Fentanyl Crisis

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First of all, even the 2010 statistics are atrocious, let alone the  2021 ones. 100,000 people in the United States died of overdoses in 2021. This quote is from a BBC article on a recent death of a little boy in a daycare that was also a location for fentanyl dealing.

Quote

In 2010, less than 40,000 people died from a drug overdose across the country, and less than 10% of those deaths were tied to fentanyl.

By 2021, over 100,000 people died in drug overdoses, with an estimated 66% of those tied to fentanyl.

https://www.bbc.com/news/world-us-canada-66861588

I was given fentanyl once during a carpal tunnel surgery when I became extremely anxious, and claustrophobic from the tourniquet they had on my forearm. It is a very euphoric feeling. In my case, I also suffer eventually from a lot of nausea and vomiting from any opioid. But I was high as a kite when they were giving me my discharge instructions.

I am normally pretty libertarian in my outlook but, this Fentanyl crisis needs the strong arm of the law. It seems even worse than Meth, which is saying a lot.

Specializes in Hospice.
chare said:

Considering we've been losing the war on drugs for 52 years, what exactly do think that the "strong arm of the law" do differently?

Are you suggesting that immigrants, either documented or undocumented, are a driving force in the fentanyl smuggling crisis?  I hear this, but no one has yet shown me any evidence in support.  I found the following, from the Cato Institute an interesting read: Fentanyl Is Smuggled for U.S. Citizens By U.S. Citizens, Not Asylum Seekers.

And not necessarily across the southern border.

Specializes in ER.

The causes of drug abuse are multifactorial. It's simplistic to blame a political party or governmental policy for this complex problem.

It may just be a natural result of a society of excess, and the inevitable impending decline of our civilization. Humans have become so adept at exploiting the earth's resources, and have created more wealth than we know what to do with. We have too much of everything. Our brains just crave more and more: more rich foods,  bigger wardrobes, fancier houses, more luxurious vacations, and better highs from stronger drugs.

The diseases of excess strike all people,  rich or poor, black or white, religious or non-believer.

chare said:

Are you suggesting that immigrants, either documented or undocumented, are a driving force in the fentanyl smuggling crisis?  I hear this, but no one has yet shown me any evidence in support.  I found the following, from the Cato Institute an interesting read: Fentanyl Is Smuggled for U.S. Citizens By U.S. Citizens, Not Asylum Seekers.

No, I'm not saying that. I'm saying that the loss of control at the southern US border by those responsible for US national security is being exploited by massive cartels in China, South America and other places for the purposes of committing crime in the United States, chief among them, the narcotics trade. To say nothing of groups federal and state law enforcement have labeled SATG's (South American Theft Groups). Those are the major reason major retailers in California, just to name one state, are closing their doors. 

Emergent said:

The causes of drug abuse are multifactorial. It's simplistic to blame a political party or governmental policy for this complex problem.

It may just be a natural result of a society of excess, and the inevitable impending decline of our civilization. Humans have become so adept at exploiting the earth's resources, and have created more wealth than we know what to do with. We have too much of everything. Our brains just crave more and more: more rich foods,  bigger wardrobes, fancier houses, more luxurious vacations, and better highs from stronger drugs.

The diseases of excess strike all people,  rich or poor, black or white, religious or non-believer.

Waxing philosophical is the luxury of those untouched by the disaster we're facing as a result of this problem. If the US was even half as serious as Canada is with their southern border, the fentanyl crisis would be measurably different. But there is too much narrative/bias protection going on for any meaningful border reform to take place in the foreseeable future. 

Specializes in NICU, PICU, Transport, L&D, Hospice.
offlabel said:

Waxing philosophical is the luxury of those untouched by the disaster we're facing as a result of this problem. If the US was even half as serious as Canada is with their southern border, the fentanyl crisis would be measurably different. But there is too much narrative/bias protection going on for any meaningful border reform to take place in the foreseeable future. 

Waxing philosophical about the southern border of Canada seems silly.

Lots of people know that most fentanyl trafficked into the USA for consumption by Americans is smuggled across the border by Americans, not migrants or asylum seekers.  

Our congress should be interested in comprehensive immigration reform. 

HHRG-118-JU00-20230201-SD020.pdf

Specializes in ER.

Drug use is a supply and demand situation. Apparently there is a high demand for mood altering drugs in the United States. That is huge factor in this crisis. If there is no demand, there is no profit motive to supply the drugs.

Canada is also struggling with a fentanyl crisis. Apparently the covid pandemic fueled this crisis in both Canada and the United states, with overdoses increasing. 

I also believe that the opioid crisis, in general, skyrocketed from the over reaction of the regulatory bodies to the opioid crisis that they created in earlier years. The medical community was highly pressured in the 1990s and early part of the 21st Century to meet people's pain goals. They started handing out oxycodone and oxycontin like candy, pushing drugs for the profiteering pharmaceutical corporations. Then The Regulators did in about face, and started strictly limiting these prescriptions. People were physically dependent and started turning to the street.

Specializes in NICU, PICU, Transport, L&D, Hospice.
Emergent said:

Drug use is a supply and demand situation. Apparently there is a high demand for mood altering drugs in the United States. That is huge factor in this crisis. If there is no demand, there is no profit motive to supply the drugs.

Canada is also struggling with a fentanyl crisis. Apparently the covid pandemic fueled this crisis in both Canada and the United states, with overdoses increasing. 

I also believe that the opioid crisis, in general, skyrocketed from the over reaction of the regulatory bodies to the opioid crisis that they created in earlier years. The medical community was highly pressured in the 1990s and early part of the 21st Century to meet people's pain goals. They started handing out oxycodone and oxycontin like candy, pushing drugs for the profiteering pharmaceutical corporations. Then The Regulators did in about face, and started strictly limiting these prescriptions. People were physically dependent and started turning to the street.

The "regulators" caught on to the deception of the manufacturers as their products exploded an opiate black market.  The Sacklers made lots of money though, capitalism works. 

Specializes in Critical Care.
offlabel said:

If the US was even half as serious as Canada is with their southern border, the fentanyl crisis would be measurably different. But there is too much narrative/bias protection going on for any meaningful border reform to take place in the foreseeable future. 

How does this explain the rise in fentanyl deaths in Canada? How does this explain the rise in opioid deaths worldwide?

I don't understand how people listen to these political talking points when they fall apart so easily. 

Specializes in Public Health, TB.

I've done a bit of reading about SUD, and I found a super helpful book , but of course I can't remember the name. Anyway, the author, a psychologist, postulated that people with SUD, could be divided into 2 groups, but often overlapped: people with who had experienced trauma, such as abuse or adverse childhood events, and neurodivergent people, such as ADHD or BPD. They use substances to treat their distress, and once addicted, need to  feed it plus their distress. Their neurotransmitters get so screwed up, that takes years of treatment to "normalize. " To me, this explains the need for long term replacement therapy, plus counseling. 

Specializes in Vents, Telemetry, Home Care, Home infusion.

Two Arizona men arrested in bust Monday bringing fentanyl into town near me---one of several drug busts this year due to county DEA taskforce.

Delco Times 10/28/23

AG, feds, PSP net 50k fentanyl pills being shipped into Ridley Township

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Two Tucson men have been arrested for allegedly trafficking 50,000 fake oxycodone pills from Arizona to Delaware County that were actually pure fentanyl, a powerful synthetic opioid.

 

DoGoodThenGo said:

The glaring difference between diversion of usp fentanyl and the fentanyl coming up through the southern border and ports of entry is the body count. Not even close. Completely different category of problem.

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