Who is to Blame for the Drug Crisis?

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If there’s one thing Americans of all backgrounds, religions and political affiliations agree on, it’s that the United States is in the midst of a drug overdose epidemic, one that is fueled, largely by opioids. While virtually everyone agrees that losing over 70,000 lives a year to the drug epidemic is a travesty, many people are looking to place blame where blame is due. Complicating things further it is no one person, place or thing that created the opioid epidemic. Many historical, socioeconomic and individual factors play a role in the crisis.

One reason people look to assign blame is they believe (sometimes rightfully so), that finding the one thing to blame is the first step to solving the problem. This may be partially true, but for an honest, successful solution to the drug overdose crisis, we need to look at every possible factor that plays a role in the growing problem. Being honest with the findings is the best way to address the multitude of issues that contributed to the crisis.

Illicit drug dealers and pharmaceutical companies are who most people automatically blame for the drug crisis.

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“Big Pharma” drug manufacturers most certainly played a role in the drug crisis, by overselling the benefits of opioids and downplaying the risks. Yet there are various other factors that contributed to the opioid epidemic in the United States.

Of course the first place people look to when placing blame for the opioid epidemic is the drug dealers and manufacturers. Since President Nixon declared the “War on Drugs” in 1971, our strategy for dealing with the problems drugs cause in society was to go after the supply chain. In the nearly 50 years since this war on drugs was declared, we are nowhere close to solving the problems drugs have created in our society.

Certainly, drug dealers and big pharma have played a major role in creating the drug crisis in the United States. Many companies (including, most notably Purdue Pharma), have been found in court to have lied about the safety and efficacy of their prescription drug products. In the late 1990’s, Purdue aggressively marketed Oxycontin to doctors, claiming the extended-release of opioids would prevent misuse of the drug. This formula allowed the giant pharmaceutical company to receive FDA approval to put more opioids in each pill and we all know how that turned out.

The reality of Oxycontin was that it is much more prone to be abused or misused. People who developed a dependency to opiates found that the extended release formula could be bypassed by crushing up the pills and either snorting the powder or injecting the drug directly into their veins with intravenous needles. Because the oxycodone pills are so powerful, an addiction to opioids could develop very fast. Once the prescription ran-out, the addicted patients were forced to move on to street drugs like heroin, just to avoid the excruciatingly painful opiate withdrawal symptoms.

Even when someone successfully quit using opioids, they are highly prone to experience a relapse. A 2016 study found that people who are in recovery from opioid addiction experienced at least a 30% to 70% relapse rate within the first 6 months of their recovery. Fortunately, as a response to this contributing factor, the same pharmaceutical companies developed medications to help treat opioid addiction. Medication assisted treatment (MAT) can greatly help ease painful withdrawal symptoms from opioid addiction and they can greatly lower the rate of further relapses into substance use.

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Are doctors, physicians and other medical professionals to blame for the drug crisis? While some doctors ignored the warnings others may have been intentionally misled.

Doctors who overprescribed opioids and other painkillers are also rightfully to blame for the drug crisis in the United States.

While it is certainly easy to blame drug dealers and multi-billion dollar corporations for the opioid epidemic, the problem equally rests in the interpersonal and professional relationships of patients and doctors in their local communities. A 2016 survey found that about as many Americans blame doctors for overprescribing opioids (34%) as they do the patients who abuse prescription painkillers themselves (37%).

Illicit drug dealers market street drugs like heroin, counterfeit versions of prescription opioids and various forms of fentanyl. However, according to SAMHSA data, fewer than 10% of prescription opioids are obtained from drug dealers or other strangers. Over 50% of the misused or abused pills come from family members or close friends, while only 25% are obtained with a prescription from a doctor or physician. While the problem of patients receiving multiple prescriptions from different doctors, this only represents 3.1% of the opioids obtained for non-medical use, whereas over 22% receive prescription opioids from only one doctor.

Our overall approach to pain management drastically changed in the 1970’s when pain became the “fifth vital sign”.

Before the 1970’s, the medical profession virtually ignored the importance of pain management in a patient’s medical care. The inclusion of the question: “was your pain adequately treated” on patient surveys brought about a sort of preoccupation within the medical community on how to provide adequate pain management. Pain became the “fifth vital sign” along with body temperature, blood pressure, pulse and respiratory rate.

