BostonGlobe | Drug users, desperate to break addictions to heroin or pain pills,
are pawns in a sprawling national network of insurance fraud, an
investigation by The Boston Globe and STAT has found.
They are
being sent to treatment centers hundreds of miles from home for
expensive, but often shoddy, care that is paid for by premium health
insurance benefits procured with fake addresses.
Patient brokers are paid a fee to place insured people in treatment
centers, which pocket thousands of dollars in claims for each patient.
They often target certain Blue Cross Blue Shield plans, because of their generous benefits and few restrictions on seeking care from out-of-network treatment programs.
The
fraud is now so commonplace that brokers use a simple play on words to
describe how it works: “Do you want to Blue Cross the country?”
Illicit drug markets were flourishing in white communities in the 1970s,
and they continue to flourish in white communities to this very day. The crucial
difference between affluent white drug markets and gritty black urban
drug markets is the drive-through customer service provided to strangers in mostly black ghetto neighborhoods.
White neighborhoods feature a drug market staffed by affluent teenagers doing it as a sideline for free drug supplies, social-peer status, and disposable income with a customer base of similarly well-heeled schoolmates and friends. Black and brown ghettos feature a market run in deadly earnest by poor and marginalized people viewing it more like a career choice- as their best chance at earning good money, fast money, and possibly even a boost to long-term upward mobility.
Open-air street markets are riskier all around, and much more criminogenic. But that's principally a function of the illegal marketplace, not the underlying commodity "drugs" being bought and sold. Prohibition has been an epic policy failure. Instead of success in curbing the use of officially forbidden drugs, 50 years of get-tough criminalization, zero tolerance, and mandatory minimums have resulted in;
a state of perpetual civil conflict
an unregulated supply of a wider array of harder and harder drugs
diverse harder drug abuse by younger and younger people
broad-based antagonism against police and government
unparalleled levels of police corruption
Unfortunately, the respectable negroes of impoverished black ghettos made the same mistake as the morally upright but deeply hypocritical WW2 generation of adults in more affluent white communities. Faced with an unfamiliar phenomenon (the newfound popularity of some legally prohibited drugs among the youth), they imagined that a law enforcement crackdown would solve the problem and reset their status quo back to more familiar conditions, back before the kids were smoking pot and experimenting with drugs.
Let's be clear- the initial 1960s-era domestic "illegal drug problem" related almost entirely to marijuana; the heroin market was confined to "bad neighborhoods" in a handful of large cities, and it took years for the cocaine market to develop a significant consumer base anywhere in the country.
Instead, the resulting Drug War only made matters worse, across the board. Including problems of police brutality and the impression that a coercive regime was being imposed upon urban black neighborhoods by outsiders. Which is, yes, what the citizens originally asked for. But the source of the folly was the naive idea that "drugs" were the primary source of the breakdown of civic order, rather than the illicit markets empowered by a simplistic prohibition regime that was- and still is- rationally indefensible.
Even the most responsible black American parents of teenagers are in much the same position as practically every other ethnic population- there's only so much they can do to counteract negative peer group influence on their adolescent children, given the circumstances of the modern world. And the stance that "studying is a white thing" would have a lot less social currency in the absence of the attractions of economic success provided by opportunities in the retail illicit drugs trade. "Studying is a white thing" is part of a narrative of fake resistance promulgated by criminals and delinquents. It's an excuse proffered by nihilistic elements of the black lumpenproletariat - pornographically promoted by Madison Avenue - not by "black culture".
The source of the problem- the basis for the appeal of the story that tells boys to kick school to the curb and go for fast money and instant gratification- isn't the inherent criminality of "black culture", or black people. It isn't ethnically based. It's mostly about Pinocchio Pleasure Island. The real-life Pleasure Island of the drug dealing game. In the absence of a lucrative underground market in prohibited drugs, criminality is a pretty pathetic career path. In the presence of that avenue of opportunity, it's a glamor profession. Or at least it contains enough glamorous aspects to make it a very attractive occupation, especially for teenage males at the outset. Remember what eventually happens to the boys on Pleasure Island.
