improves sleep and appetite it is very helpful for those who are trying to beat their heroin addiction.


The Opioid epidemic is killing more than 30,000 Americans a year. For most experts, the epidemic is a mystery with regard to its cause and solution. A little progress has been made, but to really eliminate the problem we need to legalize drugs, reduce the size of government, and increase freedom in our lives. We also need to find an answer for the pain epidemic which has shackled too many Americans to Big Pharma and the medical belief that every symptom requires another prescription!

Saturday, July 22, 2017

Fed Believes Opioid Crisis Is Reason Why Men Aren&#039;t Working

Bill Polacek runs a manufacturing company in Western Pennsylvania. Even though a glut in new construction projects has dried up work for tradesmen, Polacek said he struggled to find qualified welders a few years back when he had a large number of jobs to fill. Polacek interviewed 350 people to fill openings for 50 welders and machinists at his Johnstown, Pennsylvania-based manufacturing company. But he quickly found the number of qualified candidates dwindling to the point where the number of open jobs was higher than the applicants qualified to fill them. The reason? Too many of Polacek’s interviewees either had criminal histories, or couldn’t pass a drug test.





“"We weren’t attracting the right people," Polacek says of the episode, which prompted him to invest in extensive outreach to local high schools to build up a pipeline of workers.”



America’s worsening opioid crisis has helped create a generation of men whose struggles with addiction are preventing them from finding, and holding, steady jobs. Indeed, the type of hard-to-hire Americans Polacek encountered pose a growing problem for many employers, as a deepening opioid crisis plagues American communities just as the jobless rate hovers near a 16-year low. Polacek’s situation is hardly unique; the Fed’s Beige Book, a collection of anecdotes about the business climate collected by the 12 regional Fed banks, has included many testimonials about the difficulty that some employers, particularly manufacturing firms, are having in finding qualified workers, like this one from a manufacturing firm in St. Louis.





“Manufacturing contacts in Louisville and Memphis reported difficulties finding experienced or qualified employees, with some citing candidates’ inability to pass drug tests,” the St. Louis Fed reported in the July 12 Beige Book, a survey of regional economic conditions. Businesses have also raised the issue as a barrier to finding workers in conversations with Philadelphia Fed President Patrick Harker.



According to Bloomberg, the Federal Reserve has stumbled on an explanation for the phenomenon that Polacek experienced when he tried to hire those welders - a question that has stumped central bankers, policy wonks and academics: Why are so many working-age men are dropping out of the labor force?



Even though this trend started 40 years ago, the Fed says the opioid crisis is now contributing to the problem of shrinking prime-age labor-force participation. The seeds of the opioid crisis were planted in the 1990s as doctors liberally prescribed dangerous painkillers like Vicodin and Oxycontin. Today, 15%, or one in seven, men between 25 and 54 are inexplicably missing from the workforce, despite the unemployment rate purportedly declining to 4.4% in June.



The opioid crisis began in earnest around the beginning of Obama’s first term in office, as deaths from drug overdoses started to climb. Now, after recording nearly 60,000 drug-related deaths last year, drugs are the biggest killer of prime-age Americans. America has more drug overdose deaths than any other developed country. Many of these deaths are caused by dangerous synthetic opioid analogues like fentanyl and carfentanil, the latter of which is 100% stronger than morphine.



And it’s not just Fed Chairwoman Janet Yellen, who was asked several questions about opioids during her testimony before the Senate Banking Committee last week, who’s trying to connect the dots between opioids and the surfeit of unemployable, shiftless young men: At the Cleveland Fed’s summit, talk about the crisis wasn’t reserved for the opioid-specific panel: it came up throughout the other sessions, according to Bloomberg.





“It’s an economic issue. It has economic implications, but it’s a whole lot more than that,” Petrus said. “It’s cross-cutting.”



Many other notable academics, including Nobel Laureate Angus Deaton, have published economic research about opioids.


The Boston Fed published research in September on the link between local economic despair and opioid use in New England. Princeton University economists Anne Case and Angus Deaton suggested in their work on rising middle-age mortality among the white working class that the breakdown of traditional economic and social structures have probably contributed to a step up in overdose, alcoholism and suicide.


