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Leading Addiction Specialist Explains What is Needed to Stop the Opioid Crisis

Discussion in 'Topical Discussions (In Depth)' started by Flight2gold, Mar 20, 2017.



  1. Flight2gold

    Flight2gold Silver Member Silver Miner Site Supporter ++

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    Alex Pietrowski, Staff Writer
    Waking Times

    The opioid crisis is happening all around us in the background of society, as overdoses from street drugs and prescription painkillers continue to rise. Talk to your local firemen and paramedics and you’ll quickly realize the situation is sucking up our public resources while ruining lives and destroying families. A crisis as devastating as this should be top priority for a sane society, however this issue gets very little media attention, all the while, pharmaceutical companies are reaping massive profits, and globally, the black market for illegal heroin has become a global industry.

    Pharmaceutical makers are tweaking their product lines to supply more options for opiate addicts: stronger pills, weaker pills, new guidelines, overdose antidotes, and so on. Yet, none of this addresses the root of the problem, instead only targeting the symptoms of the crisis, and a bigger idea is needed to interrupt the trend.

    Gabor Maté, Canada’s renowned addiction specialist recently commented on this issue, specifically addressing fentanyl, the super-potent new pharmaceutical grade opiate which, in some areas, has been found in up to 90% of street drugs tested at independent testing facilities. He first spoke about the genuine need for pain killers:

    “The drugs these users choose are often opiates, the most powerful painkillers we know. In my years as a palliative care physician, I daily had reason to be grateful for the easing of suffering the opiate medications afforded my patients afflicted with cancer and other pain-inducing conditions. But opiates also soothe emotional pain; in fact, the suffering of psychic pain is experienced in the same part of the brain as that of physical pain.” ~Gabor Maté

    Getting to the root, though, why is there so much pain which needs to be numbed in our society? This is the big question that when addressed is the only thing which can offer a way out of this crisis.

    Maté asserts this epidemic is cultural, not physical, noting that the world we’ve created is, ‘devoid of a deep appreciation of the complexity of addiction and its sources in human experience.’

    Human experience, the most vital notion in healing addiction. What is it about the human experience that calls so many of us into the abyss?

    “What engenders such unbearable pain in human beings that they would knowingly risk their very lives to escape it?” ~Gabor Maté

    Regarding human experience, psychiatrist Thomas Hora wrote:

    “The meaning of all addictions could be defined as endeavours at controlling our life experiences with the help of external remedies. Unfortunately, all external means of improving our life experiences are double-edged swords: they are always good and bad. No external remedy improves our condition without, at the same time, making it worse.”

    Mate’s primary hypothesis is that childhood trauma is the leading factor driving people to addiction, as he has personally seen in 12 years of working with addiction patients in urban Vancouver, BC, Canada.

    “In my 12 years in the Downtown Eastside of Vancouver, ground zero for addiction in Canada, all my female patients reported sexual abuse in childhood, all the male patients abuse or neglect of one kind or another.

    As large scale international epidemiological studies have repeatedly demonstrated, childhood adversity is at the core of the emotional patterns and psychological dynamics that drive addiction.

    Further, childhood trauma shapes the physiology of the developing brain in ways that induce a susceptibility to addiction. Hence the addiction-prone person finds relief in substances that would not entice others, even after repeated exposure to the same drugs.

    In turn, prolonged drug use also changes the brain in ways that further entrench the addictive drive.” ~Gabor Maté

    Furthermore, he notes the need for a shift in how medical science looks at addiction is absolutely vital:

    “And it would be of great help if all legal, medical and political professionals, as well as the general public, were informed of what modern research has taught us about child and brain development, and the tortured and manifold responses of the human psyche to early trauma. If the people now dying in this preventable epidemic were succumbing to a bacterial infection, we would declare a public emergency and mobilize to contain it.” ~Gabor Maté

    Final Thoughts
    This crisis is a pharmaceutical corporation/medical doctor created epidemic. The drugs are out there, and are not going anywhere. Record poppy production in Afghanistan coupled with the fact that pharmaceutical companies are flooding the streets with pills means that in order for this crisis to be resolved, we have to find a way for people to choose life over addiction.

