Why is there an epidemic of heroin and opioid use in the USA? - Politics Forum.org | PoFo

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#14714140
The US is in the throes of a heroin and opioid epidemic - drug overdose has become the leading cause of accidental death, overtaking traffic accidents.
It is a health crisis with tentacles reaching across the social spectrum. Lorain County, in the state of Ohio, is mostly suburban and middle-class, with a large rural hinterland.
Its population is only 305,000 but for the last three years, the number of fatal opiate overdoses has hovered at around 65. This year it only took six months to reach that figure.
Avon Lake is the county's wealthiest community - an upmarket suburb of the city of Cleveland. Here, on the shores of Lake Erie, the scourge of opiates - prescription pills and street heroin - is tearing at the fabric of a tightly-knit neighbourhood.
The addict
Mason Butler is smoking in the garden. The cicadas are close to deafening, Mason has hardly slept and his mother, Marnie, has arrived to drive him to rehab. This will be his seventh attempt at getting clean.
"Every time, you have to have hope," he says. "But when it doesn't work out you get more discouraged than the last time. It kind of sucks when you just feel like a chronic relapser…"
Like so many American heroin addicts, Butler first got hooked on pain medication. At high school he was a wrestler, and the doctor prescribed an opiate drug for his injuries.
"I took it the first time, and I was like, 'That's it.' It hit the mark. That was the high I was looking for and I chased it from the age of 16. Now I'm 26…"
Although he claims he is determined to quit, Butler has arranged to meet a heroin dealer on his way to rehab, to score a final hit. Marnie is not fully aware of her son's plan until she finds herself waiting for him outside a fast food restaurant off the highway.

BBC
#14714144
Narcotics trade has a lot to do with armies being funded by locally grown shit. Ie the heroin epidemic of the 60's was supplied by SE Asian anticommunists, the cocaine (and then crack) epidemic of the 70's/80's was supplied by Latin American anticommunists, and nowadays heroin comes mostly from South American cartels in America and Wahabbi radicals for Europe. In every one of these cases there is significant evidence showing imperialist forces directly facilitating this flow of drugs as a way to cover the tracks of their direct funding of terrorists worldwide.

Also there is a vacuum in the west. A cultural one. But this shit is a real vacuum, nothing can escape its clutches or fill its place (well except some new People's Culture but the people would need some kind of actual control over their lives for that process to begin). Stupid ass western cowards fear other cultures will just come over and set up shop, like as though they're somehow immune to the processes that exterminated our (admittedly disgusting) culture of yore. Because they're fucking stupid and they don't even begin to understand capitalism 101.

Why this is relevant is that this vacuum kinda really sucks on shit. But you know what makes you feel great? Heroin. You know what makes you not care that you're surrounded by people but we're so atomized that even together we feel gnawing loneliness? Heroin. You know what makes you not care that you're grinding yourself down every day just to survive so you can continue to be depressed and watch your dreams get further and further away? Heroin. Oh and most importantly you what helps you stay sedated enough to be controlled and not rise up? Heroin.

So to the point: heroin is big because it makes a shit fuck ton of money for all the right people.
#14714175
Oxycodone down; heroin up

Florida started to crack down on “pill mills” in 2010.

American Pain was shut down in an FBI raid and its owners were imprisoned. The Florida legislature passed laws to kill off other pill mills and curtail the largely unfettered prescription of opioids. Deaths from oxycodone in Florida dropped 69% in the five years from 2010.

But the clampdown left those already addicted without a ready supply. It limited access to pills, forced up prices on the street, and made heroin a cheaper alternative. As the drug flooded in from Mexico, heroin deaths in Florida more than doubled in 2014 alone to a record 408.

Doctors also reported an increase in the number of babies born addicted to heroin, and Florida leads the US in new HIV-Aids infections, attributed to needle-sharing by drug users.

“What was going on here in Florida was different to any other place,” Fata said. “The pill mills were blatantly illegal. Anybody could walk in and get a prescription. When that stopped, those people either latched on to people who still had a prescription or they moved to heroin. As those people they could latch on to dwindled and dwindled because it got stricter and more restrictive, the shift was to heroin.”

