Another Epidemic
I think using recreational drugs (except for ethyl alcohol
in moderation) is a bad idea and have never used them (except for ethyl alcohol
usually in moderation). I would prefer
that others avoid them as well. However I am aware that my preferences in no
way affect the rights of other adults to do as they like in this matter.
Neither do the preferences of anyone else, including the preferences of people
who happen to be employed by the government.
A meaningful belief in liberty must
include a belief in the right of people to make choices, take actions, and hold
opinions others of us may see as wrong or self-destructive. If an adult wants to use cocaine, tobacco, marijuana,
opioids, meth, or whatever, it is his business and not my business or the rightful business of any government
officials to stop him forcibly. This is a
minority opinion held mainly by liberals, libertarians, and probably a bunch of
dopers of varying political persuasions.
Most people seem to favor prohibition of one thing or another.
This is despite the fact that prohibition, whether of
alcohol in the 1920s or of various drugs since then, has both failed to stop people
from using the things that were prohibited and had awful side effects for both
the users and suppliers of the banned products and the general public –
including the corruption of public officials, the rise of vicious and dangerous
criminal organizations, huge costs to taxpayers, and violations of everyone’s rights and privacy. One obvious reason for the popularity of
prohibition is that prohibition agents benefit from prohibition and have
incentives to convince others to support
it. Contrary to some people’s myths, government officials usually are not
disinterested humanitarians. They have economic interests in their jobs and
careers and personal interests in preserving and increasing their power over
their fellow citizens. It is a common and often effective trick of politicians
and bureaucrats to trump up and drum up
a crisis to scare the public into giving them more money and power. It is not unfair cynicism to wonder about the similarities in timing between claims of a new opioid crisis now as
the marijuana prohibition horse seems to be on its last legs and the reefer
madness scare being pushed in the early 1930s when alcohol prohibition
was on its last legs.
People in the traditional media certainly have gone along
with the theme of an opioid crisis. Almost
all stories are scare stories, with many going beyond “crisis” all the way to “epidemic”
in their descriptions of the situation. The
number of deaths reported as being by
overdose from or at least involving
opioids has increased in fifteen
years from about three per hundred
thousand Americans in 2000 to about ten per hundred thousand Americans in 2015, according to the
government’s Centers for Disease Control and Prevention. With information of this sort there are always questions about
whether and to what degree things such
as differences over time in methods of
collecting and reporting data and
changing definitions of terms (such as “involved”) might have influenced
or distorted the results. However even if
one takes the report at face value, that is one death caused by or connected
with the use of opioids per ten thousand people. Additionally misusing opioids is neither contagious nor something striking people in large
numbers apparently at random. Those who
choose not to use the drugs are not at risk of coming down with the affliction.
This is not an epidemic in the usual
sense of the term, and calling it one is at least confusing the issue and
perhaps irresponsible fear mongering.
Regardless of that, misusing opioids is bad business, and
there are many who are doing it. It would
be good to treat this as a medical and public health problem and try to help people
whose abuse of opioids is harming them and to do a better job of letting people know the risks
of using these drugs as a way of persuading them not to start. That would be a far better way of handling
the problem than being panicked into sending the drug warriors off on a new or stepped up campaign when their others have been distinguished so often by
spectacular, expensive failure and really bad collateral damage.
Labels: opioid crisis, politics