    His most important question, however, may very well be this one: Who are we when we are not addicted?

    http://www.wakingtimes.com/2017/03/...pecialist-explains-needed-stop-opioid-crisis/
     
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  2. Mujahideen

    Mujahideen Black Member Midas Member

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    As someone who is somewhat libertarian minded, I think the answer to the drug problem or any addiction in general lies in society and not policy.

    Education and the relaxation of policy could significantly reduce deaths from OD.

    In regards to opioids, a lot of people don't understand that they are playing with synthetic heroin and that their prescription can and will end. For whatever you are trying to cure, if you wouldn't resort to shooting heroin, then IMO, you shouldn't have an opioid prescription.

    If you think you can play with fire and take it recreationally, go for it. Just understand the consequences and that there are other drugs witha whole lot less of a downside to use that can get you high as fuck. Marijuana.

    But if you are a pill junky, you're not allowed in my circle; if you try to come in, you will get kicked out.
     
  3. luckabuck

    luckabuck Gold Member Gold Chaser

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  4. D-FENZ

    D-FENZ Gold Member Gold Chaser Site Supporter ++

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    I got a whiff of the BS too.

    Claims that opioid addiction is the result of childhood abuse and trauma, but closes with: "This crisis is a pharmaceutical corporation/medical doctor created epidemic."

    Not saying the guy is an addict but in an odd way it sounds like an addict trying to assign blame to anyone other than himself.
     
  5. Joe King

    Joe King Gold Member Gold Chaser

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    I get what you're saying, but IMO there's a lotta truth in the middle quote above. People had been led to believe that stuff like oxys and hydros are non-addictive because they are medicine. When in reality they are just as, or even more addictive than is heroin itself.
    ....and then like Muj said,

    When that 'script ends, they have two choices. The very real pain of withdrawal, or find something that puts it off for another day.
    ...and I'm not sure if many have noticed or not, but most people don't like experiencing pain that can still be postponed for awhile longer.

    IMHO, if the doctors were to simply tell all patients considering taking these drugs that they are the pharmaceutical equivalent of heroin, most people would not want it.
     
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  6. Flight2gold

    Flight2gold Silver Member Silver Miner Site Supporter ++

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    I agree with you. No one can assign addiction to one thing or another.
    I posted because the opioid addiction problem is getting out of control.
    When someone can be revived "back from the dead" three times there's definitely something wrong here.
    I think they finally came up with a rule that says, "no fourth time".
     
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  7. Zed

    Zed Size doesn't count! Midas Member

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    Pure Heroin is much less of an issue than the street stuff, basically it is no where near as bad for you and not as addictive. Many very talented and productive people where life long users back when it was not such a taboo. Take the excess profit and bad guys out of it with legalisation, clean up the supply and then you are left with a health issue for those that cannot manage recreational use. That will be a much smaller issue than we currently have, doubly so if you include incarceration costs. It will also reduce its attractiveness to the 'bad boys'.... etc. The whole issue becomes more manageable, plus you get a better look @ the problem users and you have a chance to really pin point and deal with some of the issues that lead to addiction.
     
  8. nickndfl

    nickndfl Midas Member Midas Member Site Supporter ++

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    And I don't think the solution is more available drugs like marijuana.
     
  9. Zed

    Zed Size doesn't count! Midas Member

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    It is a street issue due to inconsistent quality, it is very easy to OD. Narcan INSTANTLY reverses the effect, so much so they come up swinging because they lost the hit and are pissed off about it, not realising they where completely out for the count! Our ambulance officers (against protocol) often give half in the blood, half in the muscle just so they can get out of range before they come to. Anyway, with a clean supply this should be a very small issue. Users don't purposefully OD.
     