As a doctor, you certainly don’t want to see your patients suffer with pain symptoms. With a newfound focus on pain management, physicians and hospital administrators began aggressively treating pain symptoms, which led to a massive increase in opioid prescriptions.

We have to admit that opioids do serve as effective pain relievers and, when used appropriately, they can benefit the overall quality of health care services available in our society. Opioids do serve to benefit people who have recently undergone surgery, experienced a major bone fracture, cancer patients and other severely painful medical events. We cannot simply prohibit doctors from prescribing them appropriately.

Various forms of alternative pain management techniques are available, yet many doctors aren’t taught them in medical schools. The pharmaceutical industry provides massive funding to most of the medical schools in the US. This problem is compounded by the health insurance companies’ reimbursement policies. These policies make prescription opioids a much cheaper option for patients than other, alternative approaches to pain management, such as acupuncture, physical therapy or chiropractic techniques.

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Opioid manufactures, over-prescribing doctors, insurance policies and patients themselves have all played major roles in the drug overdose epidemic. Now that we know, it’s time to start fixing the problem.

While it is easy for people to simply blame “big pharma” as the culprits of the drug overdose crisis in America, we think that is simply just the tip of the iceberg. Of course the Sackler family from Purdue Pharma, along with other pharmaceutical giants like Johnson & Johnson seriously downplayed the risks associated with their products.

Currently, over 2,000 court cases against opioid manufactures are pending in the US. These cases rightfully assert that “big pharma” may have intentionally misled doctors into prescribing more opioids, which most certainly played a role in the creation of the opioid epidemic. Yet opioid misuse is a much more complicated issue than that.

Drug abuse typically coincides with strong feelings of hopelessness, depression and despair. The states that are the worst-hit by the opioid epidemic also suffer from the highest rates of joblessness and economic turmoil. Until we address all of the underlying causes of the current drug crisis in America, we are going to be fighting an uphill battle.

Overcoming an addiction is never easy, yet there are people who do it every day. 10 Acre Ranch offers a full medical detox and recovery program that can help you, every step of the way.

Please call us today to speak with one of our addiction specialists and we can get you, your family member or loved one the help they need right away. We are available 24/7, 365 days a year. Call now:

 

877-228-4679

 

 

The 2018 Opioid Bill

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The United States Congress reconciled both House and Senate opioid bills aimed at reducing the deadly toll of the nation’s top health care crisis: the opioid epidemic.

In the SUPPORT For Patients and Communities Act, Republican and Democrat lawmakers came to a rare agreement between both parties. The drug overdose epidemic claimed 72,000 lives in 2017 alone and roughly two thirds of those deaths were from prescription and non-prescription opioids. The bill will now head to the Senate as the House of Representatives almost unanimously passed the bill in a rare, 393-8 vote. President Trump is expected to sign this legislation into law before the midterm elections.  This is a fairly large bill, that will cost the US billions of dollars but many argue that the bill doesn’t do enough to address the nation’s greatest public health issue. Senator Elizabeth Warren has proposed a bill that would cost the US tax payer $100 billion over the next 10 years, as she argues this is what is really necessary to fully address the opioid crisis.

The SUPPORT for Patients and Communities Act takes a wide approach to the opioid epidemic from law enforcement, treatment and public health care measures.

We will talk about some of the major policy changes in the bill and the full-text of the bill is available here.

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The 2018 SUPPORT for Patients and Communities Act was passed by United States Congress and signed into law by President Trump.

One of the greatest achievements of the new bill is a provision to allow Medicaid recipients to seek care at addiction treatment centers. The restrictions on Medicaid funding for substance abuse treatment had been long outdated and congress finally addressed this problem. Allowing Medicaid to help fund up to 30 days of inpatient rehab stays, including medication-assisted treatment (MAT) is going to help a lot of people get the help they desperately need. The bill authorizes a grant program through the Substance Abuse and Mental Health Services Administration (SAMHSA) to help communities develop opioid recovery centers. While the bill does address the lack of funding for increased access to treatment programs, many addiction specialists argue the bill does not do enough in this regard. While noting that the bill is not itself bad as it does a lot to address a multitude of issues, it is severely lacking on access to treatment, which many believe is the most important technique that could help solve the opioid crisis.

Another provision in the bill lifts restrictions on medications used to treat opioid use disorder and other types of addiction. This measure simply allows more medical practitioners to prescribe medications such as buprenorphine, used to help ease withdrawal symptoms in addiction recovery. As it stands today only 5 percent of doctors are licensed to prescribe this life-saving drug. Another medication, naloxone was addressed in this bill. One provision allows first responders greater access to the life-saving opioid antagonist which can reverse the effects of an opioid overdose.

