Addiction, Everybody Does It

One of the strangest promises Donald Trump has made is stopping fentanyl. The notion that being mean will stop drugs has never worked.

Freedom Democrats would be familiar with the iron law of prohibition: a more aggressive enforcement brings even more dangerous drugs to the market. When oxycodone was widely available, its safety had been demonstrated to the satisfaction of the Food and Drug Administration (FDA). That many users would experience withdrawal was an unfortunate side effect. That the drug was widely available also meant many persons used it who had received no prescription.

Freedom Democrats believe that the relationship between doctors and patients should be respected, especially by politicians. They have no expertise, and the doctor and the patient should develop their own course of treatment. No drug enforcement agency. No rules about dosage or where the drug’s may be used. That is up to doctors, their patients, and agreements about best medical practices.

Freedom Democrats, had they been in charge, would not have blood on their hands. The politicians who played the blame game are responsible for hundreds of thousands of deaths. Lawmakers blamed the pharmaceutical companies for trying to expand their market. In this one sided view, the users had no responsibility; they were simply victims of addiction, had no intelligence, and no will power.

Elected officials accepted the discredited idea that drug users aren’t citizens, have no rights, and are trapped. A nefarious evil captures the user’s soul and deprives them of choice. It’s malarkey; similar ideas have existed for centuries. Witches after all were supposed to exercise control over their victims. Back then, the witches were killed.

Centuries later Democratic and Republican politicians adopted policies that killed the users. They were denied any moral culpability; the drug users were trapped by their “habit.” The politicians dismissed the possibility that drug users were rational and able to control their lives. The way they handled their habit was comparable to the way millions respond to alcohol, food, and caffeine.

The only difference is this group isn’t stigmatized and dehumanized. The effort they put into controlling their habits receives positive reinforcement and often drug treatments.

But the closed-minded lawmakers offered oxycodone users no support; in fact, their one-sided view simply killed hundreds of thousands of users. It should take no brains at all to realize that if a person regularly uses oxycodone you don’t simply say, “You can’t have it. The law says stop.” The law offered habitual users no comfort and legal ways for changing their habits at their own pace. All too often, judges thought it reasonable to tell users you must stop now, a decision that should be made by doctors and their patients.

To nobody’s surprise, Stop Now was a gift to cartels and ingenious people who created alternative illegal supplies. History had repeated itself. Banning marijuana, cocaine, and amphetamines had produced illegal markets. In fact, they offered economic stimulus to criminals, and more work for the police. The criminal justice system will thrive.

Not so the drug users. They were too often conned into believing that a pill was oxycodone when in fact it contained a strong dose of fentanyl. The number of victims of the politician’s callousness soared to over 100,000 a year dead from overdoses. More people died in one year than died in the Vietnam War. Freedom Democrats would damn lawmakers for their callousness and cruelty.

This time the witches didn’t die; it was their victims.

Trump displaying the ignorance that is a trademark simply argued that drugs were reaching America because we weren’t really trying. He slammed tariffs on Mexico.

The iron law of prohibition suggests that fentanyl will be replaced by even more dangerous drugs that kill quickly. That drug has already surfaced—nitazenes. Being mean kills drug users.

The very idea that a societal habit like ribald humor can be banned is a joke. For one thing, and Freedom Democrats are an example of this, there is no agreement that drug use is criminal. Another problem is people make money selling banned substances. Banning alcohol in the 1920’s made many fortunes.

Trump’s effort to try harder in the silly hope that the drug will stop reaching the U.S. doesn’t recognize that law enforcement and drug smugglers all too often find ways to share the wealth. Mexico is famous for its ties between law enforcers and drug cartels. Nothing Trump does will change this reality, but we do know that a new drug is here—nitazene.

Democrats of course join Republicans in chasing the impossible goal of stifling the drug trade.

We are still looking for the charismatic and verbally fluent political leader who will support doctors being able to treat drug users without strangers violating their privacy and setting rules that harm a successful treatment.

Obesity is universally recognized as a major U.S. health problem. Doctors understand that many people eat for pleasure; in other words food acts like a drug. It was my habit and mastering it made my weight drop from 270 to 195 and brought a happier life. Dr. Peter Grinspoon’s book Up in Smoke and website makes sensible arguments for allowing doctors to treat patients who use drugs without outside interference.

He makes the point that using drugs is normal. We refuse to recognize that gambling, eating, and caffeine also have addictive impacts. In my case, my addiction to food started in elementary school. I fit Dr. Grinspoon’s theory that “suffering, often alone, feeling bad about myself, in the shadows” drove my eating and explained why diets did not work.