During her Senate testimony, Yellen explained that opioids were one cause of the drop in prime-age labor force participation, along with increasing automation and outsourcing by manufacturers. However, Yellen says she doesn’t understand whether widespread opioid abuse is a symptom of the “long running maladies” these workers have faced, or the cause.





“There seems to be a clear indication or a clear connection between this and the ability to go to a job,” said Senator Joe Donnelly, to which Yellen agreed.



Nebraska Sen. Ben Sasse asked Yellen whether mid-career job retraining opportunities might alleviate the problem, as technological innovation forces Americans in certain industries to acquire new skills or be replaced by a machine.





“The individuals who’ve lost those jobs have found it difficult to acquire the skills necessary to re-enter the labor market and many individuals who don’t have the education are struggling to find jobs,” Yellen said, in response.



But while mid-career job retraining sounds plausible – it is a concrete, if wonkish, policy, there’s a broader problem with the labor force that narrowly applicable, resource-intensive “solutions” like these are missing. And that’s the fact that, fundamentally, the number of well-paying jobs available for everyone except the supremely well-educated is shrinking rapidly. Meanwhile, the financial circumstances for the average millennial are much more precarious. Indeed, failure to launch a career during the early years can leave a negative impact for years to come.


While it’s nice to think about, the “everybody should just learn to code” policy won’t fix any of these deeply entrenched problems in the US labor market – and it certainly won’t convince anyone to stop using drugs.
 

Tuesday, July 18, 2017

"It&#039;s Raining Needles" Locals Frustrated As Opioid Addicts Litter Ground With Syringes

Drug-overdose deaths rose 19% in 2016 to 52,000, making drugs the leading killer of American adults under 50. And all evidence suggests these totals have continued to climb in 2017, propelled by the worsening opioid epidemic or the fact that more dangerous opioid analogues like fentanyl and carfentanil are findng their way into the drug supply.



Indeed, the US has a higher rate of drug related deaths than any other developed country in the world. As we’ve reported previously, the epidemic is straining public resources like hospitals, local police departments, and child services which in many states have seen a surge in cases where the parents are addicted to opioids. To that list, we can now add local public health department in areas hit hard by the epidemic, which are struggling to clean up a flood of used and possibly infected needles discarded by addicts. 





They hide in weeds along hiking trails and in playground grass. They wash into rivers and float downstream to land on beaches. They pepper baseball dugouts, sidewalks and streets. Syringes left by drug users amid the heroin crisis are turning up everywhere.



In Portland, Maine, officials have collected more than 700 needles so far this year, putting them on track to handily exceed the nearly 900 gathered in all of 2016. In March alone, San Francisco collected more than 13,000 syringes, compared with only about 2,900 the same month in 2016.”



People, often children, risk getting stuck by discarded needles, raising the prospect they could contract blood-borne diseases such as hepatitis or HIV or be exposed to remnants of heroin or other drugs. It"s unclear whether anyone has gotten sick, but the reports of children finding the needles can be sickening in their own right. One 6-year-old girl in California mistook a discarded syringe for a thermometer and put it in her mouth; she was unharmed, according to NBC Boston.





“‘I just want more awareness that this is happening,’ said Nancy Holmes, whose 11-year-old daughter stepped on a needle in Santa Cruz, California, while swimming. ‘You would hear stories about finding needles at the beach or being poked at the beach. But you think that it wouldn"t happen to you. Sure enough.’



They are a growing problem in New Hampshire and Massachusetts — two states that have seen many overdose deaths in recent years.



‘We would certainly characterize this as a health hazard,’ said Tim Soucy, health director in Manchester, New Hampshire"s largest city, which collected 570 needles in 2016, the first year it began tracking the problem. It has found 247 needles so far this year.”



Needles turn up in places like parks, baseball diamonds, trails and beaches, places where drug users can gather and attract little attention. They toss the needles out of carelessness, or the fear of being prosecuted for possessing them.  One child was poked by a needle left on the grounds of a Utah elementary school. Another youngster stepped on one while playing on a beach in New Hampshire. Even if these children did"t get sick, they still had to endure a battery of tests to make sure they didn"t catch anything. The girl who put a syringe in her mouth was not poked but had to be tested for hepatitis B and C, her mother said.