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  10. Goldhedge

    Goldhedge Modal Operator/Moderator Site Mgr Site Supporter

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    Kind of sounds like the East India Company when they introduced Opium into China...


    Opium and the expansion of trade
    [​IMG]
    [​IMG]Enlarge


    By 1690, the Company had trading centres (known as 'factories') all along the West and East coasts of India. The main centres were at Madras, Calcutta and Bombay. The Company started to protect its trade with its own armies and navies - very different from most companies today. London also became an important trading centre, where goods were imported, exported and transferred from one country to another. The Company would have liked to pay for all its import goods with silver, but traders in England wanted them to export English manufactured goods.

    English and Chinese sea merchants had first met at the markets in Bantam - a long way from either country. The Company wanted to trade directly with China, but it was not until 1699 that the Chinese allowed the Company to trade at Canton.

    From China, the Company bought tea, silk and porcelain. The Chinese wanted silver in return. Over the next 100 years tea became a very popular drink in England, and there was a fear that too much silver was leaving the country to pay for it. To stop this happening, the Company became involved in a triangular trade by smuggling opium (a highly addictive and illegal drug) from India into China.

    [​IMG]
    [​IMG]Enlarge


    The Company grew opium in India. They were looking for something that the Chinese would accept instead of silver, to pay for the goods they bought at Canton. Opium was a valued medicine which could deaden pain, assist sleep and reduce stress. But it was also seriously addictive and millions Chinese became dependent on the drug.

    Although opium smoking was a subject of fascinated horror for Europeans, the Company actually encouraged people to use the drug in China - sales of opium were extremely lucrative. As a result, millions of Chinese would die from opium addiction, and the very fabric of Chinese society was threatened.

    After the Company's trade monopoly was abolished in 1834, smuggling of opium into China by European private traders intensified. The Chinese state was deeply disturbed at this and threatened force. Britain was prepared to defend 'free trade' and, in 1840, they went to war. These 'Opium wars' led to a humiliating defeat of the Chinese and a trade treaty which ceded Hong Kong to the British.

    http://www.bl.uk/learning/histcitizen/trading/story/trade/4tradingplaces.html
     
  11. Zed

    Zed Size doesn't count! Midas Member

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    .... well sure as shit it ain't prohibition! How many years of failed policy do we have to witness before that is believed! Look @ Portugal, Holland etc. Booze, coffee, dope, red god damn bull, heroin.... all drugs to one extent or another yet dope is evil? Give me a break.
     
  12. Joe King

    Joe King Gold Member Gold Chaser

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    Perhaps, but the answer also isn't more cops more courts and more jail time. Because if those things worked, they would have already worked by now. How many decades and generations have we been taking that approach, only to see the problem grow exponentially?

    Heck, you could impose a death sentence and it wouldn't fix the problem.

    Even if you could eradicate opium poppies from the face of the Earth and quit making oxys and hydros, the same people would just get addicted to something else, legal or not. The root of the problem is between their ears. It's not about this substance or that substance.
     
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  13. Zed

    Zed Size doesn't count! Midas Member

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    In the end it is society that controls its use most effectively, compare traditional French attitudes to alcohol with say English. Culture being the main difference.
     
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  14. JayDubya

    JayDubya Gold Chaser Platinum Bling

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    "Leading Addiction Specialist Explains What is Needed to Stop the Opioid Crisis"

    I'm not an addiction specialist but I have an idea what can stop it.

    How about a little f*cking self control?
     
  15. Zed

    Zed Size doesn't count! Midas Member

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    Give the man a prize! Its the software that is the issue not the substance! We will ALWAYS find something to unwind the mental coils!

    Gimme me a stoned hippy over a drunk one, @ least he only crashes his Kombi @ 20mph and not 120mph.
     
  16. Zed

    Zed Size doesn't count! Midas Member

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    That stems from social attitudes... and yes there is a time and place for everything.
     
