TOPICS:
JUL 29, 2009 10:15 AM
So excited to read this...this is my area of academic research (recidivism to opiate use)!
JUL 29, 2009 10:25 AM
state funded detox clinic in Massachusetts, and went on to fulfill his potential as an author, journalist, teacher and screenwriter.
Many addicts will not be so fortunate. Clinics such as these are the easy victims of budget cuts.
I just want to point out that I am the number one fan of therapeutic rather than punitive intervention, but there are a lot of misconceptions about detox. Mainly that they work. Detox works very very infrequently to change someone's lifestyle unless they're couple with substitution medication, long-term treatment programs, etc. And even then... They're okay as stepping stones, but usually are a revolving door that people know don't work.
There simply are not enough jails in America to hold the mounting numbers of drug addicts. Those suffering from this addiction only have two choices every morning -- repeat or recover.
Very true, but there also aren't enough hospital or program beds, either. And plenty of addicts use them to lower their tolerance or recuperate when they run out of money.
We need more funding into beds, but we also need a lot more funding into researching recovery and intervention methods for people who want them. Imagine detoxing and then having to go back to the streets until a long-term program opens up!
[We need suboxone doctors able to prescribe more than a hundred people at a time!]
It's a difficult position because saying "free and immediate health care for all addicts seeking help" is that means free and immediate health care for all addicts seeking help with recovery, with "three hots and a cot", or whatever their reasons are. This does not mean turning people away, but does mean recognizing the complexity of the issue. A lot of people just don't want to stop, don't want to change the lifestyle, whatever, so that needs to be recognized.
Also, certain programs require methadone maintenance after a certain number of failed detoxes.
it is $5 a bag.
or lower!
by the time heroin is finished, it will rob them of their souls.
though I know a lot of addicts feel and say this, I feel like public statements like this often work to perpetuate negative stigma of the addict as less than human, which, in turn, propagates negative policy implications.
Anyways, thanks for this great article. Hopefully my funded research can eventually make some headway in this; I come at it from the perspective of qualitatively involving the addicts' perspectives in their own views on the matters...what is helpful and harmful, hopeful or disrespectful for them.
JUL 29, 2009 10:41 AM
And yes yes yes underlying all of this is just the basic point that the health care system needs to be revamped for everyone!
JUL 29, 2009 11:53 AM
Thank you for your comments Fatality. I read the article and was very intrigued by it and your comments only helped educate me further.
JUL 29, 2009 12:09 PM
One of my favorite comedians and authors, Ben Elton, wrote an amazing novel about the connection between social drugs, organized crime and terrorism called High Society.
Through the book's often hilarious satire, Elton points out the hypocrisy of our ozone friendly, PETA supporting, vegetarian celebs, who in turn support all manner of human atrocities via their très fashionable -- and expensive -- drug habits.
(Another reason we should legalize pot -- you can't fund terrorism through drugs if you're merely smoking something you grew in your back garden.)
JUL 29, 2009 12:11 PM
Ps. Thanks for the great comments and insight Fatality.
JUL 29, 2009 12:16 PM
by the time heroin is finished, it will rob them of their souls.
This is probably one of the major reasons I'd never try this drug. I don't think for one second it would be worth the risk of addiction. I cannot fathom what it would be like to be addicted.
I have one friend who is a recovering heroin addict - but not even a long-term addict at that. Her ex-boyfriend was a dealer and she got into it for a month before he got busted and she was arrested with him.
She is on medication and in counseling but that is a state program she is on. She stopped because she didn't want to die. She felt that addiction growing every single day since she started it and looking back at it scares the fuck out of her.
I prefer being able to pick and choose what drugs I use and when I use them instead of the other way around. I am pretty selective on what I try and what I will use. As for heroin, even after knowing how addicting it is, I have thought that I would try it if I only had a month or so left to live.
JUL 29, 2009 12:52 PM
While I'm not indifferent to the plight of addicts everywhere, first & foremost I'd like to point out that not everyone who uses heroin is or becomes an addict. Its just a moralistic scare-tactic horseshit to stereotype drug users as all being worth thieving junkies. I've snorted, swallowed, & shot opiates of every type, from low dosage pharmaceutical pain medication to powdered & black tar street heroin. I've been using heroin on & off for about ten years now & the worst withdrawl symptoms I've ever experienced is mild headaches & soreness after a binge. I've never been late on a bill or had to sell or steal anything to buy drugs. Even close friends of mine who have struggled with actual addiction defy the typical stereotype. A very close friend managed to get himself addicted to pain pills, recently, & was occasionally shooting up. In the course of their six months of addiction they spent about $24,000 on drugs, roughly two grand a month. This person didn't put themselves in serious physical danger (read: never scored on the street), didn't rob anyone, steal from anyone, or miss any bills. The worst thing that came out of it was the money he spent, friction in his romantic relationship, & eventually-- two months after getting clean-- he lost his job due to chronic lateness, due in part to being high often.