Some community advocates have started helping out, organizing patrols to dispose of illegally discarded needles. 





"Rocky Morrison leads a cleanup effort along the Merrimack River, which winds through the old milling city of Lowell, and has recovered hundreds of needles in abandoned homeless camps that dot the banks, as well as in piles of debris that collect in floating booms he recently started setting.



He has a collection of several hundred needles in a fishbowl, a prop he uses to illustrate that the problem is real and that towns must do more to combat it.



"We started seeing it last year here and there. But now, it"s just raining needles everywhere we go," said Morrison, a burly, tattooed construction worker whose Clean River Project has six boats working parts of the 117-mile (188-kilometer) river."



Still, children continue to find, and sometimes accidentally stick themselves with, the discarded needles – it’s another way in which the worsening public-health crisis that is the opioid epidemic disproportionately impacts the young. Some parents in Santa Cruz, Calif. even talk about the first time children find a needle as a rite of passage.


Among the oldest tracking programs is in Santa Cruz, California, where the community group Take Back Santa Cruz has reported finding more than 14,500 needles in the county over the past 4 1/2 years. It says it has gotten reports of 12 people getting stuck, half of them children.





"It"s become pretty commonplace to find them. We call it a rite of passage for a child to find their first needle," said Gabrielle Korte, a member of the group"s needle team. "It"s very depressing. It"s infuriating. It"s just gross."



Along the Merrimack, nearly three dozen riverfront towns are debating how to stem the flow of needles. Two regional planning commissions are drafting a request for proposals for a cleanup plan. They hope to have it ready by the end of July.





"We are all trying to get a grip on the problem," said Haverhill Mayor James Fiorentini. "The stuff comes from somewhere. If we can work together to stop it at the source, I am all for it."



While the crisis’s epicenter is in Ohio and the Rust - opioid-related deaths in Ohio jumped from 296 in 2003 to 2,590 in 2015 - Northeastern states like Massachusetts, New Jersey and even Vermont and New Hampshire have been especially hard hit.


In Ohio, resources have been spread so thin that one city council member has proposed a controversial solution: When people who dial 911 seeking help for someone who"s overdosing on opioids, they may start hearing something new from dispatchers: “No.” Dan Picard, a city councilman in Middletown, Ohio, population 50,000, floated the idea.


Picard and others have described his proposal as a cry of frustration.





“It’s not a proposal to solve the drug problem,” Picard said this week. “My proposal is in regard to the financial survivability of our city. If we’re spending $2 million this year and $4 million next year and $6 million after that, we’re in trouble. We’re going to have to start laying off. We"re going to have to raise taxes,” he told the Washington Post.



But as death tolls rise, and local morgues run out of room for more bodies, Picard"s proposal begs the question: What, exactly is our plan for dealing with this crisis?

Saturday, June 17, 2017

Tennessee Counties Sue Opioid Makers Using Local "Crack Tax" Law

The US opioid epidemic has continued to worsen in 2017 as super-powerful synthetic opioids like fentanyl and carfentanil taint the nation’s heroin supply. While the FBI’s final tally has yet to arrive, preliminary data suggest that overdose deaths last year eclipsed the 50,000 recorded nationally in 2015 – the most ever. And the body count is expected to be even higher in 2017. As the death toll in some of the hardest-hit areas of the country skyrockets - in some cases forcing county coroners to build larger freezers to store the bodies – states have begun filing lawsuits against the pharmaceutical companies responsible for making and marketing opioid painkillers, in hopes of offsetting the ballooning public-health costs that have been a byproduct of the crisis.


Three Tennessee district attorneys are the latest prosecutors to file suit against the drug makers, joining a group that includes the attorneys general of Ohio, Illinois, Mississippi, New York and Santa Clara and Orange County in California – not to mention the Cherokee Nation. But the Tennessee prosecutors" approach differs from their peers in one unique way:





They are suing under the state’s long-ridiculed and rarely used “crack tax” law, which would hold Big Pharma liable for damages as if they were street-level drug dealers, the Knoxville News Sentinel reported.