The major law enforcement provision of the SUPPORT Act is aimed at the trafficking of drugs through the postal system. Fentanyl that is illegally imported from Mexico and China has been blamed for many of the opioid-related deaths in recent years. One package seized in Philadelphia last June contained 110 pounds of fentanyl, valued at $1.7 billion dollars. This was estimated to be enough of the dangerous substance to kill the entire population of the state of Pennsylvania two times over. Fentanyl is 50 times more potent than heroin, so it is easy to smuggle large amounts of the substance through the mail system. This bill makes it harder for people to sneak illicit substances into the US from abroad. The bill will require packages coming in from foreign countries to reveal their contents and where and who they’re coming from. While the bill is broadly aimed at targeting illicit drug suppliers, it includes protection for individuals looking to import cheaper prescriptions from overseas. This was in direct opposition to pharmaceutical companies’ requests to include enforcement against importing cheaper prescriptions from other countries.

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The opioid epidemic kills nearly 200 Americans every single day.

While the SUPPORT for Patients and Communities Act does a lot to fight the opioid epidemic, there is still a lot of work to be done in the near future. The bill even authorizes research into opioid alternatives to pain management and penalizes drug manufacturers and distributors for overprescribing. A lot more could have been done to address the root causes of addiction and it should have offered greater access to outpatient treatment programs. However, while a lot of divisive partisan issues like funding were ignored in the bill, the Democrats and Republicans agreed on a lot of ‘second-tier’ issues that will definitely help save lives. Given the extreme divisiveness in American politics in the Trump era, this is a small political victory.  Thankfully, everyone finally seems to want to work together in fighting this urgent national health crisis.

MDMA Now Even More Risky Due to Rising Impurities

MDMA Ecstasy

In the past, we have written about synthetic drugs, including synthetic cannabis or bath salts, perhaps the two most popular types. Such drugs are most commonly used among young people, the impoverished or people looking to beat a drug test. The news has been good about scaring some people away from trying or using these chemical regularly— being both dangerous and addictive. Overdose death rate stats are difficult to determine in the U.S., as people present in emergency departments with various side-effect symptoms.

While individuals will continue to use such drugs, if they are available, hopefully access will begin to decrease. However, even when people think they are doing one type of drug, they may in fact be doing something altogether different. You may have heard reports about the highly potent opioid fentanyl being stamped into pills resembling OxyContin? If so, then you probably know that many overdose deaths have resulted from disguising one drug as something else.

Fentanyl is not the only drug being mislabeled. It turns out that drugs that are popular among “clubbers” and music festival goers are commonly adulterated with other substances, some of which are potentially lethal. We don’t hear much anymore about Ecstasy. It is still used and abused to be sure, but these days people are more interested in 3,4-methylenedioxy-methamphetamine (MDMA). The psychoactive ingredient used to make Ecstasy. Most people prefer to use MDMA because it is purer than Ecstasy, which is usually mixed with fillers like caffeine or other harmful additives. But is it really more pure? Is it even MDMA that people are doing? Sometimes, not always.

MDMA, Or Something Else?

New research suggests that MDMA, commonly called “Molly,” often contains dangerous additives, notably the chemicals used to make bath salts, according to a press release from The Johns Hopkins University. DanceSafe, a nonprofit, tested samples of pills or powder thought to be MDMA by people at music festivals and such. The service was conducted discreetly and free of charge. Of the 529 total samples collected between July 2010 and July 2015, 318 (roughly 60 percent) actually contained MDMA or the closely related drug MDA. The adulterated Molly contained:

  • Methylone and cathinones used to make synthetic drugs.
  • Methamphetamine
  • PMA, a dangerous form of amphetamine associated with overdoses and death.

The results show that the likelihood of taking something even more dangerous than MDMA is high.

“People who take pills and first responders need to know that no matter how the pills are branded or what name they are sold as, they almost always contain a mix of ingredients,” says Matthew W. Johnson, Ph.D., associate professor of psychiatry and behavioral sciences at the Johns Hopkins University School of Medicine. “Our results should discourage a false sense of security about the purity and safety of so-called Molly.”

MDMA Addiction

If you are using drugs like MDMA regularly, there is a good chance that you will be exposed to substances that are both addictive and dangerous. “Club drugs” are far from safe. Pure does not mean that a substance is without risk. Please contact 10 Acre Ranch for help.

