General Discussion
Related: Editorials & Other Articles, Issue Forums, Alliance Forums, Region ForumsIs there really a heroin epidemic in this country?
The death of actor Philip Seymour Hoffman has given rise to a massive outpouring of grief and sadness from his fans and admirers. It has also given rise to an equally massive outpouring of patently false and exaggerated stories about the increase in heroin use and the need to do something anything! about it. This is not just misguided but dangerous. High-profile drug deaths in the past have lead to major public-policy mistakes think mandatory-minimum sentencing guidelines that can take decades to correct.
Even before the inconclusive results of Hoffmans autopsy were made public, news outlets like MSNBC were already running stories about Americas heroin problem, the rapidly growing crisis of heroin, and quoting law enforcement officials [who] believe the spike in heroin use is driven by addicts becoming priced out of more expensive prescription opiate-based pain killers.
Yet as my colleague at Reason, Jacob Sullum, was quick to document, the government statistics that track heroin use show absolutely no increase in regular use of the drug. According to the 2012 National Survey on Drug Use and Health (the latest available), 0.1% of Americans ages 12 and older reported using the drug in the past month. Thats exactly the same percentage that used in 2002, and there has been no significant fluctuation in the intervening decade. The Monitoring the Future study, which tracks behavior of eighth-, 10th-, and 12th-graders, shows annual use of heroin declining across the board from a decade ago.
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Politicians are prey to the same mistakes. Earlier this year, Governor Peter Shumlin of Vermont made news when he devoted his annual state-of-the-state address to what he called a full-blown heroin crisis. Shumlin testified that we had nearly double the number of deaths in Vermont from heroin overdose as the prior year.
Its certainly true that there can be regional spikes, even if national usage rates are flat. But according to Vermonts department of health, in 2012, there were just nine deaths classified as heroin involved (a category that doesnt mean heroin was the sole or even the principal cause of death). Taking the governor at his word, that means there were fewer than 18 deaths last year in Vermont in which heroin was a factor. (2013 data were not available.)
Those deaths are sad, but in a state with 626,000 residents, they should not be driving major decisions about law enforcement, medical resources and health policy. As the Vermont department of health reports, mortality due to drugs in Vermont has not changed greatly over the past nine years
these data do not suggest that deaths from any one specific type of drug is increasing or decreasing over the span of multiple years. The 2013 Vermont Youth Risk Behavior Survey reports that just 2% of high school students say they have ever tried heroin, down from 3% in 2011. If Vermont is at the forefront of a major comeback of heroin in the U.S. (as the Los Angeles Times puts it), we all need to take a few deep breaths.
Read more: Philip Seymour Hoffman's Heroin Problem Does Not Constitute a Crisis | TIME.com http://ideas.time.com/2014/02/06/philip-seymour-hoffman-heroin-crisis/#ixzz2ujgHPq8A
Maybe we shouldn't be so quick to believe whatever the MSM is pushing.
msongs
(67,441 posts)cali
(114,904 posts)phenomena.
that's hardly a novel concept.
Comrade Grumpy
(13,184 posts)Comrade Grumpy
(13,184 posts)I think what we are seeing is a crackdown on prescription pain meds that is driving the users of those pharmaceutical opioids to move into heroin as a cheaper, more easily accessible substitute.
We saw an explosion of opioid pain med prescribing beginning around the turn of the century, driven in part by corporate imperatives and in part by doctors deciding they had been too stingy with them in the past. There is a huge chronic pain problem in this country, and doctors responded by writing more 'scripts for pain meds. Now, we have a bunch of people strung out on 'em. And now, after federal prosecutions of pain doctors, crackdowns on "pill mills," and even things like going after CVS for filling too many prescriptions and UPS and Fedex for delivering too many of them, heroin becomes an attractive alternative for the pill people.
Hassin Bin Sober
(26,337 posts)But it does fell like an epidemic when, like me, you know 3 people who have died from it recently.
I have two friends who have lost younger brothers to it recently. And one of the kids' friends died 2 weeks later.
Comrade Grumpy
(13,184 posts)You can die from heroin that was stronger than you thought.
You can die from mixing pills.
You can die from mixing pills and/or heroin with alcohol.
I am truly sorry about your three friends. But sociologically, it makes sense that people in the same cohort are taking the same risks and sometimes suffering the same consequences. Not that that's any consolation.
reddread
(6,896 posts)if you want an idea, go hang around a needle exchange.
you will see people from all stations coming in to swap hundreds of needles, because they are coming in for others.
It is mind boggling.
essentially 10s of thousands of needles a week
in one spot.
its not even a question of what is right and what is wrong.
or the community health ramifications.
Its the hard knock of reality on the doors of perception.
cali
(114,904 posts)and personal observations?
reddread
(6,896 posts)a LOOOOOONG line of people with BIG bags of needles, more than they could possibly be responsible for using,
every week.
As opposed to whatever sources of data you think are more reliable?
wtf could the difference be?
theres A TON of people using heroin as an injectable.
presumably a good many more who wont pop and dont have to,
cuz Big Pharm has just what they need.
I dont think for a minute, and neither should you, that I have any personal observations to contribute,
other than the shocking realization that heroin use is much more prevalent than it should be.
What do you think?
are you following the numbers of needles being exchanged?
would that be unacceptable data?
you prefer voluntary admissions about something like that to
hard numbers?
Comrade Grumpy
(13,184 posts)...according to the standard national surveys.