  17. tom baxter

    tom baxter back from 2004

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    I feel the same way, the problem is I have a lifelong friend who was stupid and had the back operation and is now on them and will be indefinitely I suspect. I can't even hold a decent conversation with him and am slowly pulling away from the relationship. I have slipped a disc in my day, many people do, you find a good chiropractor and he puts your spine back in alignment but now most people go to the MD and here they don't steer people to chiros but to physios instead who are worthless IMO. The chiro repairs the back in one or 2 visits but the doctor sends you to a physio for pain, a pharmacist for drugs to mask the pain, and the hospital for tests and scans and eventually surgery. It's a disgusting racket.

    No one seems to be able to handle a little pain anymore? Pain is natures way of saying something is wrong and you need to STOP and repair. I have seen people with stuffed backs lifting heavy objects in the most un-ergonomical way simply because these opioids have masked the pain temporarily. Do these people have no brain? I have said to them "Mate! Put that down, your back." To which they reply "Oh it's ok, I feel good today" Idiots.
     
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  18. latemetal

    latemetal Platinum Bling Platinum Bling

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    Shoot smugglers and pushers, I'll donate the first 100 rounds...
     
  19. Zed

    Zed Size doesn't count! Midas Member

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    The CIA, FBI and DEA?
     
  20. mayhem

    mayhem Другая перспектива Silver Miner Site Supporter

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    I have the utmost compassion for those people who have legitimate pain issues and are thwarted by bureaucrats and others in their 40's who have no idea what real pain is like. But they make the rules, and do not leave any room for the Dr's who are/want to give the patient a prescription for relief knowing that they will become addicted, rather than seeing their patient listed in the obits as someone who went home and put a gun to their head.

    I have "spinal stenosis" and no amount of positive thinking will cure this genetic problem I have. Saw Chiropractors for 30 years until they no longer could provide any more long term help with the pain. I didn't live a reckless, well not too reckless a live. I did work hard though like some others here. My whole spine is slowly closing up on my spinal column. I have twice underwent the knife for the worst areas, but that doesn't stop the problem.

    I no longer can find a Dr. (neurosurgeon) who will put me on the table simply because they feel it will only make matters worse in the long run, so they say.

    So I live on opiates and will have too for the rest of my day's. I hate what they are doing to me, but I really like the 50% relief I get from them. At least I can be fully lucid for 4 hours a day to try to enjoy some hours with the family. Believe me I can feel my mind loosing it's ability for clear thinking and tolerance daily. My wife must be a saint.

    So the gov and others want to limit, if not take away my access to my medication. How does that help me I ask?

    I don't want anyone to feel sorry for me, including Dr's, and you guy's, I have lived a full life. I just want easy access to relief for the few years I have left, and I have all the proof needed to justify the need.
     
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  21. Joe King

    Joe King Gold Member Gold Chaser

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    Even that won't work.

    Over in Saudi Arabia they do that today, and you know what? They'll kill more tomorrow and the next day and the next one too. Why? Because it doesn't work to actually fix the problem. If it did, after the first so many were killed, everyone else still doing it would say, "hey, we better stop", but they don't.
    ...and really, is Saudi Arabia one of the nations in the World that you'd be proud to say your nation aspires to be more like?
     
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  22. Joe King

    Joe King Gold Member Gold Chaser

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    Thanks for sharing your story. It's a good reminder as to why the answer isn't as simple as totally eradicating the stuff and not making hydros and oxys. Because some people do have legitimate need for pain relief.
    ...but that said, if you ever can't get them, you'll probably experience withdrawals.

    My main issue with stuff like that is that I feel they are over prescribed to a large degree and they (med industry) try to act as though opioids aren't addictive if taken as prescribed.
     
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  23. stonedywankanobe

    stonedywankanobe Gold Member Gold Chaser

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    Heroin is a gateway drug, to moar heroin.

    I worked for a fella who got hooked on hydrocodone. His wife worked at a dental office and she called in 61 forged scripts for her man.