The useless not-see narrative blames the dysfunctions of poor black communities on a lack of moral character - a deficiency purportedly inherent to lower racial IQ or some allegedly monolithic "black culture." The useless BLM narrative blames the problems in impoverished black ghettos on some all-pervading, amorphous, undifferentiated, supposedly rampant white racism, i.e., an inherent moral deficiency of monolithic "white culture."
Neither of those stories address the actual source of the problem.
The Federal government put policies in place that practically mandated a
criminal monopoly over the trade in a wide array of illegal substances,
while criminalizing the entire population with which users/dealers were most closely identified. Leaving aside marijuana for a moment, and fast forwarding to the crack cocaine epidemic - while cocaine/crack can still be found as a street drug in this country; it's
just that not as many people want it. They've seen how it can derail
someone's life. Although both the supply and the numbers of cocaine
users remain many times what they were 45-50 years ago.
The criminalization
and stigmatization of prohibited drugs users works to pre-emptively wall
them off
from most avenues of participation in legitimate society. Their
permanent stigmatization in the mainstream economy, effectively
encourages them to confine their energies to participating in the
criminal economy. As for trends in urban violence, they're probably destined to cycle through for
some time.
45 years of Drug War has made gangsterism dynastic. Furthermore, it has entrenched it through the prison systems. Alcohol
prohibition only lasted 13 years and firmly established organized crime for two or three generations thereafter. What would the mafias have become if the "noble
experiment" of alcohol prohibition hadn't been put to an end after only 13 years? Along with Mass Incarceration, this is a
crucial difference between the current Drug War and the Prohibition
Era.
Then, when that situation eventually gets out of hand, the
government steps in with well-funded militarization of the police,
paramilitary tactics, and mass incarceration policies. It's a
turnkey operation for a totalitarian society, and the justification for
it appears entirely rational as long as the population thinks of it
solely in terms of fear reactions and their relief, and never questions
the flaws in the original premise that led to the breakdown of civic
order in the first place. (Nixon's declaration of war on the left and on blacks for opposition to the Vietnam War)
SFBayview | In 2015, Berkeley City Councilor Max Anderson voiced this eloquent
opposition to militarization of the police during the annual Bay Area
Urban Shield war games and weapons expo:
“The culture that’s cultivated by the type of training that you receive becomes the way you conduct yourselves …
“When I was in the Marines in the early ‘60s, all our pop-up targets
that we practiced on were Asians. You know now they’re Middle
Easterners, so it kinda shifts, and so the rationale and the
justification for targeting people on these bases shifts along with it.
“And when military weapons follow military thinking into our police
ranks, you know we have a problem. You know it’s a problem of
association because when you’re in a combat situation, you’re thinking
about survival, and you’re thinking about enemies and friendlies. And
when you inculcate that into our environment here, and we start thinking
about the citizenry as either being friendly or enemies, and react
accordingly based on what designation we lay on people, then we’re
sliding down that track.”
What could better describe the prevailing mindset of U.S. police? And
we all know who’s on the enemies list that they feel compelled to kill
to survive: Black and Brown people, Muslims and poor people.
Philando Castile, a Black citizen of Minnesota, calmly and
respectfully told Police Officer Jeronimo Yanez, “Sir, I have to tell
you I do have a firearm on me,” without pulling it out. Officer Yanez
responded by firing the seven bullets that killed Castile as he sat in a
car, then started screaming, sobbing and wailing, “I thought I was
gonna die!”
What could
better describe the prevailing mindset of U.S. police? And we all know
who’s on the enemies list that they feel compelled to kill to survive:
Black and Brown people, Muslims and poor people.