While the companies targeted by individual states differ, prosecutors are all alleging similar misconduct: That the pharmaceutical companies leaned on researchers to play down the drugs’ addictive qualities, while spending millions on marketing them to both patients and doctors.


Another lawsuit filed in Washington in January alleged that Purdue Pharma, maker of OxyContin, was aware of the drug’s immense popularity on the streets, but did nothing to curb its distribution.


The suit also names a “Baby Doe” as a plaintiff. “Baby Doe,” the News Sentinel reports, is a boy born in March 2015 addicted to opiates because his mother, identified as “Mary Doe,” was an opiate addict and bought her drugs in Sullivan County, one of the three judicial districts represented in the legal action.


Filed on behalf of the three prosecutors and Baby Doe by Nashville law firm Branstetter, Stranch and Jennings, the lawsuit spends dozens of pages detailing publicly available accounts of alleged fraud and deceptive marketing practices by opiate manufacturers.





It is now beyond reasonable question that the manufacturer defendants’ fraud caused Mary Doe and thousands of others in Tennessee to become addicted to opioids — an addiction that, thanks to their fraudulent conduct, was all but certain to occur,” the lawsuit stated.



Tennessee logs more opiate prescriptions per capita than every state in the nation except West Virginia, the News Sentinel reported. Sullivan County is considered an epicenter, so much so its law enforcement agencies snared their own reality television shows. Shelby County in West Tennessee is also considering joining the lawsuit.


Tennessee Attorney General Herbert Slatery III issued a statement Tuesday in which he said his office is investigating the state"s options in pursuing its own legal action.





"Our objective is to identify and hold accountable the parties responsible for this opioid epidemic," the statement read.



That crack tax” – otherwise known as the drug dealer liability statute - was passed in 2005 to allow for civil action against street drug dealers, many of whom were peddling crack.


However, since police typically seize convicted drug dealers’ profits under criminal and civil forfeiture laws – and since most drug dealers go to prison after they’re arrested – there was rarely anything left to be claimed in civil court.


But unlike street dealers, pharma firms are flush with cash. Purdue has annual sales of nearly $3 billion, while Mallinckrodt and Endo also rack up billions each year from sales of opiate drugs.


Many legal experts have said that the current batch of lawsuits resembles the 1998 settlement between the four largest US tobacco companies – Philip Morris, RJ Reynolds, Brown & Williamson and Lorillard – and 46 states attorneys general. In accordance with that judgment, the tobacco companies agreed to pay out more than $200 billion through 2025, with payments to be made in perpetuity.


While states are no doubt in need of financial resources to offset the public-health costs they’re forced to absorb because of the epidemic, pharmaceutical companies have at least one strategy to legally deflect blame: If the showdown ever makes it to trial, defense attorneys will try to slough off as much blame as possible on the overprescribing doctors, like one elderly physician who was arrested earlier this month in New York City and charged with needlessly prescribing millions of pills. 

Wednesday, May 24, 2017

Ron Paul On The Drug War: Will The Trump Administration OD On Authoritarianism?

Authored by Ron Paul via The Ron Paul Institute for Peace & Proseprity,


Last week Attorney General Jeff Sessions ordered federal prosecutors in drug cases to seek the maximum penalty authorized by federal mandatory minimum sentencing laws. Sessions’ order represents a setback to the progress made toward restoring compassion and common sense to the sentencing process over the past few years. Sessions’ action also guarantees that many nonviolent drug law offenders will continue spending more time in prison than murderers.


Sessions’ support for mandatory minimums is no surprise, as he has a history of fanatical devotion to the drug war. Sessions’ pro-drug war stance is at odds with the reality of the drug war’s failure. Over forty years after President Nixon declared war on drugs, the government cannot even keep drugs out of prisons!


As was the case with alcohol prohibition, the drug war has empowered criminal gangs and even terrorists to take advantage of the opportunity presented by prohibition to profit by meeting the continued demand for drugs. Drug prohibition enables these criminal enterprises to make profits far above the potential profits if drugs where legalized. Ironically, the so-called “law-and-order” politicians who support the drug war are helping enrich the very criminals they claim to oppose!


