Heroin epidemic, fentanyl, and Drug Abuse
The following was sent to me and since I taught a course in the Physiological Basis of Drugs and Drug Abuse for years, I felt obligated to respond. To be fair, it should be noted that I have been retired now for 21 years, a genuine old fuddy duddy.
Sent paragraph:
“The poppy’s power, in fact, is greater than ever. The molecules derived from it have effectively conquered contemporary America. Opium, heroin, morphine, and a universe of synthetic opioids, including the superpowerful painkiller fentanyl, are its proliferating offspring. More than 2 million Americans are now hooked on some kind of opioid, and drug overdoses — from heroin and fentanyl in particular — claimed more American lives last year than were lost in the entire Vietnam War. Overdose deaths are higher than in the peak year of AIDS and far higher than fatalities from car crashes. The poppy, through its many offshoots, has now been responsible for a decline in life spans in America for two years in a row, a decline that isn’t happening in any other developed nation. According to the best estimates, opioids will kill another 52,000 Americans this year alone — and up to half a million in the next decade.”
My Response:
“The poppy’s power is greater than ever”……this is simply wrong. Poppy is not fentanyl or any of the other new synthetic drugs. Poppy refers to heroin/morphine. Period.
The United States has one of the absolute worst records when it comes to recreational drugs of abuse. As a consequence we have used the domestic ‘War against drugs’ as a major contributor to the decline of our inner cites—plus more recently our rural and suburban ‘ghettoes’. One might think we would have learned our lesson after the fiasco of Alcohol Prohibition. Drug Abuse is a medical problem, not a political or police (criminal problem) problem and when it is not treated as a medical problem and allowed to be a political and and criminal football ever since the late 60’s, we end up right where we are today.
The sent to me paragraph illustrates exactly how firmly entrenched the political and criminal control over the problem still exists. There are several problems in the paragraph itself which demonstrates the disingenuous nature of this warning:
First, it is a mistake to lump opium, heroin, morphine and drugs like fentanyl together as if they are essentially birds of a feather. Heroin, which is converted to morphine by the body, are natural body opioids, and attach to the same receptors as the natural opiates the body produces under certain circumstances. With precious few exceptions, our natural body opiates and heroin/morphine will not kill anyone and have the least toxic effects of any of the ‘recreational drugs of abuse’. Heroin used together with alcohol or any other depressants can cause breathing to be inhibited enough to cause death. When has the government ever spent any time or effort to drive this point home to heroin/morphine users? Instead when anyone dies with heroin/morphine in their system it is always listed as a heroine/morphine overdose. The goal has never been to prevent deaths but to frighten heroin/morphine users.
Until recent years hospital patients had to beg for morphine and were told no, if you get more you will become an addict. Finally, after decades to pushing this lie, patients are now given a button to press which will give them as much morphine as needed to dull the pain. Heroin/morphine is an absolutely wonderful drug. It does not eliminate pain at all—it just changes how you feel about the pain, your emotional response to the pain. Any drug which eliminates the pain would be useless for medical purposes. Doctors need to know when pain exists. The pain which bothers us less can be physical pain caused by damage to cells in the body (an operation) or emotional pain which is caused by psychological factors. Thus, patients with physical pain and people whose lives are filled with psychological stress both think heroin/morphine are wonderful drugs.
But ‘wonderful’ here comes with a caveat. When someone takes heroin to lessen the psychological pain of their life situation, they are essentially removing the main impetus to make changes in their lives. When a high percentage of Vietnam soldiers on the front lines in Vietnam were taking heroin to lessen the stress of their situation, the common belief was that when these soldiers returned home we would have a massive heroin addiction problem with them. The truth is that only 3% of returning soldiers continued to use heroin after they returned states wide and these soldiers probably had bad life situations once returning home.
To lump all the new synthetic drugs created in laboratories together with heroin/morphine is simply an absurdity. They may attach to the same body receptors and be used for the same effect, but they are simply different drugs. Of course this has always been how politicians and police have always treated drug abuse. And this attitude is exactly why, with 5% of the world’s population, we have 25% of people in jail globally, in our jails. Treating recreational drug abuse as a crime simply ensures the problems will get worse. We don’t need jails, we need medical drug addiction centers available to all our citizens. It costs around $30,000 to keep people in jail and all this does is ensure most of these citizens will never be productive members of society. Most of these people are young nobodies peddling drugs for a living in areas where unemployment hovers around 60%. Today, heroin use is growing exponentially because the number of people very dissatisfied with their lives is growing exponentially.