SFBayview | Some 400 people packed a special city council meeting here on June 20
to demand that the city end its “shameful collaboration” with federal
police and spy agencies. But the council, while widely hailed as
“progressive,” ignored the near-unanimous popular opinion and voted to
renew three controversial police programs:
City participation in a Regional Intelligence Fusion Center and its
“suspicious activities” domestic spying operation, coordinated
nationally by the FBI and used locally to spy on Black Lives Matter
demonstrations.
City participation in the Urban Areas Security Initiative – and its
annual $5 million Urban Shield weapons and SWAT team training expo –
aimed at militarizing and increasing federal control over local police
forces under Homeland Security. UASI promotes the model of the “warrior
cop.”
The city’s acquisition of a $205,000 bulletproof armored personnel
carrier, partly funded by DHS (presumably anticipating some future wave
of “civil unrest” in this small city)
Former mayor Gus Newport scolded the city council for going along
with the various schemes for further empowering the police. “I cut my
teeth in the civil rights movement by getting brutalized by police at
the age of 11,” he said. “I would hope that you all have the principles,
the heart and the concern for the people of Berkeley to make sure these
(police programs) do not go any further.”
Many spoke of the racist impacts of these federal police programs.
Sharif Zakout, with the Arab Resource & Organizing Center, said: “I
want to be absolutely clear that Urban Shield was developed in response
to 9/11 and the Patriot Act and is an Islamophobic and racist program.”
AROC is part of a broad Stop Urban Shield Coalition, whose mobilization
succeeded in driving the racist program out of Oakland in 2015. That was
the year when “Black Rifles Matter” was the most popular t-shirt sold
at the Urban Shield police expo.
Berkeley resident James McFadden said the Intelligence Fusion Center
and UASI “are part of a continuous effort to consolidate federal control
over local police … that escalated after 9/11 with the passage of the
Patriot Act and creation of Homeland Security.” He said Berkeley, for
example, should not be collecting data that can help ICE round up
immigrants for deportation. “We don’t need a militarized surveillance
state, or if unrest grows, a police occupation force as we saw in
Ferguson, Missouri,” he added.
nationalinterest | A recent incident in Hutto, Texas, a sleepy, outlying suburb of
Austin, illustrates just how dangerously promiscuous the utilization of
SWAT teams has become. On June 26, local police conducted a raid to
implement a search warrant on a house in a low-crime, middle-class
neighborhood. The alleged crime? Police suspected that some residents of
the target house were involved in gambling. Investigators were backed
up by a SWAT unit with nearly a dozen officers in full combat regalia
pouring out of an armored vehicle.
Needless to say, the neighbors were both stunned and alarmed to see
such an operation take place in their quiet community. One mother stated:
“I went to my daughter’s room and looked outside their window to see if
I could get a better view of what was going on, and there was a man in
fatigues with a sniper rifle laying in my neighbor’s driveway.”
What was even more striking is that the police spokesman admitted to a reporter that the authorities “had no reason to believe”
that the residence undergoing the search was involved in any violent
activity. In other words, police were using paramilitary tactics and
forces to execute a search warrant involving a nonviolent (indeed,
victimless, crime) in a low-crime neighborhood. Such arrogant bullying
should alarm anyone who cherishes domestic civil liberties.
Unfortunately, such incidents have become all-too-common as local
authorities seek new missions to justify the existence of SWAT teams and
to keep the personnel alert and well trained. The expansion of SWAT
units and missions is closely correlated to the existence of federal
programs making surplus military hardware available at little or no cost to local police forces.
Such deadly toys have become a prime justification for law enforcement budget increases and the receipt of federal grants in communities around the country.
theatlantic | If a conservative is a liberal who
has been mugged, you might expect black folks, who are
disproportionately victims of crime, to support the politics of law and
order. And they frequently have done just that, according to Forman, a
former public defender in Washington, D.C.; a co-founder of a D.C.
charter school for at-risk youth; and now a professor at Yale Law
School. Using the District of Columbia (a k a “Chocolate City”) as his
laboratory, Forman documents how, as crime rose from the late 1960s to
the ’90s, the city’s African American residents responded by supporting
an array of tough-on-crime measures. A 1975 measure decriminalizing
marijuana died in the majority-black city council, which went on to
implement one of the nation’s most stringent gun-control laws. Black
residents endorsed a ballot initiative that called for imposing harsh
sentences on drug dealers and violent offenders. Replicated on a
national level over the same period, these policies led to mass
incarceration and aggressive policing strategies like stop-and-frisk,
developments that are now looked upon as affronts to racial justice.