U-47700: China Bans Four Synthetic Drugs

Synthetic Marijuana Synthetic Drugs

When talking about synthetic drugs, one of two things should come to mind: Dangerous chemicals used to make bath salts or synthetic cannabis; or powerful opioids such as fentanyl, carfentanil, and U-47700. Regardless of which we are talking about, they all have two things in common. They are deadly and are made in China.

To be sure, it is a fact that the United States makes up a small percentage of the world population. We also have safeguards in place providing oversight to protect people from dangerous substances and that we have more oversight than most countries. Yet, the people of America have the highest demand for drugs, especially opioids. Americans use the clear majority of the world’s prescription opioid supply, a problem of epidemic proportions. The problem has grown arms in recent years, with addicts branching out to illicit opioids like heroin.

But they are not just doing heroin. In many cases, the powerful opioid analgesic fentanyl is introduced to batches of heroin. In other cases, an even more deadly animal tranquilizer known as carfentanil is present in heroin. Over the last year there has been talk about another designer opioid, dubbed U-47700. Also, known as “Pink.” And like fentanyl, is made in laboratories in China to be sold to drug cartels an ocean away.

Reining In China’s U-47700

Until recently, China was doing little to combat the flood of synthetic drugs being made within its borders. Due to pressure from foreign governments, like our own, China is finally making efforts to curb the problem. They have already banned a number of chemicals that were being used to make synthetic marijuana. Now, they are going after synthetic opioids, like U-47700. Pressure from America has led to China agreeing to ban U-47700, Stat News reports. This follows the DEA’s move last year to add Pink to the list of Schedule I controlled substances. Drugs that have no accepted medical use and “a high potential for abuse.”

As of July 1, 2017, four compounds will be added to China’s list of controlled substances, according to the article. Including:

  • U-47700
  • MT-45
  • PMMA
  • 4,4′-DMARbe

While this is promising news, we are still faced with the reality that chemists will be quick to alter the formula. Allowing them to skirt the bans put in place by both American and Chinese officials. A trend that Yu Haibin, a division director at the Ministry of Public Security’s Narcotics Control Bureau, realizes fully.

“My feeling is that it’s just like a race and I will never catch up with the criminals,” Yu told a news conference. “Actually, we just want to make a breakthrough in dealing with this.”

Playing With Fire

If you are buying compounds like U-47700 over the internet, please be advised that there is no telling how chemists will alter the formula. Nor the side effects that will result from such a change. Synthetic drugs are highly unpredictable. They are addictive and can be deadly.

If you feel that you might be addicted to synthetic drugs, please contact 10 Acre ranch today. We can help you break the cycle of addiction and set you on the path of recovery.

Dark Web Drug Sales On The Rise

a man at a computer disguised as an anonymous wearing a mask working on dark web drug sales

Earlier this week, we discussed the important topic of synthetic drug use, a trend that is both dangerous and indicative of the ever-changing landscape of drug addiction in America. The people making these dangerous drugs are usually one step ahead of government organizations responsible for mitigating the impact of drug use across the country, such as the Drug Enforcement Agency (DEA).

Part of the problem, or the difficulty, in policing synthetic drugs is that the chemicals that are sprayed on benign plant matter to make synthetic cannabis and salts to make “bath salts” are synthesized in China. An enormous country that lacks the kind of oversight that we find in our own country, at least when it comes to laboratories. While China has made efforts to curb the problem and commitments to the United States to do a better job at policing the manufacturing and distribution of such chemicals, the deadly chemicals are still being made and escaping the country’s borders.

In many cases, acquiring the chemical needed is as easy as opening a laptop and venturing into what is known as the “dark web.” Perhaps you have heard of the former online marketplace known as the Silk Road. If not, it was a website that operated in the darkest regions of the internet, a place where one can by heroin, passports and various chemicals to make drugs like synthetic marijuana.

The Dark Web

Once inside the Internet’s shadowy underworld, the possibilities are endless. What’s worse, people journeying into the dark web can do so anonymously, paying for goods and services with a virtually untraceable currency known as Bitcoins. The Federal Bureau of Investigation has been working tirelessly to shut down black markets residing in the dark web.

