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Conservatives and the Opioid Epidemic


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#1 LFC

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Posted 11 December 2017 - 05:33 PM

Here's an example of how much they care.

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North Carolina sheriff has publicly apologized for a “tasteless” meme that appears to mock people who overdose on opioids and wish them dead.

As Western North Carolina’s WLOS reports, Henderson County Sheriff Charles McDonald apologized for a meme featuring someone squirting a life-saving opioid antidote that reads “Narcan: Robbing Darwin of his bountiful harvest since 1971.” Below the image is the seal of the Henderson County Sheriff’s Office.

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This meme was shared among Henderson County, NC sheriff's deputies in a May group email about crime analysis.

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McDonald didn’t identify the sender of the image, but acknowledged that it had been sent in an interdepartmental email on May 23 focusing on crime analysis information. The sheriff also said the meme was “tasteless,” and represented a lapse in judgement on his watch.

“There is no excuse for it regardless of the intention,” McDonald told WLOS. “I’m told it was an attempt at dark humor, but it was in no way humorous, and I know it does not reflect the true heart of the actual sender, or that of our staff and volunteers.”

Yep, these are the kinds of people that are going to "make America great again."
" 'Individual conscience' means that women only get contraceptives if their employers, their physicians, their pharmacists, their husbands and/or fathers, pastors, and possibly their mayors, Governors, State Secretaries of Health, Congressmen, Senators, and President all agree that in that particular case they're justifiable." --D.C. Sessions

"That's the problem with being implacable foes - no one has any incentive to treat you as anything more than an obstacle to be overcome."

"The 'Road to Serfdom' is really all right turns." --Progressive Whisperer

""The GOP ... where every accusation is also a confession." --Progressive Whisperer

#2 baw1064

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Posted 11 December 2017 - 07:01 PM

I do find the Darwin reference a bit odd, considering most of them probably don’t believe in evolution.
“Unless someone like you cares a whole awful lot, Nothing is going to get better. It's not.” --Dr. Seuss

#3 pnwguy

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Posted 11 December 2017 - 08:37 PM

View Postbaw1064, on 11 December 2017 - 07:01 PM, said:

I do find the Darwin reference a bit odd, considering most of them probably don’t believe in evolution.
It's probably only because they have seen "Darwin Award" things about self-destructive stupidity.

Fox viewers suck up shows like Cops, where they get to see Righteous Police dealing with the ungodly.
"All glory to the HypnoTrump, or else..."

#4 LFC

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Posted 12 December 2017 - 10:08 AM

It's a classic case of right-wingers only caring about those things that impact them and their's directly. Crack addictions and deaths? Personal failing, no morals, and lock 'em up. Opioids? Same thing ... until it's somebody they love who suffers from the "disease of addiction" and suddenly it's an epidemic where people need help. It's the same with welfare. And food stamps. And CHIP. And universal healthcare. And...

Help that you don't need (now) is bad. Not getting that same help when you do need it is a failure of government. Welcome to the natural outcome of the preaching and acceptance of the Prosperity Gospels.
" 'Individual conscience' means that women only get contraceptives if their employers, their physicians, their pharmacists, their husbands and/or fathers, pastors, and possibly their mayors, Governors, State Secretaries of Health, Congressmen, Senators, and President all agree that in that particular case they're justifiable." --D.C. Sessions

"That's the problem with being implacable foes - no one has any incentive to treat you as anything more than an obstacle to be overcome."

"The 'Road to Serfdom' is really all right turns." --Progressive Whisperer

""The GOP ... where every accusation is also a confession." --Progressive Whisperer

#5 Practical Girl

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Posted 12 December 2017 - 11:59 AM

View PostLFC, on 12 December 2017 - 10:08 AM, said:

It's a classic case of right-wingers only caring about those things that impact them and their's directly. Crack addictions and deaths? Personal failing, no morals, and lock 'em up. Opioids? Same thing ... until it's somebody they love who suffers from the "disease of addiction" and suddenly it's an epidemic where people need help. It's the same with welfare. And food stamps. And CHIP. And universal healthcare. And...

Help that you don't need (now) is bad. Not getting that same help when you do need it is a failure of government. Welcome to the natural outcome of the preaching and acceptance of the Prosperity Gospels.

Yikes. With all due respect, the opioid crisis isn't, really, about crack. That's a 1970s way of looking at it- back when heroin was a "slum drug" and the thought was that mainly black people "succumbed". Ot sn 80s way, when crack was a deal. If you really want to delve into why it is that only now naloxone is widely available look at the timeline. Patented in 1971, it really wasn't used much until the early 1990s. Why? Because that was the beginning of the opiate crisis- sitting in Mommy's medicine cabinet, being prescribed to 14 year olds for pain, creating new- often "instant", in the young- addicts every day. And the people most likely to have the means/insurance/access to the docs who could make it all go away? Mostly white.