Much
of what Forman reports would not surprise anyone who has spent time at a
black church or a black barbershop—or in the company of my mother. In
the ’60s, she marched with Malcolm X, and during the ’80s, after the
public school where she taught was vandalized, she said, “Those niggers
should be put under the jail.” My mom’s ideas about criminal-justice
policy are informed by getting held up at gunpoint in front of our house
on Chicago’s South Side, seeing family members suffer from addiction,
and watching the cops treat my stepfather like a criminal after he got
into a fender bender with a white man.
Needing the
criminal-justice system to help keep you safe, to be fair in its
investigations, and to be merciful with people who’ve run afoul of the
law—this urgent, unwieldy agenda explains much of African American
politics, from the anti-lynching campaigns of the early 20th century to
the Black Lives Matter movement today. As Forman reminds his readers,
black people have long been vigilant, often to no avail, about two kinds
of equality enshrined in our nation’s ideals: equal protection of the
law, and equal justice under the law.
The absence of equal
protection has been, historically, the most vexing problem in the lives
of African Americans. The NAACP was founded in 1909 partly in response
to the federal and state governments’ turning a blind eye to white
violence against blacks. More than half a century later, as open-air
drug markets flourished in inner-city neighborhoods, black activists
perceived a related form of racist neglect by the state. The police,
they believed, would have shut down those markets had they existed in
white communities. In fact, as Forman notes, many activists thought that
those in power actually condoned the availability of drugs in the hood,
as a means to keep the black man down. (In those days, it was black
men—rather than all black people—who were seen as principally injured by
racism, a fallacy that made its way into government policy under the
guise of the controversial Moynihan Report in 1965.) The black radical
Stokely Carmichael, speaking at a historically black college in 1970,
said, “Fighting against drugs is revolutionary because drugs are a trick
of the oppressor.”
Back then, many white progressives
were pro-pot, and disinclined to see drug prohibition as part of a
revolutionary utopia. African American suspicion of white liberals is a
theme throughout Locking Up Our Own. One reason the 1975 effort
to decriminalize marijuana in Washington, D.C., failed is that the
bill’s two primary supporters were white men. Forman quotes the
spoken-word artist Gil Scott-Heron’s portrayal of a typical white member
of Students for a Democratic Society: “He is fighting for legalized
smoke … / All I want is a good home and a wife and children / And some
food to feed them every night.”
Scott-Heron’s
very traditional wish list reveals another important explanation for
black support of law and order. Not for the first time, many
middle-class African Americans subscribed to the “politics of
respectability”: The race advances, the view goes, when black people
demonstrate that they are capable of living up to white standards of
morality and conduct. Among the black elite, advocacy for lenient
criminal-justice policies was deemed an admission that black interests
were allied with the interests of criminals. That sort of solidarity
would hardly help the cause. For many bougie African Americans—certainly
those in cities like Washington and Atlanta, where light-skinned blacks
dominated the middle class—colorism was also at work: The fact that
their dark-skinned hoodlum cousins were getting locked up was not a
problem. Indeed, one of the primary arguments for allowing African
Americans to join Atlanta’s police department in the 1930s and ’40s was
that they would be better able than white officers to distinguish
between elite blacks and the riffraff.
vice | When the Baltimore riots erupted
in April 2015 after Freddie Gray's death in police custody, James
"Brick" Feeney and Willie "Wax" Harris*, two tech-savvy teenagers with
ties to Maryland's Black Guerrilla Family (BGF), saw opportunity. Using
the chaos as cover, they managed to steal at least a million doses of
prescription drugs and heroin from city pharmacies and rival
dealers. But even if their caper was essentially an old-school,
smash-and-grab-style theft, the teens had plans to sell the drugs in a
more sophisticated manner: via the Dark Web, where pills went for
upward of $100 each.
