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monero-xmr | 3 days ago

To be honest I would prefer addicts could get heroin prescribed. The primary danger of street drugs is the inconsistent purity and chemicals it’s cut with. If it was pharmaceutical grade and everyone prescribed was on a list, we would have fewer overdoses and a better understanding of who to put in treatment

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cluckindan|3 days ago

Most heroin overdoses happen either from a sudden increase in supply purity, or from an abstinent addict relapsing and taking their regular dose without realizing they have lost their tolerance.

Any kind of rational change in policy is not happening as long as entire lucrative industries of policing, health care and religion-as-a-social-service are dependent on the dependent.

alphawhisky|3 days ago

This cuts to one of the more important points here. Rent seeking behavior in public health is crazy to witness.

apothegm|3 days ago

Don’t forget for-profit prisons!

tokai|3 days ago

It's such things that reveal the cruelty in our sociaties. The evidence is very clear; it reduces deaths and improves health, while also reducing crime. But its still not the default the world over because its apparently a hard sell to give addicts anything for free. The other comments here show the sentiments nicely.

mothballed|3 days ago

There is no need to give it for free. It costs very little to produce, most of the cost is just risk and irregular logistics. Just sell it over the counter at walmart for $5 just like they do rat poison, bottles of vodka, and ammunition.

You might say they won't be able to sell enough foodstamps or welfare even then to come up with the money legally, but it'd still be way less crime.

herbst|1 day ago

Welcome to Switzerland. Where this exact approach is working well for many many years now.

pooooka|3 days ago

The US did this dance with the devil in the pale moonlight before anyone, way back in the 19th century. Tens of thousands (millions) of wounded soldiers came back from the civil war in chronic pain and addicted to morphine. They put them on "lists" and prescribed them dope and it spiraled out of control. It got so bad that they engineered Heroin to be a safer alternative. And people forget, but the temperance movement wasn't just focused on alcohol. They were the primary forces behind the Harrison Narcotics Tax Act of 1914. And these people weren't bible thumping crusaders, many were like early feminists that lost children\husbands to drugs and alcohol. I think Europe eventually comes around to this same conclusion when enough damage has been done. Metering out hard drugs has always been a road to ruin.

tarentel|3 days ago

This seems only partially correct. If by "they" you mean Germans then yes, Heroin was engineered by them, or at least first made commercially available by Bayers. The US government had nothing to do with it. It was marketed as a less addictive alternative to morphine although I highly doubt anyone who made it actually believed it was safer. I have no source for this but I think it is a safe assumption to make.

The temperance movement was mainly related to alcohol. There were groups who wanted abstinence from everything but that was not its primary focus. They may have played a part in said act but I don't know. They were definitely not the driving force behind it though. Racism played a bigger role than the temperance movement. The government was also aware there was a very real problem with drug addiction.

ubercore|3 days ago

> I see Europe eventually coming to this same conclusion when enough damage has been done.

I'm curious about this sentence -- to what are you referring, and where specifically in Europe?

mothballed|3 days ago

Nowadays they're just given methadone or Buprenorphine (other opioids). Having known family members that worked in the clinic, there is no plan to get most of them off of it. It is like other opiate addicts, ~most of them take it until they are dead unless they are just dead set on getting off and willing to live with the fact they might never quite feel 'right' again, although at least it is safer.

monero-xmr|3 days ago

If only there was anything different between 125 years ago and now!