Trump says pain pills are "so highly addictive". He's wrong.

Burnt Offerings

Bluelight Crew
Joined
Jan 18, 2010
Messages
7,568
Location
USA
From the article:

"A BMJ study published in January looked at "diagnostic code for opioid dependence, abuse, or overdose" in the records of 568 ,612 patients who received narcotics after surgery between 2008 and 2016. The researchers found such evidence of "opioid misuse" in 5,906 cases, or 1 percent of the total. A JAMA study published last week looked at 56,686 patients between the ages of 13 and 30 who filled opioid prescriptions after they had their wisdom teeth extracted. The researchers found that 737, or 1.3 percent, were still getting opioids from pharmacies after three days, by which time the pain from the oral surgery should have subsided. According to the 2016 National Survey on Drug Use and Health, about 2 percent of the people who used prescription opioids that year, whether legally or illegally, experienced a "substance use disorder."

https://reason.com/blog/2018/08/17/trump-says-pain-pills-are-so-highly-addi
 
The vast majority of the general population can use opioids for a period of time and not experience a "substance use order". I think that's the main point which should re-iterated again and again in such discussions and their medicinal value. Yet you frequently see pieces in mainstream journalism which begin with an anecdote that goes along the lines of, "I use to be Joe Q Upstanding Citizen, then I got prescribed vicodin after getting my wisdom teeth removed & now I slam 5 bags a day." As if that is somehow a common occurence amongst people who (ab)use drugs
 
Actually heroin and other opioids are half as addictive as most people seem willing to believe. Carl Hart’s research, Bruce Alexander’s work and many others have been effectively demonstrating this ever since our drug policy began going downhill in the early 20th century.

Heroin doesn’t just hijack someone’s brain and take them over. On its own, unless someone is already in serious pain, heroin really isn’t very pleasant. It isn’t even particularly enjoyable or habit forming for a large majority of people who try it. Most people would never consider trying heroin, but even among those who do try it most will use once or twice and walk away, because it just isn’t very enjoyable unless life is already extremely painful.

The harder life gets, the more appealing drugs like heroin may become. But that’s not an issue with heroin half as much as it is with what’s causing ones QOL to deteriorate in the first place.

Heroin certainly can become powerfully habit forming for someone who’s life is otherwise miserable, but the problem here isn’t anything intrinsic to the drugs, it’s all about how shitty their QOL has become and failures on the part of our communities to provide them the meaningful kind of supports they need.

Opioid use in and of itself doesn’t lead to substance use disorder, it’s the way it is sometimes used that does. And they way people use drugs has waaaay more to do with the conditions of their lives than it does the drugs in particular.

It’s like the difference between access to free, unbiased, accurate and open resources and our conventional “just say no” “this is your brain on drugs” wisdom that treats people like children and tries to control them instead of supporting them figure things out for themselves.

The problem here I see is just how powerful antidrug dogma is when it comes to political capital. Any fear mongerer or desperate politician will happily endorse conventional wisdom and prohibitionist policies to try and sucker more supporters.

I dream of a gov’t that actually takes the public’s health seriously... is this really so much to ask as an American?

P.s. people also like to scapegoat drugs (and drug users) because it’s a socially acceptable cop out. Do you have problems with how your life is going? No problem, just blame drugs and drug users! The ideologues will thank you 8)

Anyhoo, great thread :)
 
Last edited by a moderator:
^^indeed, it’s very subjective :)

And also indeed, Carl is the shit. His lectures online (YouTube, etc) are pretty much a must watch for anyone seriously interested in drug policy reform :)
 
^^indeed, it’s very subjective :)

And also indeed, Carl is the shit. His lectures online (YouTube, etc) are pretty much a must watch for anyone seriously interested in drug policy reform :)

God I wish he would be the 'Drug Czar' (I think that's how it's spelled - not Tsar like Tsar Bomba, but I digress).

I mean, don't get me wrong, ideally that position wouldn't exist. Is it even filled since Trump took over?

By the way, Trump appears to struggle with spelling certain words which have homophones. He spells 'counsel' as 'council' despite being told repeatedly to try to refrain from it in the future. Sad! Baby! Low energy.