The National Institute on Drug Abuse declared a heroin epidemic in south Florida two years ago.

The Journal of the American Medical Association Psychiatry noted a shift toward greater use by white people from affluent backgrounds and said that most were drawn to heroin after becoming addicted to opioid painkillers.

The Journal of the American Medical Association Psychiatry noted a shift toward greater use by white people from affluent backgrounds and said that most were drawn to heroin after becoming addicted to opioid painkillers.
The Journal of the American Medical Association Psychiatry noted a shift toward greater use by white people from affluent backgrounds and said that most were drawn to heroin after becoming addicted to opioid painkillers.
The 2014 study reported that 75% of those on heroin said they came to it via prescription opioids and noted a rise in heroin use as prescription opioid use decreased.


Guardian.
#14714316
Latin America is a crucial geographic zone for drug production and trafficking. North America is pretty close to Latin America and illegal immigration is closely associated with drug smuggling from Mexico. More than 60,000 people have died in Mexico in prohibition-related violence in the last ten years and building a wall between Mexico and the US could actually end America's addiction to heroine and cocaine. Probably there is collusion between American authorities and drug cartels in Latin America and some border agents may be working for illicit organizations.
Last edited by ThirdTerm on 31 Aug 2016 20:07, edited 1 time in total.
#14714317
Have you had a look at the USA recently? Who wouldn't want to block out the fact that they are living there is is a third world hellhole where people think it is moral to gun down school children but think it is immoral to take money off the idle rich for healthcare for the working poor.
#14714372
I haven't looked into it, but I would assume that it has something to do with alienation.

The United States hasn't changed in base from the British Empire, the French Republic, or any other capitalist imperialist. However, one thing that it has done that the others had failed to do at this point was to suppress all alternatives to capitalist hegemony not only in an ideological, but in a material way.

This occurred in two ways. The first was the ability to create a complete surplus of goods the like of which the world had never seen before. While Europe and Japan were able to catch up with it, it was the Americans that had the industrial and ecological capacity to build such an apparatus; and with the flow of intellectuals from Europe coming in to help understand what to do with the massive surplus of goods, the system was set to deal with it as all capitalists had done and continue to do on a broader scale.

Paul Mazur of Lehman Brothers wrote:We must shift America from a needs, to a desires culture. People must be trained to desire, to want new things even before the old had been entirely consumed. We must shape a new mentality in America. Man's desires must overshadow his needs.


Again, this was not new in theory. Marx had anticipated such a situation:

Marx wrote:Let us suppose the most favorable case: if productive capital grows, the demand for labour grows. It therefore increases the price of labour-power, wages.

A house may be large or small; as long as the neighboring houses are likewise small, it satisfies all social requirement for a residence. But let there arise next to the little house a palace, and the little house shrinks to a hut. The little house now makes it clear that its inmate has no social position at all to maintain, or but a very insignificant one; and however high it may shoot up in the course of civilization, if the neighboring palace rises in equal or even in greater measure, the occupant of the relatively little house will always find himself more uncomfortable, more dissatisfied, more cramped within his four walls.


But it had never been done on such a massive scale before. I'll also note that this was not a healthy situation for a society in which everybody got more, simply that those that could afford it felt the need to get more.

The second portion of this was that industrial production was sophisticated enough a little after the war that it could effectively create personalized goods. You wouldn't need to get the same model of car at the same color, but now you could get any color with any number of customizations that were previously only something that the rich had been able to afford.

This goes deeper; maybe you're an Apple person, maybe you're a PC person. If you're, for instance, an Apple person, maybe you're an iOS or an OS X person. If you're any number of these things, you can change an almost infinite amount of things and tweaks so that you internalize the object. This is, of course, something for Apple which is known for having less customization than a PC. And, as I'm sure further comments may demonstrate, this is a kind of production that is very much personalized by the consumer.

