March 10, 2017

Two powerful articles on Opiod Addiiction

American Carnage: The New Landscape of Opiod Addiction by Christopher Caldwell

The best way for a society to avoid the dangers of addictive and dangerous drugs is to severely restrict access to them. That is why, in the twentieth century, powerful opiates and opioids (an opioid is a synthetic drug that mimics opium) were largely taboo—confined to patients with serious cancers, and often to end-of-life care. But two decades ago, a combination of libertarian attitudes about drugs and a massive corporate marketing effort combined to instruct millions of vulnerable people about the blessed relief opioids could bring, if only mulish oldsters in the medical profession could get over their hang-ups and be convinced to prescribe them.
OxyContin was only the most commercially successful of many new opioids. ...The American Pain Foundation, which presented itself as an advocate for patients suffering chronic conditions, was revealed by the Washington Post in 2011 to have received 90 percent of its funding from medical companies.
The calamity of the 1990s opioid revolution is not so much that it turned real pain patients into junkies—although that did happen. The calamity is that a broad regulatory and cultural shift released a massive quantity of addictive drugs into the public at large. Once widely available, the supply “found” people susceptible to addiction. ...Relaxed taboos and ready supply created a much wider appetite for opioids. Once that happened, heroin turned out to be very competitively priced.
In state after state, voters have chosen to liberalize drug laws regarding marijuana. If you want an example of mass media–induced groupthink, Google the phrase “We cannot arrest our way out of the drug problem” and count the number of politicians who parrot it. It is true that we cannot arrest our way out of a drug problem. But we cannot medicate and counsel our way out of it, either, and that is what we have been trying to do for almost a decade.
Calling addiction a disease usefully describes certain measurable aspects of the problem—particularly tolerance and withdrawal...Addiction is different. Addicts resist known cures—even to the point of death
In 1993, Francis F. Seeburger, a professor of philosophy at the University of Denver, wrote a profound book on the thought processes of addicts called Addiction and Responsibility. We tend to focus on the damage addiction does. A cliché among empathetic therapists, eager to describe addiction as a standard-issue disease, is that “no one ever decides to become an addict.” ....“Addiction itself . . . is tempting; it has many attractive features.” In an empty world, people have a need to need. Addiction supplies it. “Addiction involves the addict. It does not present itself as some externally imposed condition. Instead, it comes toward the addict as the addict’s very self.” Addiction plays on our strengths, not just our failings. It simplifies things. It relieves us of certain responsibilities. It gives life a meaning. It is a “perversely clever copy of that transcendent peace of God.”

The founders of Alcoholics Anonymous thought there was something satanic about addiction. The mightiest sentence in the book of Alcoholics Anonymous is this: “Remember that we deal with alcohol—cunning, baffling, powerful!” The addict is, in his own, life-damaged way, rational. He’s too rational. He is a dedicated person—an oblate of sorts, as Seeburger puts it. He has commitments in another, nether world.
The deeper problem, however, is at once metaphysical and practical, and we’re going to have a very hard time confronting it. We in the sober world have, for about half a century, been renouncing our allegiance to anything that forbids or commands. Perhaps this is why, as this drug epidemic has spread, our efforts have been so unavailing and we have struggled even to describe it. Addicts, in their own short-circuited, reductive, and destructive way, are armed with a sense of purpose. We aren’t. It is not a coincidence that the claims of political correctness have found their way into the culture of addiction treatment just now. This sometimes appears to be the only grounds for compulsion that the non-addicted part of our culture has left.

Turn Off, Tune Out, Drop In, Die Off: Medicaid Funds the White Death

In a massive and extensively researched article for Commentary, Nicholas Eberstadt shows how Medicaid is funding the gateway drugs — opioid prescription painkillers — which lead people towards deadly heroin and early death.
Eberstadt’s citation of 2013 Census Bureau data is sobering: 21 percent of all civilian men between 25 and 55 years of age are now Medicaid beneficiaries.....Further, a jaw-dropping 57 percent of non-working white males in the same age bracket are now collecting disability benefits. Some of them are receiving benefits from multiple government programs.
Princeton economics professors Angus Deaton and Anne Case “calculate that if the death rate among middle-aged whites had continued to decline at the rate it fell between 1979 and 1998, half a million deaths would have been avoided over the years from 1999 through 2013. That, they note, is about the same number of deaths as those caused by AIDS through 2015,”
Eberstadt also briefly touches on the hollowing out of the civil society resources which normally cope with stress and loss:... the overwhelming majority of the prime-age men in this un-working army generally don’t “do civil society” (charitable work, religious activities, volunteering), or for that matter much in the way of child care or help for others in the home either, despite the abundance of time on their hands. Their routine, instead, typically centers on watching—watching TV, DVDs, Internet, hand-held devices, etc.—and indeed watching for an average of 2,000 hours a year, as if it were a full-time job.

The Left has largely accomplished its grand 50-year mission, destroying the nuclear family, organized religion, and masculine values such as self-reliance, leaving many dependent on government functionaries for sustenance and hope. We aren’t supposed to be competitive anymore, and we aren’t meant to feel even a twinge of shame about long-term dependency on welfare programs or about dropping by the local Medicaid clinic for more pain pills. We have been strictly instructed to place no particular value on traditional marriage — not for its role in healthy child-rearing, or for the vital and different benefits it brings to men and women.
Posted by Jill Fallon at March 10, 2017 12:23 PM | Permalink