Either way, wouldn't it be awesome if some progressive PotUS (at least insofar as the stupid drug war is concerned) had Carl as his or her advisor? Oh man that would be great news. The American people could seriously use some great news. I'm on the sidelines looking in, and I... you get my point. I'll shut up now.
 
While I agree that I’d love to see soemone like him in charge of drug policy, our drug czar seems like they’re pretty much dependent on the executive branch and congress to get anything done.

The last drug czar under Obama, while far from ideal, he was reasonably good compared to the previous people. But even with the Obama administrations marginally less draconian drug policies the drug czar seemed to struggle to get anything accomplished.

American politics. Or just politics, what do I know.

It’s kinda depressing, but it doesn’t seem like we (as a gov’t) will have the motivation to accomplish anything outside more of the same unless they have no other choices. With the way drug policy as a necessarily public health initiative is becoming harder to ignore, we are moving in the right direction.

But, as with anything related to prohibition and the war on drugs go, how many more lives need to be lost and communities destroyed before our leaders figure out that moving beyond mass incarceration/etc is actually in America’s best interests?

How long will it’ll take for a largely ignorant public to get over ideologies like the war on drugs?

It’ll always be one (millions) too many.
 
While I agree that I’d love to see soemone like him in charge of drug policy, our drug czar seems like they’re pretty much dependent on the executive branch and congress to get anything done.

The last drug czar under Obama, while far from ideal, he was reasonably good compared to the previous people. But even with the Obama administrations marginally less draconian drug policies the drug czar seemed to struggle to get anything accomplished.

American politics. Or just politics, what do I know.

No no, don't sell yourself short, good sir. You definitely are a bright bulb on a good deal of topics.

Furthermore, your point regarding struggling drug czars is valid.

It’s kinda depressing, but it doesn’t seem like we (as a gov’t) will have the motivation to accomplish anything outside more of the same unless they have no other choices. With the way drug policy as a necessarily public health initiative is becoming harder to ignore, we are moving in the right direction.

But, as with anything related to prohibition and the war on drugs go, how many more lives need to be lost and communities destroyed before our leaders figure out that moving beyond mass incarceration/etc is actually in America’s best interests?

"The tranquilizing drug of gradualism." It is, without a doubt, a knuckle-dragging bitch.

How long will it’ll take for a largely ignorant public to get over ideologies like the war on drugs?

It’ll always be one (millions) too many.

Ain't that the truth? But I am optimistic that the so-called Information Age shall ultimately aid us in dismantling idiocracies throughout the world. The cost may be very steep however. Maybe too steep.
 
On the last point, I have been in agreement for a long time. A dear old professor I once had warned me about technological determinism though, and with what’s happening now with social media and politics I see what he meant.

Still, I’m hopeful. It’s amazing see how much organized drug reform has become on an international level, with a lot of parts of the world beginning to totally surpass the great US.

Information with this stuff is really power though. The best way to control and marginalize drug users is to keep them in the dark, and access to open dialogue is a powerful antidote (which is why we’re fond of BL, no? ;)).

I’m not sure how I feel about being so public with my harm reduction in the future though. Many communities are so disconnected from the world we live in and our experience of drug policy they would balk at what we have to say. Plus I’m starting to understand how keeping things on the downlow in everyday life is actually quite helpful with continuing to develop as an HR professional IRL.

I just can’t help but get hung up on the fact this is a real life and death kinda thing though, and how damaging stigma and any narrow approach to the issues are. I did an interview not too long ago about my experience with treatment and ODing, but for better and worse the journalists had another agenda (not malicious, but not HR).

I ended up venting to one of them (and mind you I did this only cause I quite liked them), basically going off on how the piece they did totally missed the point with how systemic the issues with treatment are somewhere like the US where the recovery industry continues to capitalize on the costs of drugs wars.

Love and learn I guess ;) how do you keep from getting is caught up on the massive harms drug policy has/continues to produce?

The hardest part is explaining the subtler systemic issues with how drug war policies sink their teeth into, in particular, the medical establishment. Any suggestions?

Btw, glad to see you continuing to keep it real in DitM. If I wasn’t so busy I’d be posting up a bunch of stuff about positive developments in NYC and CA. What I don’t plan to forget is international OD awareness day this Friday :)
 
Top