The “opioid crisis,” that is.
Former New Jersey Gov. Chris Christie, who chaired the President’s Commission on Combating Drug Addiction and the Opioid Crisis, invokes that narrative when he talks about “the injured student-athlete who becomes addicted after [his] first prescription” or remembers the law school classmate who died of an overdose after getting hooked on the oxycodone he was taking for back pain. Such examples are misleading because they are rare, accounting for only a small percentage of opioid-related deaths.
Contrary to the impression left by most press coverage of the issue, opioid-related deaths do not usually involve drug-naive patients who accidentally get hooked while being treated for pain. Instead, they usually involve people with histories of substance abuse and psychological problems who use multiple drugs, not just opioids.
Conflating those two groups results in policies like the pill count that left Craig without the pain medication he needed to get out of bed in the morning, go to work, and lead a normal life. The rationale is that cutting people like him off will stop them from ending up dead of an overdose in a Walmart parking lot next to a baggie of fentanyl-laced heroin.
But the truth is that patients who take opioids for pain rarely become addicted. A 2018 study found that just 1 percent of people who took prescription pain medication following surgery showed signs of “opioid misuse,” a broader category than addiction. Even when patients take opioids for chronic pain, only a small minority of them become addicted. The risk of fatal poisoning is even lower—on the order of two-hundredths of a percent annually, judging from a 2015 study.
Despite such reassuring numbers, the government is responding to the “opioid epidemic” as if opioid addiction were a disease caused by exposure to opioids, a simplistic view that ignores the personal, social, and economic factors that make these drugs attractive to some people. Treating pain medication as a disease vector, the government has restricted access to it by monitoring prescriptions, investigating doctors, and imposing new limits on how much can be prescribed, for how long, and under what circumstances. That approach hurts pain patients by depriving them of the analgesics they need to make their lives livable, and it hurts nonmusical users by driving them into a black market where the drugs are deadlier.
A large majority of opioid-related deaths now involve illicitly produced substances, primarily heroin and fentanyl. As usual, the government’s efforts to get between people and the drugs they want have not prevented drug use, but they have made it more dangerous.
Government: is there anything it can’t fuck up in its ceaseless quest to exert absolute, comprehensive control?
This is a long article, covering a lot of ground; it’s well worth a look, particularly for the insight it offers into how government and the media work hand-in-glove to stampede the gullible herd—to “keep up the skeer,” as Bedford Forrest had it in another context.
Admittedly, the drug abuse question is a somewhat thorny one. But it’s not nearly as thorny as it’s generally made to appear, and certainly not as pervasive. As with most everything else, the right answer is the one megalomaniacal bureaucrats who only want to “help” would never dream of considering: leave people the hell alone.