Of course we should be shocked that drug abuse is becoming a national epidemic. What we prefer not to admit, and certainly our politicians and police never mention is this: More and more people in our country are finding their lives so dead-ended and stressful, with no light at the end of the tunnel, that they turn to drugs which will help them care less about their situations. And all the politicians and police do is tell them “just say no to drugs”. That has zero chance of success with most of those using these drugs. When almost all citizens have decent schools, good teachers, a safe neighborhood, job opportunities with livable wages, good medical care, and access to addiction centers for all kinds of addictions, then and only then, will this crisis of drug abuse end. Making a drug like heroin illegal makes it possible for drugs like fentanyl to get peddled to drug users. Paragraphs like the one at the top simply ensures that people using heroin are led to believe that the synthetic drugs are just as good or even better drugs to use to dull their emotional or physical pain. They are ignorant because our government, politicians, and police peddle the ignorance. In some sense the government loves new synthetic drugs like fentanyl because maybe these drugs will scare people off heroin. It is totally disingenuous. You don’t find these drugs like heroin, fentanyl etc being used in countries where almost all citizens have good schools, good job opportunities, good health care, safe neighborhoods, etc. having any such drug problems as we do. As long as we are wedded to capitalism with no proper regulation and having no limits, we get exactly what we have now with 2-5% of our citizens owning 90% of our wealth and 43% of our adults not making enough money to even qualify to pay federal income tax. Then we say to them: “Just put up with your emotional pain about your lives, don’t take heroin or any other drugs to alleviate the pain—just shut up and make something of yourselves.” After 50 years of having seen how this works out, maybe we should begin to realize the monster we are creating as part of our society.
And worst of all, many of these ‘trapped’ citizens have been permanently damaged physically by their life situation via the effects of chronic stress hormones which act negatively on almost every body system, especially during the formative years, and much of the damage to the body, including to the central nervous system, is permanent. So we have a problem alright, but the paragraph at the beginning of this email does absolutely nothing to alleviate the problem. Drugs like fentanyl should be treated as dangerous poisons and anyone who produces these drugs should be treated for murder. Sadly, getting rid of fentanyl will do nothing to treat the basic causes of why people turn to heroin. Our democracy is failing badly across the board right now and anyone who doesn’t see this has got the world’s best pair of rose colored glasses.
If heroin addicts had medical addiction centers to go to where the doctors were knowledgeable about heroin and drug addiction, then for once the addicts, the doctors and the government might all accept their role for this situation and attack the root cause of the addiction. The addict, by him/her self often cannot change their community environment by themselves. If their environment does not change, their emotional pain cannot be relieved. God, if we can all agree God exists, then we can then agree that His laws which govern the evolutionary process also managed to thus generate the human species which has the innate ability to collectively address the needs of the less fortunate in life, to meet their basic needs irregardless of parental quality, location of community, financial status, and genetics——so that all citizens have a more level playing field to develop their innate potential, no matter how great or small that potential. If we cannot do this, and shun our collective responsibility to do just that for self serving reasons, then our species will have failed ourselves and pay the price. That’s an overstatement in that individual members of any species die off, and the future will not include them. We can reject the universal basis of human ethics (the Golden Rule), but it will impact only on ourselves as a specie, not the evolutionary process itself. A person can only achieve meaningful contentment if they live as best they can by the Golden Rule. One can live by the Golden Rule and be titled, rich, poor, handsome, ugly, have power over others, or no power over others, or have piles of money or little money, live in a city or rural area, and so on and still be contented. One thing is for sure: no addiction or compulsive behavior can maximize contentment. Period. Just ask Donald Trump. He is the poster boy for having all the stuff in life which is often purported to bring contentment and yet who could be more discontented round the clock than Donald Trump? Andrew Carnegie had it right: “I would as soon leave my son a curse as the almighty dollar.”