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The opioid crisis has gotten much, much worse despite Congress’ efforts to stop it (www.politico.com)

submitted 10 months ago by [email protected] to c/[email protected]

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America’s drug overdose crisis is out of control. Washington, despite a bipartisan desire to combat it, is finding its addiction-fighting programs are failing.

In 2018, Republicans, Democrats and then-President Donald Trump united around legislation that threw $20 billion into treatment, prevention and recovery. But five years later, the SUPPORT Act has lapsed and the number of Americans dying from overdoses has grown more than 60 percent, driven by illicit fentanyl. The battle has turned into a slog.

Even though 105,000 Americans died last year, Congress is showing little urgency about reupping the law since it expired on Sept. 30. That’s not because of partisan division, but a realization that there are no quick fixes a new law could bring to bear.

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[–] [email protected] 2 points 10 months ago (1 children)

There also needs to be a differentiation between different levels of pain. The case like you described seems like one where opioids are warranted. An opioid addiction is the lesser of two evils here. But if someone has chronic back pain because they sit all day and are overweight (not trying to shift blame here), opioids are an overkill and all painkillers can only be stopgap measures to tackle the root issues.

[–] [email protected] 3 points 10 months ago

Exactly. And that's what a doctor is supposed to do. That is why certain medications require a prescription. Much in the same way that it's considered better to let five criminals go free than to unjustly punish one innocent, I think it's better to let five people who arguably don't need it get medication than to deny it to one person who truly does need it.

There is an attitude in this country that if something is being abused, especially medication, that the best and only response of government and society should be to make that thing harder to get. But that doesn't stop abuse. It has literally never worked in the past, and it does not work now. If someone is addicted to prescription painkillers and you deny them the prescription, they aren't going to say 'aw shucks I guess it's time to clean up my life and get a job'. They're going to get their fix somewhere else.

And the result is that real patients get harmed. My partner is lucky to have a good medical team. But you hear lots of stories of people who go for surgery and get literally cut open and are sent home with basically Tylenol because the surgeon is terrified to have too many opiates on his prescription record. That isn't okay. Our solution to one problem is not only making it worse it is causing another problem.