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September 12, 2017

So much to read about so many elements of the opioid epidemic

I have a hard time keeping up with all the dimensions of the opioid epidemic.  And, of course, the epidemic is fundamentally a public health crisis more than a sentencing issue.  Nevertheless, I find myself drawn to reading all sort of pieces about the epidemic, and here are links and headlines that have caught my eye recently:

September 12, 2017 at 08:42 PM | Permalink



Dreamland, by Sam Quinnones, says about all one needs to say about the linkage among pharmaceutical manufacturers, "pill mills," the decline of small town businesses at the hands of big box stores, the loss of decent jobs in manufacturing, cell phone technology, and the spread of prescription opiates and the proliferation of cheap black tar heroin, throughout Ohio and other mid-Western states. I was struck, in driving through Ohio in May, by the frequent signs on the interstates, "Report Drug-Impaired Driving." We have no such signs in Washington State, where I live, though I know our rural communities have some of the same problems.

Posted by: Late Inning Relief | Sep 12, 2017 10:34:01 PM

Late. I find it quite offensive that you are exploiting a vast human tragedy to promote your Democratic party false propaganda points. You have no shame.

Here is a coincidence. The Ferguson Effect. Then, the opioid overdose epidemic goes from a serious problem to a huge problem. Coincidence? You decide.

Here is why Late's talking points are so toxic.

Almost all the deceased with prescription pain meds in their system also had heroin and carfentanyl. Those come from China, to increase drug dealer profits by a few dollars. Those are the non-violent offenders who should all be released from federal prison. Let's scapegoat doctors and pharmaceutical companies to exploit the tragedy, and to promote our Democratic party agenda.

So what does the DEA do? It investigates, bullies, threatens, doctors. No Ferguson Effect for doctors, but full on attacks. Now, millions of patients with severe chronic, untreatable pain have their pain management either disappear or become a cruel prank (rehab, exercise, Tylenol, anti-epilepsy and anti-depressants that make diabetics hungry, huge, and add to the weight on their painful nerves and joints). People with visible damage on X-rays are roughly treated, are rudely called drug seekers, are given one Percocet, and are told to never return to the emergency room.

I consider the campaign of the lawyers at the DEA to be a crime against humanity. If an African dictator were accused of torturing 1000's of innocent people, there would be a loud outcry to arrest him, try him at the International Court, and imprison him. How about lawyers who cause the withdrawal of pain management for 10's of millions of sick people, torturing them in agonizing pain, not for a week, like the dictator, but for years, until they are dead.

Posted by: David Behar | Sep 12, 2017 11:45:21 PM

In the 1990's, know nothing, quack lawyers at CMS and at accrediting agencies hammered doctors into using pain ratings as the Fifth Vital sign, along with temperature, pulse, blood pressure, number of respirations. If the rating did not drop, it was a deviation, as if a high blood pressure reading was not addressed.

So, doctors, and their craven organized medicine societies, caved instead of suing, and even beating up these threats to clinical care. The legal immunity of these lawyers fully justifies violence in formal logic, a system with zero uncertainty nor exceptions.

All high ratings of pain for a long time will eventually all end up on opiates. The rest is total bullshit, including wack job holistic approaches.

Now, these lawyers are coming after doctors for treating pain too much. They are too stupid to understand the deaths are restricted to addicts, and mostly the result of Chinese made carfentanyl. This is a pain patient, "The methadone 5 mg made me dizzy and tired. I had to cut it in half."

Posted by: David Behar | Sep 13, 2017 9:31:48 AM

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