    When I met this guy he was very active in church, the kind of guy I didn't like to cuss around and such out of respect.

    His olde lady got busted, fired and caught 61 felony counts for forgery , later the Doc chose not to have her prosecuted and she walked.

    His troubles were just begining. It wasn't long and he was buying a terminal cancer patients oxytocin 80 scrip every month at 900 bucks a bottle.

    Dude was making killer money but borrowing from me weekly to supplement his out of control addiction.

    When the 80mg's were gone he had another hookup on some 5's or something like that and he would eat those fuckers like skittles.

    I recall one morning in particular where he had taken a few at the house before we headed out.
    Then about 20 minutes later, while driving, made the remark, " I aint gettin off on these at all". I watched him chew up maybe 6 or 8 more at once, chasing them with his diet dew.

    30 minutes later we pulled up on the job and his lower jaw looked like it had a 10lb weight pulling it open. He could hardly speak.

    To top it off the builder and the architect were already there but inside. Darrell was shuffling around like a zombie as he attempted to cut for me. Big boss and the homeowner walk around the corner just as Darrell looks up at at me and says " man im high as a muhfucker".

    That was our last day on that particular job. So fucking embarrassing for me, he didn't seem to care.

    Anyway, over the course of the next few months I watched as he lost everything he had. It completely tore his family apart. Wasn't long and he was in jail for theft and felony drug convictions.

    One day I'll tell the oxy induced story of us running over his sister in law at 60 mph, on my birthday.
     
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  24. mayhem

    mayhem Другая перспектива Silver Miner Site Supporter

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    I pretty much experience withdrawals once a month as I try to hold off as long as I can. Like I said I hate the drug for what it is doing to my mind. O never take enough to "cop a buzz", if you know what I mean. Just enough to get some relief. To be completely free I would guess I would have to take 120mg a day. I take 30 over a 24 hr period, w/a extra 5mg now and then for a real breakout. But because I withhold, the Dr' doesn't really believe I'm in as much pain as I am. Classic example of always telling the truth, and trying to stay out of the trap, makes my journey more complicated.
     
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  25. Joe King

    Joe King Gold Member Gold Chaser

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    The alternative is lie and allow the extra un-taken pills to pile up. Which also isn't good.
     
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  26. mayhem

    mayhem Другая перспектива Silver Miner Site Supporter

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    Exactly the trap I'm avoiding. The buzz might be just be too good, for my good.
     
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  27. mayhem

    mayhem Другая перспектива Silver Miner Site Supporter

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    Oh don't think that the drug induced mind doesn't think about that, a lot! That would be my downfall and I know it, and I'm not ashamed to admit it. Fighting the pain is hard enough, fighting the temptation to lie is even harder.
     
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  28. Zed

    Zed Size doesn't count! Midas Member

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    Oh crap...
     
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  29. Zed

    Zed Size doesn't count! Midas Member

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    [​IMG]

    [​IMG]
     
  30. Zed

    Zed Size doesn't count! Midas Member

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    No doubt the price just goes up and the smarter operators get a bigger reward. Someone will always try and fill a market if the money is there!
     
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  31. mayhem

    mayhem Другая перспектива Silver Miner Site Supporter

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    And a justifiable issue. Let's face it, it's all about greed. Makers, and peddler's. Greedy Dr's who can not make a honest living or are from some other place are usually the abusers of writing the scripts. Honest Dr's won't give out more than 14 days worth. I see a pain management group and they are really strict.
     
  32. mayhem

    mayhem Другая перспектива Silver Miner Site Supporter

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    Indeed!
     
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  33. Zed

    Zed Size doesn't count! Midas Member

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    I was just thinking, imagine how profitable trade would be in a strict country with 5000 lazy bored "royals" that have BUCKET loads of $$$$$ to spend on 'behind closed doors' partying. There must be mega bucks in keeping those guys amused.
     
