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The rise of drug overdoses in New Hampshire has created a backlog of autopsies

61 点作者 iamjeff超过 7 年前

10 条评论

twblalock超过 7 年前
This opioid epidemic has made me question my position on legalization of drugs. I had believed that, in general, legalization of drugs would be a good policy -- it worked fine for marijuana where it has been tried, and I doubted that very many people who don&#x27;t take hard drugs would start doing so if they were legalized. Now, I&#x27;m not so sure.<p>It seems to be the case that some opioid addicts transition from using prescribed medication to illegally obtained medication, which is sometimes illegally produced and adulterated with other drugs. So, it seems that legalizing the recreational use of opiates would enable people to use the &quot;authentic&quot; version of the drug, which is safer.<p>On the other hand, there are tons of overdoses from prescribed opiates, which are legally obtained; and the overdoses are increasing. Contra my earlier belief, it seems that as access to opiates became easy and legal (via prescriptions), the number of addicts increased dramatically.<p>This seems to be a situation in which tens of thousands of people will die every year via ingestion of legal drugs unless some kind of intervention is made to remove their access to those drugs. It&#x27;s hard to see how legalization or decriminalization would make a big difference.
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spodek超过 7 年前
If Russia wants to hurt the U.S., why bother with so nebulous a tool as election tampering? Why should North Korea bother with expensive nuclear weapons to harm the U.S., not that the strategies are exclusive?<p>Just produce cheap opioids and dump them in our borders, we&#x27;ll take care of the rest.<p>Or maybe they&#x27;re already doing it.
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oh_sigh超过 7 年前
Mods: typo in title - &#x27;overdoes&#x27; instead of &#x27;overdose(s)&#x27;
galeforcewinds超过 7 年前
When no other action has driven change, financial factors seem to often spur movement. Autopsies in NH are paid for by the state, so a surge will surely trigger a deeper awareness in the legislature. There have also been a number of stories recently about workforce capacity losses and hiring challenges; this places the problem more squarely in the domain of businesses which may have deeper pockets than the government. It is my prediction that before long we&#x27;ll see lawmakers announcing new public-private initiatives sponsored by large companies to combat the opioid crisis at a community level. I think we&#x27;re on the leading side of this trend, as government initiatives on the health industry level are just getting rolling, <a href="https:&#x2F;&#x2F;www.nih.gov&#x2F;opioid-crisis" rel="nofollow">https:&#x2F;&#x2F;www.nih.gov&#x2F;opioid-crisis</a>
fabian2k超过 7 年前
The numbers just seemed incredibly high to me. I looked for similar data for the EU, and I found one report for 2015 (<a href="http:&#x2F;&#x2F;www.emcdda.europa.eu&#x2F;system&#x2F;files&#x2F;publications&#x2F;4541&#x2F;TDAT17001ENN.pdf" rel="nofollow">http:&#x2F;&#x2F;www.emcdda.europa.eu&#x2F;system&#x2F;files&#x2F;publications&#x2F;4541&#x2F;T...</a>).<p>The number of overdose deaths in the EU is ~7500 there, and there is no similar large increase since 2006 (the data in that report doesn&#x27;t go as far back as the NY Times article data for the US). The report cautions that there is underreporting in some countries, but even then the number seems to be much lower than in the US.
pmoriarty超过 7 年前
<i>&quot;With the nation snared in what the government says is the worst drug epidemic in its history...&quot;</i><p>When have I heard that before?<p>Maybe during the crack epidemic. Or the meth epidemic. Now it&#x27;s the opioids&#x27; turn.<p>&quot;But this time it&#x27;s different,&quot; I&#x27;m sure.
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vixen99超过 7 年前
So what effect would drug decriminalization have on this situation?
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drawkbox超过 7 年前
Here&#x27;s how to &quot;fix&quot; the opioid crisis, through healthcare and rehabilitation not criminalization.<p>When a person gets hooked on opioids, never cut them off cold turkey. At the end of a surgery&#x2F;injury&#x2F;treatment with prescribed opioids for pain, our current system makes users go from regularly used&#x2F;available to not at all, or once addiction is noticed then access ended immediately. This is the root cause of the problem, from there people go out and get street opioids, sometimes heroin and sometimes it is cheapened by fentanyl where you get a few specs of it and you OD. Basically, the cutting off of the user access to the drug from regularly available to none is the MAJOR problem here.<p>What we need to do is this, taper people off if possible, if not then why not let them continue to get them until they can ween themselves off through rehab. Basically all opioid patients can get them as long as they need but it switches from the doctor to a healthcare specialist in controlling addictions at the end of every opioid prescribed treatment. Some will not need this but for the ones that have been on them for a while due to pain&#x2F;rehab, there would be no cold turkey stopping. At least if people are hooked, this prevents them from going out and getting heroin laced with fentanyl that could be deadly. We are basically setting people up to die this way in our current system.<p>Every solution I have seen is to be <i>harsher</i> on doctors expecting them to control it, or <i>harsher</i> on the amounts they give, all that is <i>strong arm tactics and pushing liability on people that don&#x27;t want it</i> making the problem intensely worse. Instead we should put the liability of addiction on the patient themselves and give them options to help themselves with education and rehab, don&#x27;t just cut them off and leave them on their own.<p>We need a health layer in our system that helps people with addictions and getting quality drugs that aren&#x27;t going to kill them as some people will just do that and some need help, we can pay for it by ending the <i>War on Drugs</i>. Pharmaceuticals will go along with this plan because it allows people to keep getting pharma drugs as long as they need to get off of them, but users won&#x27;t be doing it alone, nor trying to stop cold turkey. This type of policy will help a large portion of at least the opioid addicts that get hooked through regular medical channels.<p>Ending the <i>War on Drugs</i> while using that money for healthcare&#x2F;rehab instead of incarceration, allowing other low level substances like cannabis, and providing people a path to take when they finish with their medical treatment if they find they have an addiction is better. Once the US stops treating drug usage and addictions as a crime and start viewing them as health issues or manageable issues with lower level substances, this will all be much, much better.
ComputerGuru超过 7 年前
@dang I flagged this because there’s a typo: overdoes should be overdose<p>(My brain read it as “overlords” and I was trying to understand why I made that mistake.)<p>Edit: thanks
basicplus2超过 7 年前
Drug problems get worse with higher unemployment<p><a href="http:&#x2F;&#x2F;www.breitbart.com&#x2F;big-government&#x2F;2017&#x2F;02&#x2F;27&#x2F;unemployment-pushes-addiction-deaths&#x2F;" rel="nofollow">http:&#x2F;&#x2F;www.breitbart.com&#x2F;big-government&#x2F;2017&#x2F;02&#x2F;27&#x2F;unemploym...</a>