All that said, when it comes to treating those who are addicts, both the author & Fatality make very valid points. There's not much in the way of treatment for those who do wish to change their lifestyles & get clean, detoxifying isn't enough if the person isn't also receiving counseling & treatment. The issue is incredibly complex, & treating it is very difficult given the limited nature of our understanding of addiction.
The best answer is still the simplest: legalize it. There's a study I'm currently having a difficult time locating with regards to what happens to the lives of addicts when they are prescribed heroin. The short version is that they become more stable, are removed from possibly harmful environments (street scoring), less likely to engage in criminal practices to fund their use, being to lower the amount of drugs they're using, and a few of those studied even managed to get steady jobs.
Using heroin is dangerous enough, there's constant danger of being robbed or arrested, & since no regulation exists, you never know what you're buying off the street. About three years back I was buying off the street in Philadelphia when heroin cut with fentanyl started floating around, resulting in a wave of overdoses & deaths. The deaths reached out into the surrounding suburbs, since modern heroin is potent enough to be snorted (injection became popular due to low quality heroin, mainlining was the only way to get high) & use has become more casual among teenagers. The response was sadly typical, under pressure from news media & grieving families the police vowed to crack down. For the record, the best know drug corner in Philadelphia has been a well known & active spot for at least twenty-five years. I've been picked up scoring during one of the periodic sweeps. The police make a big show of picking up a handful of dealers & users, & the next day new crews set up shop & users know they can still count on shit being available.
Legalizing drugs-- all drugs-- would reduce harm for hardcore addicts & casual users alike, while at the same time allowing those who are addicted to seek treatment with less stigma, it could also go a long way to making it easier to discern the people taking a break from those that are serious about changing their lifestyles.
JUL 29, 2009 03:36 PM
thanks for linking this article in chemical halo, fatality.
I'm currently reading a book called 'Poppy', life, death and addiction inside Afghanistan's opium trade but will look for Richard Farrell's to read next
JUL 29, 2009 04:38 PM
ChrisSick said:
Legalizing drugs-- all drugs-- would reduce harm for hardcore addicts & casual users alike, while at the same time allowing those who are addicted to seek treatment with less stigma, it could also go a long way to making it easier to discern the people taking a break from those that are serious about changing their lifestyles.
Chris, this solution has always made sense to me. I mean really - there is no other possible or likely solution that makes sense.
Applying the same usage laws for the drug "alcohol" and applying them to all drugs makes the most sense.
The problem is, too many people still think that this war on drugs will somehow be won. They also think that by being selective on legalization (example: pot should be illegal but nothing else, blah blah blah), it will keep people from doing other drugs.
It's weird that people can be very logical when it comes to other sorts of social issues and addressing both the problem and solutions/preventions. In the case of minors becoming pregnant or getting STDs - many people finally "get" the fact that the abstinence-only campaigns have proven that they aren't as effective as once hoped. Most understood and accepted that a different approach had to be taken through education and passing out condoms.
If the issue of teenage pregnancies/STDs was handled the same way as the war on drugs are, there would be a "War on Underage Sex" that just had more and more money thrown into the abstinence-only campaign/war. I think most can agree that it would be a very Why can't that same reasoning be used when it comes to drugs?
JUL 29, 2009 05:34 PM
I agree with the previous posts: in an ideal world all drugs should be legal.
I don't indulge myself, but would fight for the right for others to do so. On principle I believe that one should be allowed to do anything with one's own body as long as it doesn't hurt others.
However, being pragmatic, pot is the most likely drug to be made legal. Perhaps in doing so, it would serve as a gateway to a less hysterical and more enlightened approach to drugs in general.
In the meantime I'd like to encourage those who can to stop patronizing those who fund inhuman behavior (don't kid yourself about where your drug money goes). It's the same reason I don't shop at Wal Mart -- buy a toaster from there and somewhere along the line you'll be funding some pretty evil shit.
JUL 29, 2009 05:34 PM
ChrisSick said:
While I'm not indifferent to the plight of addicts everywhere, first & foremost I'd like to point out that not everyone who uses heroin is or becomes an addict. Its just a moralistic scare-tactic horseshit to stereotype drug users as all being worth thieving junkies. I've snorted, swallowed, & shot opiates of every type, from low dosage pharmaceutical pain medication to powdered & black tar street heroin. I've been using heroin on & off for about ten years now & the worst withdrawl symptoms I've ever experienced is mild headaches & soreness after a binge. I've never been late on a bill or had to sell or steal anything to buy drugs. Even close friends of mine who have struggled with actual addiction defy the typical stereotype. A very close friend managed to get himself addicted to pain pills, recently, & was occasionally shooting up. In the course of their six months of addiction they spent about $24,000 on drugs, roughly two grand a month. This person didn't put themselves in serious physical danger (read: never scored on the street), didn't rob anyone, steal from anyone, or miss any bills. The worst thing that came out of it was the money he spent, friction in his romantic relationship, & eventually-- two months after getting clean-- he lost his job due to chronic lateness, due in part to being high often.