  34. tom baxter

    tom baxter back from 2004

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    Yes, thanks for sharing. I should have qualified my comments earlier by saying there are exceptions and you are clearly one. Serious painkillers do serve a function in modern medicine when properly prescribed, like for my father who was dying of cancer 20 odd years ago. I'm afraid the abuse of them and general abusive behavior of doctors these days tends to blind us to these facts. Very hard to sort out the baby from the bathwater.
     
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  35. latemetal

    latemetal Platinum Bling Platinum Bling

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    I'm thinking Singapore, but Saudi isn't all that bad either, I hear the streets are safe at night....and you don't have junkie beggars all over.
     
  36. Mujahideen

    Mujahideen Black Member Midas Member

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    The law isn't going to stop drug dealing or junkies. I think the so called war on drugs has proven that. All it will bring is a police state. A police state isn't compatible with America.

    Society has to do it.

    My childhood was in the ghetto in Philadelphia during the late 80s and early 90s. I've seen the effects drugs can have on society. I've seen crackheads, crackwhores, crack dealers, alcoholics, drive bys, you name it; I've seen children be seriously neglected by their junky parents, I've heard many stories of little girls being pimped for drug money... all the police are gonna do is arrest the dealer and someone else is going to take his clients. There is way too much money to be had by the black market caused by the drug war. We have the most people behind bars and not one single drug free high school and we are in a situation where a dog can give police permission to override your constitutional rights.

    The only hope is education. Legalize it and take the dealing aspect away.



    Seeing that in real life was my education. You couldn't pay me to take any hard drug.

    If you want children to not do hard drugs it's really simple. Just have someone who resorted sucking dick to pay for a fix tell you their life story. Bonus points if it's a male. Once this person who is constantly scratching themselves tells you not to go down that path, the audience will listen.

    The doctors should tell you when they give you that OxyContin prescription: High risk for addiction and dependence. Can cause respiratory distress and death when taken in high doses or when combined with other substances, especially alcohol. 5% chance you'll end up sucking overweight smelly truck driver dick.
     
    Last edited: Mar 21, 2017
  37. Joe King

    Joe King Gold Member Gold Chaser

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    Same difference as SA. Just another authoritarian regime and their system of laws are incompatible with the individual freedoms we're supposed to have here in America.

    If you really think so, there's a plane leaving for there everyday.

    Based upon your responses, it seems that you prefer authoritarian regimes? You do come across as one who thinks if we just get tougher on people, maybe then they'll start doing/not doing what we want them to do. Which is just more of the same stuff that's failing in the so-called war on drugs.
    ...and if we're being honest, it's not a war on drugs, but a war on people and their Rights. Because in the name of the war on drugs, we've taken to destroying the very principles that made this nation great to begin with. Illegal roadside searches, civil seizure without charges, the gutting of the 4th Amendment and the requirement to prove ones innocence are just the tip of the iceberg.
     
  38. Joe King

    Joe King Gold Member Gold Chaser

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    @latemetal, here's a vid just for you.
    ...but everyone else should watch it too.

    Retired police Captain and co-founder of L.E.A.P. (Law Enforcement Against Prohibition) tells why the war on drugs is a failure.
    He literally demolishes the very idea of a war on drugs.

    Please, try to counter his arguments....if you can, that is.

    Edited to add:...and if any reading here support the war on drugs, you especially should watch it. Because if his points can't be logically countered, it means you support a losing proposition.

     
    Last edited: Mar 21, 2017
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  39. Rusty Shackelford

    Rusty Shackelford Midas Member Midas Member

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    All PoPo and medics need to be tattoo artists. Get a free tattoo mark with every dose of Narcan. The third dose does not get a tattoo as they are letting you check out.

    Does anyone else notice the rise in heroin has some what taken off with the removal of the Taliban from power who pretty well destroyed poppy fields when they were in control?
     
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  40. latemetal

    latemetal Platinum Bling Platinum Bling

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    Joe, I'm a firm believer in the "Death Penalty", just no one with enough balls to use it...
     

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