But this personalization of lots of stuff in a way feeds into how we interact with the rest of the world. This has not varied at all since the conception of capitalism, even if we tweak these material factors:

Marx wrote:Just as private property is only the perceptible expression of the fact that man becomes objective for himself and at the same time becomes to himself a strange and inhuman object; just as it expresses the fact that the manifestation of his life is the alienation of his life, that his realisation is his loss of reality, is an alien reality: so, the positive transcendence of private property – i.e., the perceptible appropriation for and by man of the human essence and of human life, of objective man, of human achievements should not be conceived merely in the sense of immediate, one-sided enjoyment, merely in the sense of possessing, of having. Man appropriates his comprehensive essence in a comprehensive manner, that is to say, as a whole man. Each of his human relations to the world – seeing, hearing, smelling, tasting, feeling, thinking, observing, experiencing, wanting, acting, loving – in short, all the organs of his individual being, like those organs which are directly social in their form, ||VII| are in their objective orientation, or in their orientation to the object, the appropriation of the object, the appropriation of human reality. Their orientation to the object is the manifestation of the human reality, [For this reason it is just as highly varied as the determinations of human essence and activities. – Note by Marx] it is human activity and human suffering, for suffering, humanly considered, is a kind of self-enjoyment of man.

Private property has made us so stupid and one-sided that an object is only ours when we have it – when it exists for us as capital, or when it is directly possessed, eaten, drunk, worn, inhabited, etc., – in short, when it is used by us. Although private property itself again conceives all these direct realisations of possession only as means of life, and the life which they serve as means is the life of private property – labour and conversion into capital.

In the place of all physical and mental senses there has therefore come the sheer estrangement of all these senses, the sense of having. The human being had to be reduced to this absolute poverty in order that he might yield his inner wealth to the outer world. [On the category of “having”, see Hess in the Philosophy of the Deed].

The abolition [Aufhebung] of private property is therefore the complete emancipation of all human senses and qualities, but it is this emancipation precisely because these senses and attributes have become, subjectively and objectively, human. The eye has become a human eye, just as its object has become a social, human object – an object made by man for man. The senses have therefore become directly in their practice theoreticians. They relate themselves to the thing for the sake of the thing, but the thing itself is an objective human relation to itself and to man, [In practice I can relate myself to a thing humanly only if the thing relates itself humanly to the human being. – Note by Marx] and vice versa. Need or enjoyment have consequently lost its egotistical nature, and nature has lost its mere utility by use becoming human use.


The alienation produced by capitalism and the notion of ownership only increases when this ownership becomes more prolific and more personalized. It specifically preys on the kind of alienation that Marx commented upon. Couple that with the loss of any other alternative.

In Marx's time, and into living memory, religion is what separated us from the godless commies. Marx explained that religion was a way to reconcile what alienation did to us along with our current condition. Though he is often quoted out of context, it is insightful:

Marx wrote:Religion is the general theory of this world, its encyclopaedic compendium, its logic in popular form, its spiritual point d’honneur, its enthusiasm, its moral sanction, its solemn complement, and its universal basis of consolation and justification. It is the fantastic realization of the human essence since the human essence has not acquired any true reality. The struggle against religion is, therefore, indirectly the struggle against that world whose spiritual aroma is religion.

Religious suffering is, at one and the same time, the expression of real suffering and a protest against real suffering. Religion is the sigh of the oppressed creature, the heart of a heartless world, and the soul of soulless conditions. It is the opium of the people.

The abolition of religion as the illusory happiness of the people is the demand for their real happiness. To call on them to give up their illusions about their condition is to call on them to give up a condition that requires illusions. The criticism of religion is, therefore, in embryo, the criticism of that vale of tears of which religion is the halo.


Though not Marxist, in Civilization and its Discontents, Freud more or less comes to the same conclusion though also adds drugs, sex, and art as ways that people attempt to end the alienation that civilization (in Freud's case) forces upon them.

How do you reconcile this?