When I was grossly fat, I used to tell people I was addicted, and it was completely visible. Only a few people recognized that I was speaking about my eating habits. People didn’t associate eating with addiction. Addiction is the all-too-common habit of confronting other problems by repetitive behavior that brings no real relief.

Freedom Democrats recognize that drug use and overeating are sister phenomenon. This humane response is alien to Trump’s angry “stomp it out” mentality. It is one reason why Trump is malicious and cruel.

Murder Prosecutions of Low-Level Sellers Stymie Public Health

This article was published by GayCityNews.Com on Nov. 30, 2017

BY NATHAN RILEY | Drug law reformers are pushing back against a new wave of counterproductive cruelty from prohibition-minded law enforcement seeking to prevent drug use with harsh sentences.

Drug users and low-level sellers are being accused of drug-induced homicides (DIH) in ever-greater numbers, according to a new report by the Drug Policy Alliance (DPA). Comprehensive statistics are not available because prosecutors are usually locally elected, but the organization’s researchers report a staggering 300 percent increase in newspaper reports about DIH prosecutions. Prosecutors are not required to report statistics on such cases or prove the interventions are effective.

In 2011, there were 363 reports of drug-induced homicides nationwide, but five years later 1,200 mentions were uncovered. Opioid-related deaths during that period soared, reaching 64,000 last year, more than all US deaths in the Vietnam War or the deaths from AIDS in 1995, the peak year of HIV-related fatalities. In Ohio, 10 officers pursued 53 DIH cases, yet the state still recorded 100 more OD deaths in 2016 than 2015.

PERSPECTIVE: The Long View

On a November 7 teleconference, Lindsay LaSalle, a senior counsel for DPA, said prosecutors expect that their actions impact the rate of drug overdoses only indirectly. The law enforcement theory is that arrests reduce sales and thereby curb use, which might in turn reduce overdoses. In fact, LaSalle asserted, these policies kill drug users by nullifying Good Samaritan laws that encourage calls for emergency help. The caller and victim risk charges of drug possession and even sales. The Good Samaritan laws are usually limited in scope, protecting users only from low-level offenses like possessing needles or small amounts of drugs. Should an overdose victim die, the caller could be subject to a murder charge. LaSalle deadpanned, “When a person knows they are going to be charged with something as extreme as murder of course they are going to hesitate before calling for help.”

In January 2015 in suburban Chicago McHenry County, Danielle Barzyk overdosed and was having trouble breathing. After her boyfriend, Cody Hillier, called 911 and police showed up, he got rattled and said she was having an asthma attack. Naloxone, which is effective in reversing overdoses, was never administered and she died. The police then prevailed on Hillier to make a second buy from James Lindner, an unemployed black man recently released from prison who had never met Danielle or had any dealings with her. He was accused of homicide although he had no role in making the product and never lied to emergency responders. He refused to plead guilty, was convicted by an all-white jury in a county whose population is 94 percent white, and was sentenced to 28 years in prison. Hillier, who is white, testified for the state and was charged with delivery and sentenced to time served and probation.

The DPA’s new report, “An Overdose Death Is Not Murder: Why Drug-Induced Homicide Laws Are Counterproductive and Inhumane,” said the surge in prosecutions is a fatally flawed approach. Justified as going after drug kingpins, such prosecutions almost never reach those high in the supply chain. LaSalle stressed that DIH charges are often made against the last person to touch the drug — a friend, another user, or the guy on a street corner selling bags.

“What we lose by pointing the finger of blame at a single person is to ignore all the other structural factors,” she explained. “We ignore our failed public health infrastructure. What we know from the history of the drug prosecution is that when we point the finger of blame at a particular person very often it is pointed at communities of color.” Racially coded terms like pusher and drug peddler are often used in DIH prosecutions.

These prosecutions undermine public health efforts to prevent overdose deaths, DPA maintains, because that approach relies on friends and fellow users administering Naloxone and calling an ambulance. Naloxone is an easy-to-use nasal spray that restores normal breathing promptly, and its proper use is taught in one short training session. Had Hillier been trained, Barzyk would still be alive and Lindner would be a free man. All this should be among the goals of effective public health strategy.

At DPA’s recent biennial conference, prosecution of drug sellers was identified as a particularly troubling aspect of mass incarceration, where low level sellers get lengthy prison sentences — one more inhumane aspect of the criminalization of poverty.