As are the overdosed, over the past few years. 90%, actually. Not a surprise at all that the red states that suffer the most are the areas that are the most over-prescribed in the union. Poverty stricken, as well, and in states that couldn't give two whits about their people in any real, helpful way. And yes- places that are more likely to accept an 80 year old book and an unproven, unsuccessful treatment protocol because-God.

This is why then-candidate Trump never brought up the issue until/unless he got into one of the states where their people were dropping like flies from overdoses. It's why President Trump speaks of the opioid crisis in that dead voice of his- sounds the alarms- and then ask for zero dollars to combat it/help with better, actual treatment. Wring your hands, speak to them in a way they want to hear and PRESTO- job well done, without ever lifting a finger.

Not crack. The most powerful, addictive drugs known to man. Recently it was announced that 900 tons of unused pharmaceuticals (largely opiate-based) were seized. Not a border problem, not coming from China in a nicely wrapped Fed Ex package. In our own country, courtesy of our own docs and Big Pharma.

How to beat an issue that comes from a completely legal source? None of these crying politicians posit the question, let alone expect an answer-or solution.
Every woman needs a blowtorch.
---Julia Child


--- On September 17, 1787, as Benjamin Franklin was leaving the deliberations of the Constitutional Convention, at Independence Hall, in Philadelphia, a woman called out to him, saying, “Well, Doctor, what have we got, a republic or a monarchy?”
“A republic,” Franklin said, “if you can keep it.”


--- LFC, on Gorsuch ruling: "Awesome. A Christianist who swore an oath to uphold the laws of the nation and bore false witness when he did it"

#6 LFC

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Posted 12 December 2017 - 12:41 PM

View PostPractical Girl, on 12 December 2017 - 11:59 AM, said:

Yikes. With all due respect, the opioid crisis isn't, really, about crack.

Obviously. You pegged the differences pretty well. I pegged the hypocrisy.
" 'Individual conscience' means that women only get contraceptives if their employers, their physicians, their pharmacists, their husbands and/or fathers, pastors, and possibly their mayors, Governors, State Secretaries of Health, Congressmen, Senators, and President all agree that in that particular case they're justifiable." --D.C. Sessions

"That's the problem with being implacable foes - no one has any incentive to treat you as anything more than an obstacle to be overcome."

"The 'Road to Serfdom' is really all right turns." --Progressive Whisperer

""The GOP ... where every accusation is also a confession." --Progressive Whisperer

#7 Progressive whisperer

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Posted 12 December 2017 - 12:52 PM

View PostLFC, on 12 December 2017 - 12:41 PM, said:



Obviously. You pegged the differences pretty well. I pegged the hypocrisy.

The crack crisis was really a melanin problem...

Trump delenda est.
GOP delenda est.
Resist!

#8 Practical Girl

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Posted 12 December 2017 - 03:28 PM

View PostLFC, on 12 December 2017 - 12:41 PM, said:

Obviously. You pegged the differences pretty well. I pegged the hypocrisy.

Obviously, I'm a Grumpy Greta. For good reason. As Trump speaks in his dead voice, and all the ignorant cheer? How many people get arrested? And what was the bottom causation?

I'll tell you one thing that is a truism within addiction experts: We send our girls to treatment. We send our boys to jail. Gotta feed those private incarceration facilities somehow. How many are built for men, vs women? There's a start.
Every woman needs a blowtorch.
---Julia Child


--- On September 17, 1787, as Benjamin Franklin was leaving the deliberations of the Constitutional Convention, at Independence Hall, in Philadelphia, a woman called out to him, saying, “Well, Doctor, what have we got, a republic or a monarchy?”
“A republic,” Franklin said, “if you can keep it.”


--- LFC, on Gorsuch ruling: "Awesome. A Christianist who swore an oath to uphold the laws of the nation and bore false witness when he did it"

#9 Practical Girl

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Posted 12 December 2017 - 03:28 PM

View PostProgressive whisperer, on 12 December 2017 - 12:52 PM, said:

The crack crisis was really a melanin problem...

So is the opioid crisis. Next?
Every woman needs a blowtorch.
---Julia Child


--- On September 17, 1787, as Benjamin Franklin was leaving the deliberations of the Constitutional Convention, at Independence Hall, in Philadelphia, a woman called out to him, saying, “Well, Doctor, what have we got, a republic or a monarchy?”
“A republic,” Franklin said, “if you can keep it.”


--- LFC, on Gorsuch ruling: "Awesome. A Christianist who swore an oath to uphold the laws of the nation and bore false witness when he did it"

#10 LFC

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Posted 12 December 2017 - 03:33 PM

View PostPractical Girl, on 12 December 2017 - 03:28 PM, said:

So is the opioid crisis. Next?