Leaning on location-based technology and
encrypted messaging software, Brick envisioned their operation as
an "Uber of drug dealing."
As
the looted drugs were shipped up and down the East Coast, a spike in
opiate overdoses in African American communities raised eyebrows, and
the DEA and FBI eventually took notice. In his forthcoming book Pill City: How Two Honor Roll Students Foiled the Feds and Built a Drug Empire, veteran
crime reporter Kevin Deutsch profiles the the teens' massively
profitable scheme, which he contends had (distant) ties to El Chapo's
Sinaloa cartel.
Deutsch enjoyed incredible access to the two
teens and some 300 other dealers, addicts, gang bangers, police, and
drug-treatment specialists for the book. A reporter who prefers to work
with his "feet on the ground," Deutsch saw the vicious effects of
America's opioid epidemic in an urban setting. VICE talked to the
journalist about how he wrapped his head around the technology in play,
how opiates were never just a middle-class white problem, and where
Brick and Wax are at now.
stockboardasset | In the 1990s it was COPS. Now it’s Worldstar Hiphop, Facebook Live,
and Liveleak broadcasting a constant stream of no-budget
sadism-as-entertainment to satiate the curious and the bloodthirsty in
real time, direct from the deepest corners of the most depraved,
impoverished districts. And while we, the spectators, marvel in awe and
disgust at the fights and robberies and suicides and murders that we
watch live onscreen, we forget that we, too, are denizens of a similarly
curated and managed ghetto environment: the digital one.
Whereas the actual, physical ghettos are the product of 1960s utopian
ideas about government spending being the answer to social ills gone
awry, the digital ghettos are also an inverted utopia, albeit one
crafted by the rogue programmers of the 1970s and 1980s. These
programmers imagined a world where personal computers and the emerging
internet would literally connect the world; where ideology would wither
away as the postmodern World Wide Web would force all of us to confront a
myriad of foreign ideas and foreign people, all from the comfort of
your home office.
These technologies have not connected us, or at least not in the ways
that these computing pioneers imagined. We, too, have been
hyperfragmented and atomized into our own digital ideological echo
chambers. The 21st century collapse of the nuclear family that we
discussed earlier was perhaps intended to redefine one’s sense of self
in relation to society as a whole rather than in relation to one’s
immediate or extended family (you know, the whole “It takes a village”
nonsense that people liked to talk about a couple of decades ago). But
what we’re seeing now is a sort of fragmentation of the self,
facilitated by these digital technologies, where there is a disconnect
between one’s online self and one’s physical self-a sort of “social
schizophrenia” that threatens to destroy the very societies that these
technologies were supposed to solidify.
Now back to the districts: what the Capitol fears most is an uprising
of the district that bleeds into the Capitol. We call this The Fourth Turning: Summer of Rage and the Total Eclipse of the Deep State. Provincial
wars are fine, as long as they are kept far away from the ruling elite.
Periodically, though, rival factions governing the Capitol enlist
mercenaries from the districts to cause trouble at the doorstep. We see
this regularly with the astroturf Black Lives Matter, Occupy Wall
Street, and other seemingly ‘grassroots’ franchise protest movements
erupt in American cities every few years-these dispossessed citizens of
the district, unemployed or underemployed with little to no job
prospects, saddled with debt, and very little to lose or gain are
shipped around from city to city, given some protest signs, and proceed
to yell, fight, burn buildings, and disrupt traffic.