The war on drugs also makes street drugs more lethal by incentivizing the creation of more potent and, thus, more dangerous drugs. Of course, even as Sessions himself admits, the war on drugs also leads to increased violence, as drug dealers cannot go to the courts to settle disputes among themselves or with their customers.


Before 9/11, the war on drugs was the go-to excuse used to justify new infringements on liberty. For example, laws limiting our ability to withdraw, or even carry, large sums of cash and laws authorizing civil asset forfeiture were justified by the need to crack down on drug dealers and users. The war on drugs is also the root cause of the criminal justice system’s disparate treatment of minorities and the militarization of local police.


The war on drugs is a war on the Constitution as well. The Constitution does not give the federal government authority to regulate, much less ban, drugs. People who doubt this should ask themselves why it was necessary to amend the Constitution to allow the federal government to criminalize drinking alcohol but not necessary to amend the Constitution to criminalize drug use.


Today, a majority of states have legalized medical marijuana, and a growing number are legalizing recreational marijuana use. Enforcement of federal laws outlawing marijuana in those states is the type of federal interference with state laws that conservatives usually oppose. Hopefully, in this area the Trump administration will exercise restraint and respect state marijuana laws.


Sessions’ announcement was not the only pro-drug war announcement made by the administration this week. President Trump himself, in a meeting with the president of Columbia, promised to continue US intervention in South and Central America to eliminate drug cartels. President Trump, like his attorney general, seems to not understand that the rise of foreign drug cartels, like the rise of domestic drug gangs, is a consequence of US drug policy.


The use of government force to stop adults from putting certain substances into their bodies - whether marijuana, saturated fats, or raw milk - violates the nonaggression principle that is the bedrock of a free society. Therefore, all those who care about protecting individual liberty and limiting government power should support ending the drug war. Those with moral objections to drug use should realize that education and persuasion, carried out through voluntary institutions like churches and schools, is a more moral and effective way to discourage drug use than relying on government force.

Tuesday, May 16, 2017

Seattle Set To Become First City To Offer "Safe Spaces" For Heroin Use

Modeled after similar programs in Europe, Australia and Canada, Seattle is on track to become the first city in the United States where heroin addicts can legally shoot up at a supervised healthcare facility.  The controversial program is intended to reduce the number of overdose deaths by bringing users out of the alleys and into "safe places" where overdoses can be treated immediately, all at taxpayer expense, of course.  This new concept goes one step beyond needle exchange programs that exist in other cities intended to decrease the spread of disease through dirty needles.


Heroin



The goal of the program, as Dr. Nora Volkow, director of the National Institute on Drug Abuse points out, is to reduce the occurrence of ancillary diseases such as HIV that result from heroin use and cost hundreds of thousands of dollars to treat.  Per The Washington Examiner:





Dr. Nora Volkow, director of the National Institute on Drug Abuse, part of the National Institutes of Health, said not taking action to reduce the spread of those diseases would be irresponsible from a public health perspective. Cutting even one HIV infection would save $379,668 in lifetime costs, according to NIDA data.



King County spends $1.2 million annually on its needle exchange program, allowing the program to essentially pay for itself if three infections are prevented per year. Cutting infections by 1 percent in King County would save more than $70 million in HIV-related medical costs, the county"s website states.



As CNN noted, "safe injection centers" have been around in Vancouver since at least 2013.  But, despite claims they save hundreds of lives each year, actual data from the Ministry of Public Safety and Solicitor General would suggest that drug overdose deaths have skyrocketed since that time...unpossible.


Heroion



Of course, such programs are not without their critics as one Washington State Senator says "toleration is not compassionate, it is a signal of defeat."





Republican state Sen. Mark Miloscia proposed a bill to ban secure injection zones in Washington, and the bill is sitting in committee in the Senate.



"Toleration is not compassionate, it is a signal of defeat. We cannot give up on drug users. In the end, these sites will only distract us from getting resources into real, medically proven treatment options," Miloscia said.