In 2015 Ross Ulbricht, the founder of the Silk Road was sentenced to life without parole after being arrested by the FBI. But as was mentioned earlier, the ever-changing landscape of drug use in America, such as buying drugs online, allows for others to do the same. Just as when a cartel head is arrested, another moves into a position of power. The Hydra Effect. Cut off one head, only to face another.

The sentence Ulbricht received was arguably harsh. While he got rich off illegal drug sales, et al., he wasn’t in fact the one selling the drugs. He just received a percentage of all sales. The stiff sentence was intended to deter others from creating similar dark marketplaces.

However, a new study published in the British Journal of Criminology, shows that in the two years since the Silk Road saw its end, Boston College sociologist Isak Ladegaard found that sales on the dark web actually increased, Wired reports. And the reasons for the rise in overall sales in the marketplaces that replaced Ulbricht’s site might be linked to a greater awareness in the public about online illegal drug sales due to the media coverage of the Silk Road.

“The timing suggests that people weren’t discouraged from buying and selling drugs,” says Ladegaard. “The data suggests that trade increased. And one likely explanation is that all the media coverage only made people more aware of the existence of the Silk Road and similar markets.”

A Dangerous Way to Buy Drugs

Setting aside the potential for arrest, buying drugs online could lead to the purchase of substance that might contain deadly ingredients. As was mentioned in other posts, fentanyl is often mixed with heroin to increase potency. The chemicals used to make synthetic drugs have unpredictable side effects, some of which can be deadly.

If you are addicted to drugs, seeking help is a lifesaving decision. Please contact 10 Acre Ranch today to end the cycle of addiction.

Synthetic Marijuana: Deadly Side Effects

Synthetic Marijuana

The news of late has been dominated by talk of opioid narcotics, prescription drugs like oxycodone and illicit ones like heroin. Recently there has been a lot of talk about powerful synthetic opioids like fentanyl and carfentanil, around 100 times and 10,000 times more potent than morphine respectively. In many ways, taking synthetic opioids can be a death sentence. Fentanyl was never meant to be used illicitly, and carfentanil was meant for elephants not humans.

Synthetic opioids are a major concern, to be sure, but there are other synthetic drugs that have been plaguing American streets for some time now. And there is a good chance that you have heard or read about many of them. Spice, K2, Flakka and bath salts may come to mind. In many parts of the world the chemicals used to make synthetic marijuana and bath salts are not outlawed. When governments to ban the ingredients used to make them, chemists are quick to alter the formula in order to circumvent the blacklist.

If you are working a program of addiction recovery, or have a vested interest in understanding these chemicals, you may be wondering what the attraction is to a family of drugs that has been linked to hundreds of terrifying news stories? The easiest way to answer that question is that they are easy to acquire, relatively inexpensive and often go undetected on standard drug screens. But despite the perceived benefits of synthetic drugs, the potential side effects are not worth the risk.

Unpredictable Synthetic Drugs

For the time being, let’s just spotlight synthetic cannabinoids; which, despite the moniker have little in common with traditional marijuana. To be sure, marijuana despite its benign reputation is not without risk. Yet, when you compare marijuana to synthetic cannabis—apples and oranges is what you find.

The chemical makeup of what is sprayed on herbal matter to be smoked by users is constantly being changed. A user hasn’t any way of knowing what to expect, and what they experience can be deadly. Common side effects of synthetic marijuana, according to the National Institute on Drug Abuse (NIDA), include extreme anxiety, confusion, paranoia and hallucinations. And even more concerning:

  • Rapid Heart Rate
  • Vomiting
  • Violent Behavior
  • Suicidal Thoughts

In order to combat the synthetic drug crisis in America, lawmakers and government agencies have banned certain chemicals and begun targeting people distributing the dangerous drugs. Just this week, 42-year-old Ramsey Jeries Farraj from Bakersfield, pleaded guilty to a charge related to more than $4 million in synthetic drug-sale proceeds, Bakersfield Now reports. For his crimes related to selling spice and K-2 online, Farraj is looking at five years in prison and a fine.

Synthetic Marijuana is Dangerous

Young people are often drawn to synthetic drugs for the reasons mentioned earlier. They frequently do not know about the synthetic drugs deadly nature and that they can be addictive. If you are young adult male who is using synthetic drugs of any kind on a regular basis, there is a good chance that you have become dependent. With each week that passes, there is no way of knowing what changes chemists will make to the drugs you are consuming, the next batch may be your last. Please contact 10 Acre Ranch to break the cycle of addiction and begin the journey of recovery.