Melanin overload vs. melanin deficiency. Just f***ing perfect.
" 'Individual conscience' means that women only get contraceptives if their employers, their physicians, their pharmacists, their husbands and/or fathers, pastors, and possibly their mayors, Governors, State Secretaries of Health, Congressmen, Senators, and President all agree that in that particular case they're justifiable." --D.C. Sessions

"That's the problem with being implacable foes - no one has any incentive to treat you as anything more than an obstacle to be overcome."

"The 'Road to Serfdom' is really all right turns." --Progressive Whisperer

""The GOP ... where every accusation is also a confession." --Progressive Whisperer

#11 Practical Girl

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Posted 13 December 2017 - 08:54 PM

Still small in scale, but here's hoping for an avalanche like we haven't seen since the tobacco companies became vulnerable to the effects of their nasty product. Cities and counties around the country are joining together to fight this crisis where it needs to be fought: At the manufacturer level. My county is one of them, and it appears as though our State AG is fired up enough to get into what promises to be a bi-partisan fight.

Quote

dozens of other counties and cities throughout the country attempting to recover costs from the opioid epidemic by suing manufacturers, distributors and marketers of the prescription drugs.

This may be even easier to tackle vs tobacco, as it's not always "choice", rather provided by pushers who have degrees and wear white coats. Strict liability could be a play.

It's time, and I have a feeling that many, many docs around the country will go down as well. Way too much overprescribing, and while a lot of these State AG's couldn't give one spit about mental/health care for their own people, they are getting a wee bit prickly with the collective billions this is costing their communities. Will be something to watch, over time.
Every woman needs a blowtorch.
---Julia Child


--- On September 17, 1787, as Benjamin Franklin was leaving the deliberations of the Constitutional Convention, at Independence Hall, in Philadelphia, a woman called out to him, saying, “Well, Doctor, what have we got, a republic or a monarchy?”
“A republic,” Franklin said, “if you can keep it.”


--- LFC, on Gorsuch ruling: "Awesome. A Christianist who swore an oath to uphold the laws of the nation and bore false witness when he did it"

#12 JackD

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Posted 13 December 2017 - 10:12 PM

I think the suit is a long shot unless they can prove the manufacturers pushed use outside of what the FDA approved or that the underlying R&D was fraudulent. Individual doctors may have serious exposure but that's one claimant at a time instead of a class action.

#13 D. C. Sessions

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Posted 14 December 2017 - 06:48 AM

You might read up on what Purdue did to discourage doctors from prescribing/administering Oxycontin in smaller, more frequent doses and actively promoted larger doses at longer intervals. The latter is exactly the way to make an addict. What's more, they knew it from internal research.

There's also the minor matter of manufacturers and distributors sending truckloads of opiates to small-town pharmacies which would have overdosed several times their populations if administered at the maximum safe rate (in other words, diversion.) No way that shouldn't have set off alarms. Opioids have lots of paperwork attached, and it goes to everyone up the chain -- and yet, no alarms.
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#14 indy

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Posted 14 December 2017 - 07:09 AM

Don't forget the health insurance industry also contributes to the problem, since throwing these relatively inexpensive pills at patients is the least expensive treatment option.

#15 gmat

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Posted 14 December 2017 - 08:28 AM

I trace the dramatic rise in opiod addiction to a change in medical practice that occurred in 2001. That was when the Joint Commision and CMS ordered hospitals to start regarding pain as “the 5th vital sign”, recording the patient’s subjective assessment of his pain (“on a scale of 1 to 10”) just as they recorded his BP, HR, temp, and respirations. The hospital then had to treat the patient’s assessment of his pain, ie lower it, the same way they would treat high or low BP, or fever.

The patient satisfaction surveys that CMS and Joint Commision did to assess hospital outcomes, and accredit hospitals (think money here, reimbursement) explicitly asked patients how well the hospital did relieving their pain.

This was the culmination of a decade of public argument, in Congress and the Medical community, on the subject of undertreating pain. It started with stories of needlessly cruel end of life suffering, then on to chronic non-lethal pain, and finally acute pain.

Hospitals and doctors had to make the pain go away, by the numbers, or else lose accreditation and/or get sued. How do you make a patient’s assessment of his pain go from 7 to 2? Give him an opiate.

#16 LFC

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Posted 14 December 2017 - 10:16 AM

View PostPractical Girl, on 13 December 2017 - 08:54 PM, said:

Still small in scale, but here's hoping for an avalanche like we haven't seen since the tobacco companies became vulnerable to the effects of their nasty product. Cities and counties around the country are joining together to fight this crisis where it needs to be fought: At the manufacturer level. My county is one of them, and it appears as though our State AG is fired up enough to get into what promises to be a bi-partisan fight.