John P. Walters, director of drug control policy in George W. Bush"s administration, agreed the only safe approach to heroin is not to take it.



"Supporting addicts" heroin use maintains their disease, administering the poison that causes their illness and diminishes their lives. A government-approved place for unlimited heroin injection creates the conditions for never-ending addiction and gives government a drug dealer"s power over the addicted," Walters wrote in an op-ed. "We do not protect addicts by reviving them from overdose death only to return them to death"s front door, perpetuating the self-destructive cycle of addiction."



Meanwhile, to our complete lack of surprise, the progressive, snowflake haven of San Francisco is also in the midst of implementing their own "safe injection facilities" (SIFs) which they estimate could save taxpayers millions.





Supervised injection facilities (SIFs) have been shown to reduce infection, prevent overdose deaths, and increase treatment uptake. The United States is in the midst of an opioid epidemic, yet no sanctioned SIF currently operates in the United States. We estimate the economic costs and benefits of establishing a potential SIF in San Francisco using mathematical models that combine local public health data with previous research on the effects of existing SIFs. We consider potential savings from five outcomes: averted HIV and hepatitis C virus (HCV) infections, reduced skin and soft tissue infection (SSTI), averted overdose deaths, and increased medication-assisted treatment (MAT) uptake. We find that each dollar spent on a SIF would generate US$2.33 in savings, for total annual net savings of US$3.5 million for a single 13-booth SIF. Our analysis suggests that a SIF in San Francisco would not only be a cost-effective intervention but also a significant boost to the public health system.



So all this time the cure for drug abuse was just offering up more drugs...if only such progressive thought prevailed in the 80"s we could have avoided so many deaths in the "war on drugs" and simultaneously enriched drug dealers even more...could have been a win-win really.

Friday, April 14, 2017

Money Down The Drain: London Leads The World With The Most Cocaine In Its Wastewater

The European Monitoring Centre for Drugs and Drug Addiction release data every year showing the levels of certain illicit drugs found in the wastewater of select European cities. Looking at cocaine, London is way in front of all other major cities analysed...


Infographic: Down the Drain: Wastewater with the Most Cocaine | Statista


You will find more statistics at Statista


As Statista"s Martin Armstrong points out, on an average day, the UK capital"s drains flow with almost 900mg of the drug per one thousand people.

Canada Officially Moves To Legalize Recreational Marijuana Nationwide

Authored by Carey Wedler via TheAntiMedia.org,


Canada officially moved to legalize recreational marijuana on Thursday when the government introduced legislation allowing the possession of small amounts of cannabis. The new law also sets regulations for the sale, growth, and purchase of the plant.


USA Today reports:





“Canada’s federal government set the age at 18, but is allowing each of the provinces to determine if it should be higher. The provinces will also decide how the drug will be sold and distributed. The law also defines the amount of THC in a driver’s blood, as detected by a roadside saliva test, that would be illegal. Marijuana taxes will be announced at a later date.”



Vox notes that Canadians will be allowed to grow up to four marijuana plants per household and possess up to 30 grams per person. For the most part, the bill follows the recommendations made by a recent federal task force on marijuana legalization.



The outlet points out that the details of the bill could change as the bill works its way through Parliament, adding that if the legislation passes, it could be illegal under international law, which still favors prohibition. Canada joins Uruguay, the only other nation to have fully legalized recreational marijuana (Portugal has had great success with its decriminalization of all drugs).


Canada first allowed medical marijuana for terminal illnesses in 2001, and in some parts of the country, like Vancouver, weed shops are legal and law enforcement tolerates use of the plant. But the new legislation codifies the rights of all Canadians to use it, even if it still places restrictions on use (for example, attempting to regulate THC blood content in the context of driving  a car is a controversial practice in the United States, where studies show driving while high is far less dangerous than driving drunk)


If the law is passed, it will undoubtedly cut into crime rates in Canada, where tens of thousands of marijuana users are still arrested for possession every year.