Traditionally with drugs. They make you okay with what you deal with the crises in which you are living. In much the same way it did in Soviet Russia when Lenin had to deal with the issue. Though anti-communists will try to make a hypocrite of Lenin in not promoting the production of alcohol, it is quite obvious that one should not waste food in a famine for alcohol, and Lenin went so far as to look for alternatives to the creation of alcohol. For Lenin, the NEP and industrialization of the Soviet Union was going to lead to some of these same issues and this was natural enough.

That's getting off track though. To switch to today, the United States has far greater production, far greater personalization, far less religion, and a far less lucrative and recognized way to get into art and everything else.

As a result, the US is the one place in the world where alcohol consumption is increasing. It also has other drug problems.

Further, this is aggravated by reactionary policies (as Dagoth Ur pointed out) financing themselves by saturating lower-class communities with drugs in history (see 1800 when the US became an opium port by the British after the Opium War), [url=https://en.wikipedia.org/wiki/Iran–Contra_affair]recently[/url], and currently.

The production is there, but more than anything the demand as a result of alienation is there. Specifically in the United States: "a motley rabble of saucy boys, negros and molattoes, Irish Teagues and outlandish jack tarrs," that happened to stumble into an industrial production unrivaled in the history of the world in production, use of the production, where capitalism has been turned on high.

But make no mistake, this is the same thing that's occurring all over the imperialist world. But like Americans always do, this is an excuse to talk about themselves and get on their knees and conspicuously beg forgiveness from the heavens. Something the British and the French aren't nearly as keen on doing.
#14714496
Its harder to not smoke cigarettes than not do heroin. Most junkies are just scared little babies who cannot withstand a little gut-wrenching sickness. And everyone playing up that classic D.A.R.E. trope of "johnny smoked one hit of heroin and was hooked for life!" just enables the weak to excuse their own actions.

Hey saeko did you know that if you ever bought weed you like totally put money directly into Osama bin Laden's hands?
#14714532
Smoking is going down a lot in Europe. Smoking bans in public spaces and maybe e-cigs?

Anyway, of course environment and social conditions make a difference. I really dont know but alienization and atomization within certain areas makes sense. Perhaps old industrial centers? These had a lot of problem in the UK after the 1970's and 1980's industrial fallout.

More avaliable supply always helps too.
#14714683
Godstud wrote:If I was American, and I had my government going to either Trump or Clinton, I'd be getting fucked up, too.

Meanwhile, in Canada...
http://www.cbc.ca/news/canada/hamilton/ ... -1.3742868
https://www.thestar.com/news/canada/201 ... reads.html
http://calgaryherald.com/news/local-new ... ars-crisis

Maybe North Americans have finally realized that they are cultureless mercenaries of violent, blood-thirsty mafias, and the only way to deal with this is by numbness and death.

It's not healthy or natural to have no opinions, and North America is full of opinion-less lives of silent desperation.
#14714686
layman wrote:Smoking is going down a lot in Europe. Smoking bans in public spaces and maybe e-cigs?

Anyway, of course environment and social conditions make a difference. I really dont know but alienization and atomization within certain areas makes sense. Perhaps old industrial centers? These had a lot of problem in the UK after the 1970's and 1980's industrial fallout.

More avaliable supply always helps too.


This. You need to cut off the supply if you want to deal with this epidemic.
#14714687
Legalize it, and control, it if you really want to deal with this.

'Cutting off the source', is just more drug war lingo. You cannot do so, or they would have decades ago. Therefore, doing something different is the only way to deal with it.
#14714690
Godstud wrote:Legalize it, and control, it if you really want to deal with this.


Making it illegal is controlling it.

'Cutting off the source', is just more drug war lingo. You cannot do so, or they would have decades ago. Therefore, doing something different is the only way to deal with it.


This does not follow. It hasn't been done because it is hard to do, but that doesn't mean it's impossible.
#14714693
Making it illegal forfeits control. You cannot control the supply, just as you cannot control the demand. That means you have no control, anywhere. This is evident by the colossal failure of the Drug War.
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