All that said, when it comes to treating those who are addicts, both the author & Fatality make very valid points. There's not much in the way of treatment for those who do wish to change their lifestyles & get clean, detoxifying isn't enough if the person isn't also receiving counseling & treatment. The issue is incredibly complex, & treating it is very difficult given the limited nature of our understanding of addiction.
The best answer is still the simplest: legalize it. There's a study I'm currently having a difficult time locating with regards to what happens to the lives of addicts when they are prescribed heroin. The short version is that they become more stable, are removed from possibly harmful environments (street scoring), less likely to engage in criminal practices to fund their use, being to lower the amount of drugs they're using, and a few of those studied even managed to get steady jobs.
Using heroin is dangerous enough, there's constant danger of being robbed or arrested, & since no regulation exists, you never know what you're buying off the street. About three years back I was buying off the street in Philadelphia when heroin cut with fentanyl started floating around, resulting in a wave of overdoses & deaths. The deaths reached out into the surrounding suburbs, since modern heroin is potent enough to be snorted (injection became popular due to low quality heroin, mainlining was the only way to get high) & use has become more casual among teenagers. The response was sadly typical, under pressure from news media & grieving families the police vowed to crack down. For the record, the best know drug corner in Philadelphia has been a well known & active spot for at least twenty-five years. I've been picked up scoring during one of the periodic sweeps. The police make a big show of picking up a handful of dealers & users, & the next day new crews set up shop & users know they can still count on shit being available.
Legalizing drugs-- all drugs-- would reduce harm for hardcore addicts & casual users alike, while at the same time allowing those who are addicted to seek treatment with less stigma, it could also go a long way to making it easier to discern the people taking a break from those that are serious about changing their lifestyles.
You and Fatality make many great points. I've always felt uneasy about legalizing heroin, but I also read a study (I think it was in England, will search) about how legalizing and regulating heroin made many of the socially negative issues decrease.
JUL 29, 2009 05:47 PM
Its amazing to me how often people are willing to let ideology trump pragmatism. The War on Drugs has become a defacto war of poverty, creating an underground economy for those who don't have mainstream educational & job opportunities to profit through illegal means, resulting in uncountable amounts of lost productivity, lives, dollars, & property. Drug paraphernalia laws which were designed to punish drug users-- even if they had no actual drugs on them-- encouraged needle sharing, which caused the rate of blood borne diseases, including HIV, to explode. As I mentioned previously the lack of consistency of street drugs-- due to no regulation-- means that the vast majority of deaths results from accidental overdoses. The illegal nature of usage means that addicts aren't protected, they can be fired from a job despite no performance issues, they can be arrested while scoring, even if they're guilty of no other crime, & certainly if there were ever anything resembling a victimless crime, drug use is about as close as it can be. Worse, the War on Drugs is totally unsustainable, US citizens are funding both sides of the drug war, imagine if during WWII for every Liberty Bond a citizen bought they spent an equal amount funding the Axis powers. And while we give up more ground every year, we're filling our prisons with non-violent offenders that we have jammed our prisons to overcrowding. The collateral damage from can't even be measured, & all possible negative effects-- such as increased healthcare costs, which we're already paying-- are clearly outweighed by the negative effects we're already experiencing. I'd like to think the only reason our current President isn't taking a hard position on this is due to the politics & public perception. Which is basically the hypocritical viewpoint of many Americans that drinking five scotches with dinner should be okay, but being caught with a gram of marijuana on you should result in having your entire life ruined.
JUL 29, 2009 06:14 PM
nicole_powers said:
In the meantime I'd like to encourage those who can to stop patronizing those who fund inhuman behavior (don't kid yourself about where your drug money goes). It's the same reason I don't shop at Wal Mart -- buy a toaster from there and somewhere along the line you'll be funding some pretty evil shit.
That's the most disconcerting thing for me about my illegal drug use. The vast majority of my use has been in the form of illegally obtained pharmaceuticals, which still supports some pretty awful corporations, but I find it a lot less detestable than supporting murderers & slavers. Its something people should think about, I've been around the drug scene enough to know that the higher you go up the ladder, even harmless drugs like marijuana are supplied by some pretty dangerous, scummy people, & that's just stateside, it doesn't even begin to get into the issues of how that supply is harvested & gets into the country-- including drug mules pressed into service-- or who is profiting the most from that.
Drugs are like any other kind of consumable. If you're going to spend your dollars on it, you should educate yourself as much as possible about where those dollars go & who profits from it. Sadly, due to the illegality of drugs, the people that profit tend to be the bad people.