As the Liberal Party, which introduced the legislation, argues:





Arresting and prosecuting these offenses is expensive for our criminal justice system. It traps too many Canadians in the criminal justice system for minor, non-violent offenses. At the same time, the proceeds from the illegal drug trade support organized crime and greater threats to public safety, like human trafficking and hard drugs.”



If the bill passes, Canada will join multiple U.S. states, including California, Washington, Oregon, and Alaska, which have all legalized recreational marijuana. It will join an even longer list of U.S. states and other countries relaxing laws, even if they are not outright repealing them.


Canada has taken a forward-thinking approach to drug addiction in general; last year the country began sponsoring injection centers where heroin addicts could consume their narcotics under the supervision of a doctor.


As mounting research shows the plant offers a wide range of medical benefits, and as the drug war continues to prove itself inefficient, ineffective, and destructive around the world, Canada’s recent move signals legalization is all but inevitable. As the Liberal Party of Canada’s website has argued:





Canada’s current system of marijuana prohibition does not work. It does not prevent young people from using marijuana and too many Canadians end up with criminal records for possessing small amounts of the drug.”


Friday, April 7, 2017

Why New Regulation Banning “Synthetic Marijuana” is Ignoring the Root Issue

Via The Daily Bell


The government’s solution to every problem they create is to just pass more draconian rules on top of the immense pile of crap they have already dumped on Americans.


The Drug Enforcement Agency will publish a new rule on Monday banning five forms of synthetic marijuana, sometimes called “spice” or “K2”.



This action is based on a finding by the Administrator that the placement of these synthetic cannabinoids into schedule I of the Controlled Substances Act is necessary to avoid an imminent hazard to the public safety. As a result of this order, the regulatory controls and administrative, civil, and criminal sanctions applicable to schedule I controlled substances will be imposed on persons who handle (manufacture, distribute, reverse distribute, import, export, engage in research, conduct instructional activities or chemical analysis, or possess), or propose to handle, [five types of synthetic cannabinoids].



Synthetic marijuana is a man-made creation which is said to mimic the effects of marijuana.


Except that sometimes it makes you go crazy and die.


As I am sure you are aware, no death has ever been recorded as a direct result of marijuana–though every once in a while the media claims someone kills themselves after eating special brownies.


“Spice” however, has killed directly, and it is actually chemically addictive. The drug regularly makes users do crazy things, like walk into traffic, pass out in public, slip into comas, and every once in a while, murder their children.


So it may sound like spice should be illegal, (if you think prohibition ever really works).


But one problem is that the DEA already made five types of the synthetic cannabinoids illegal.



In 2011, the U.S. Drug Enforcement Administration (DEA) placed five compounds that are commonly found in K2 on its list of illegal substances, to help clamp down on sales. But manufacturers responded by tinkering with the chemicals to sidestep the regulations.


This led to the creation of newer versions of K2 that are even more harmful than early versions, Scalzo said. The newest products on the street can cause low blood pressure and a slow heart rate, and may even result in coma, seizures and kidney damage, he said.


And because the compounds in the drugs can constantly change, their effects on users can be unpredictable and, in some cases, deadly.



Apparently, the DEA will just continue to make compound after compound illegal. That should do the trick… it’s worked so well in the past.


Or We Could Just Try Freedom


Spice has been a legal substitute for marijuana. People smoke it as an alternative to weed.


So wouldn’t the sane thing to do be legalize real marijuana? The risks of real pot pale in comparison to K2. This includes personal health risks due to the actual substance, as well as risks of injuries to oneself and others while using real cannabis.


It is insane that the reaction to an increase in the use of fake marijuana involves no discussion of the regulations which pushed the increase, the original laws which made cannabis illegal!


The same thing happened during prohibition of alcohol in the 1920’s when people turned to dangerous alternatives to commercially produced alcohol.


Legalize weed, and all the issues involving fake cannabinoids will go away. And it might even inadvertently solve a little bit of the opioid crisis–some people are only introduced to harder drugs because the same person who sells them weed also peddles heroin.


Prohibition doesn’t work! People come up with a replacement for whatever is banned, and look where it leads: to people overdosing and harming themselves and others with a far more dangerous alternative.


The only thing which can make you crazier than smoking spice is dealing with United States Government regulations.