How long before state and/or federal Republicans jump in and either pass a law preventing local governments from suing and/or one that specifically protects the industry.
" 'Individual conscience' means that women only get contraceptives if their employers, their physicians, their pharmacists, their husbands and/or fathers, pastors, and possibly their mayors, Governors, State Secretaries of Health, Congressmen, Senators, and President all agree that in that particular case they're justifiable." --D.C. Sessions

"That's the problem with being implacable foes - no one has any incentive to treat you as anything more than an obstacle to be overcome."

"The 'Road to Serfdom' is really all right turns." --Progressive Whisperer

""The GOP ... where every accusation is also a confession." --Progressive Whisperer

#17 Progressive whisperer

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Posted 14 December 2017 - 02:32 PM

View PostLFC, on 14 December 2017 - 10:16 AM, said:



How long before state and/or federal Republicans jump in and either pass a law preventing local governments from suing and/or one that specifically protects the industry.

Because they are so keen on (some) states’ rights!
Trump delenda est.
GOP delenda est.
Resist!

#18 LFC

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Posted 15 December 2017 - 02:15 PM

Hey, rural white people. This is how much Trump and the Republicans give a shit about you and your silly little "epidemic". Just like the tax bill you get pretty much nothing. Looks like you're on your own. You can comfort yourself by watching Trump say outrageous things on TV that enrage decent folks. That's better than saving your loved ones from an overdose any day, right?

Quote

White House press secretary Sarah Sanders on Thursday told reporters she was unsure when Congress would fund new initiatives specific to addressing the opioid crisis.

Sanders declined to guarantee that additional spending would be included in either a stopgap spending bill Congress is expected to approve in the coming week or a longer-term budget agreement many expect lawmakers to reach in January.

"This wasn't a problem that happened overnight," Sanders said. "We're not going to be able to fix it overnight. But what we want to do is make sure that we address it and that we make it a priority for the administration."

Her comments came in response to a STAT report detailing White House counselor Kellyanne Conway's role in organizing weekly meetings focused on the opioid crisis that include officials from roughly a dozen federal departments.

In an interview with STAT, Conway pushed back against the notion that the White House was not urging Congress to allocate more funding to address the crisis, and she declined to say how much more the White House feels would be appropriate to spend on a broader mental health and addiction crisis claiming more than 60,000 lives per year.

Sanders was also asked about proposals to spend $45 billion over the course of the next decade - a proposal included in one GOP attempt to repeal the Affordable Care Act and now a figure that has been included in Democratic-sponsored bills in the House and Senate.

"That's, I think, a start," Sanders said. "But to fully address this, we want to make sure that we get it right and make sure that we really address this head on. And that's why the President has made it such a focus and put Kellyanne and others here at the White House to really make an emphasis and make that a priority."

Oh, Sarah. Trump hasn't even thought about this since he did his cute little song and dance and you know it.
" 'Individual conscience' means that women only get contraceptives if their employers, their physicians, their pharmacists, their husbands and/or fathers, pastors, and possibly their mayors, Governors, State Secretaries of Health, Congressmen, Senators, and President all agree that in that particular case they're justifiable." --D.C. Sessions

"That's the problem with being implacable foes - no one has any incentive to treat you as anything more than an obstacle to be overcome."

"The 'Road to Serfdom' is really all right turns." --Progressive Whisperer

""The GOP ... where every accusation is also a confession." --Progressive Whisperer

#19 pnwguy

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Posted 15 December 2017 - 03:10 PM

View PostProgressive whisperer, on 14 December 2017 - 02:32 PM, said:

Because they are so keen on (some) states’ rights!
Yes, like concealed carry regulations. Can't have some states violating the rights of real 'mericans. I'm sure some state that's totally in bed with the NRA will set up concealed carry regs with the only qualification being at least one eye, and no need for residency. They can become a travel destination for every lunatic shooter out there, to get a permit.
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#20 LFC

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Posted 15 December 2017 - 03:22 PM

View Postpnwguy, on 15 December 2017 - 03:10 PM, said:

I'm sure some state that's totally in bed with the NRA will set up concealed carry regs with the only qualification being at least one eye, and no need for residency.

You're already behind the cutting edge of the right-wing gun nuts.

And you forgot to mention the melanin level test for gun ownership.
" 'Individual conscience' means that women only get contraceptives if their employers, their physicians, their pharmacists, their husbands and/or fathers, pastors, and possibly their mayors, Governors, State Secretaries of Health, Congressmen, Senators, and President all agree that in that particular case they're justifiable." --D.C. Sessions

"That's the problem with being implacable foes - no one has any incentive to treat you as anything more than an obstacle to be overcome."

"The 'Road to Serfdom' is really all right turns." --Progressive Whisperer

""The GOP ... where every accusation is also a confession." --Progressive Whisperer





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