JUL 29, 2009 06:14 PM
Fatality said:
Decriminalization is also an option
To my mind it is the only viable option to address the vast multitude of issues related to illicit drug use.
JUL 29, 2009 06:14 PM
Fatality said:
Decriminalization is also an option
I would only go for legalization, because decriminalization, to me, screams of lack of regulation. If possession heroin is going to be non-illegal, I would want it regulated as well. That way we can control where it comes from, quality, etc.
JUL 29, 2009 06:22 PM
Otoki said:
Fatality said:
Decriminalization is also an option
I would only go for legalization, because decriminalization, to me, screams of lack of regulation. If possession heroin is going to be non-illegal, I would want it regulated as well.
I was using the terms interchangeably, but you bring up a really valid point. Decriminalization really isn't the same as legalization, & if you're going to allow people to use what are currently street drugs you'd be a damn fool not to regulate it (for reasons I've repeatedly mentioned throughout this thread) & to tax the ever-loving hell out of it.
JUL 29, 2009 07:35 PM
I want to lasso every comment made so far, and give them a "+1".
The notion of a 'war on drugs' as a conflict that can be "won" is flawed, and it is high time we move beyond it.
Drugs in the broad sense (all substances that moderate physiological and psychological response, including alcohol, nicotine, etc.) are capable of great harm when used with irresponsibility. It seems to me laying down the facts both pro and con, encouraging responsible action, and establishing a safety net to catch those who fail to act responsibly is more socially sustainable than what we are currently doing.
JUL 29, 2009 07:56 PM
ChrisSick said:
Legalizing drugs-- all drugs-- would reduce harm for hardcore addicts & casual users alike, while at the same time allowing those who are addicted to seek treatment with less stigma, it could also go a long way to making it easier to discern the people taking a break from those that are serious about changing their lifestyles.
I agree with you, but I've heard the argument that by keeping substances illegal, they make it harder to get hold of, and therefore less people do it. I'm not sure what I think about that, personally, but it sounds plausible.
(Great article, thanks.)
JUL 29, 2009 08:04 PM
Viking said:
I agree with you, but I've heard the argument that by keeping substances illegal, they make it harder to get hold of, and therefore less people do it. I'm not sure what I think about that, personally, but it sounds plausible.
I've heard that argument too. I've also heard that in the UK, people can still get pot, heroin, cocaine, speed, etc, etc, etc, etc, etc. and those drugs are all illegal.
OK, that was a bit sarcastic but making the point that making it harder to get a hold of hasn't really fixed any problems at all and I haven't heard any reliable sources reporting that drug use is down here in the U.S. At all.
All it does is drive the prices of the drugs up higher and the users (like the one in the story) go to more extremes to get the money for it. So by keeping the drugs illegal - they actually lead to crimes being committed.
Note: I don't consider using drugs a crime.
JUL 29, 2009 08:41 PM
Otoki said:
You and Fatality make many great points. I've always felt uneasy about legalizing heroin, but I also read a study (I think it was in England, will search) about how legalizing and regulating heroin made many of the socially negative issues decrease.
It might have been the Swiss; they have been doing some very advanced things in term so treating Herion addiction as a medical issue and catching lots of shit from the US over it.
Swiss Trials in the BMJ
Swiss trials in the BMJ 2
BBC article on German trials
JUL 29, 2009 08:52 PM
Viking said:
I agree with you, but I've heard the argument that by keeping substances illegal, they make it harder to get hold of, and therefore less people do it. I'm not sure what I think about that, personally, but it sounds plausible.
I suspect you are right, but part of me goes: "meh, who cares?"
There are lots of destructive behaviours that we as a society tolerate. Hell, alcohol is probably the most pernicious drug around in terms of death, violence and ilness, but it is legal. Then there is smoking etc.
Personally as long as people are educated as to the issues caused by their behaviours then they can go right ahead as far as i am concerned as long as what they are doing doesn't put others at risk. Hence you can't drink drive or smoke in pubs and restaurants here in Oz.
JUL 29, 2009 09:58 PM
Viking said:
I agree with you, but I've heard the argument that by keeping substances illegal, they make it harder to get hold of, and therefore less people do it. I'm not sure what I think about that, personally, but it sounds plausible.
(Great article, thanks.)
I can't speak for how it is in the UK, but here in the US nearly every illegal or controlled drug is readily available without much effort. Quality and purity are often suspect, but if you have the money and aren't picky pot, heroin, cocaine, pills, meth, etc. aren't hard to buy - so I'd say the "illegality makes it harder to get" argument only holds true if you're comparing illegal drugs to ease of access of legal drugs like alcohol and nicotine.











nicole_powers
NEWSWIRE
I'm lost
JUL 28, 2009 05:56 PM