A genuine uprising would be terrifying to the ruling elite, because
it would be a refusal to participate at all in a society that exploits
you solely by your participation in it. Non-participation is much
quieter than the manufactured type, and doesn’t lend itself as well to
dramatic photo ops. It’s impact, however, would be much more
significant.
theguardian | After a consortium led by Jay-Z bought Tidal (previously known as
WiMP) in January 2015, it had a star-studded launch where many of the biggest pop acts on the planet
pledged to give it exclusive material first. That amounted, initially,
to a Madonna video that soon appeared on YouTube. After that came
Rihanna’s Anti, in January 2016, which ended up being released early by
mistake, then 1m copies were given away to appease fans while Tidal
blamed Universal Music Group for the error. UMG countered by saying it
was actually Tidal’s fault. The album eventually ended up on other
streaming services.
The release of Kanye West’s The Life Of Pablo did no better. Despite
West’s assurances that it would never be on Apple, a matter of a few
weeks after its Tidal debut it was available on … Apple. And Spotify.
And everywhere else. To paraphrase Oscar Wilde, to lose one exclusive
may be regarded as a misfortune; to lose two or more looks like
carelessness.
Universal, smarting from the Frank Ocean debacle last August – in
which Apple Music got an exclusive for the contract-fulfilling album
Endless and then, the next day, Ocean put out Blonde himself – reportedly imposed an embargo on exclusives.
Warner Music Group and most indie labels were always against them. That
leaves Sony, which has hinted exclusives will be considered on a
case-by-case basis, the unspoken subtext being they have fallen in line
with all the other labels.
There will be the occasional outlier, such as the totally autonomous
Chance the Rapper’s two-week exclusive with Apple Music for his album
Coloring Book in May 2016, for which he claims he was paid $500,000; but
everyone else is increasingly of the belief that exclusives dangerously
impede the reach of an album and, as such, only annoy fans at a time
where loyalty can no longer be presumed and has to be earned again with
every new release.
Jay-Z
has an allegiance to his own service and one of its biggest investors,
hence this Tidal–Sprint deal; but it feels like a message beamed in from
a different place and a different time. In an age of digital ubiquity,
exclusives are an anachronistic bet on a roulette wheel where the only
pockets are marked as either “invisibility” or “irrelevance”.
charleshughsmith |We
also know that the proximate cause of this epidemic is Big Pharma,
which promised non-addictive painkillers that lasted for 12 hours but delivered addictive painkillers that did not last 12 hours.
There are plenty of other participants who share responsibility for the public health and law-enforcement disaster: physicians
who all too readily passed out prescriptions for powerful synthetic
opioids like aspirin; the government agencies that approved the
synthetic heroin as "safe" (heh) and paid for their distribution via
Medicaid, the Veterans Administration, etc., and the patients who all
too willingly accepted the false promises of synthetic opioids.
But what's missing from the public conversation is the underlying cause of the epidemic: a structural scarcity of paid work and positive social roles for vast swaths of America's workforce.
We all know what paid work means: jobs. Positive social roles include
jobs--supporting oneself and one's family provides purpose, meaning,
identity and a source of pride, all atrributes of positive social
roles--but the concept extends beyond work to any role in which the participant feels needed and that offers dignity: this includes volunteer, guardian, mentor, coach, etc., many of which are unpaid.
At
its core, to be treated with dignity means being considered worthy of
respect. Certain situations bring out a clear, conscious sense of our
own dignity: when we receive praise or promotions at work, when we see
our children succeed, when we see a volunteer effort pay off and change
our neighborhood for the better. We feel a sense of dignity when our own
lives produce value for ourselves and others. Put simply, to feel
dignified, one must be needed by others.
Giving
people welfare, cheap prescriptions for opioids and Universal Basic
Income (UBI) does not make them feel needed--it makes them feel
superfluous and worthless.
CounterPunch | In Ohio a heroin (and other opioids) epidemic, and attendant
overdoses, has stretched the city budget because Paramedics respond and
administer Narcan (Naxalone) to revive the patient. And Narcan is
expensive. City Councilman Dan Pickard offered the solution of cutting
off paramedic responses after two visits. In other words, let the OD
victim die. Besides Pickard’s fundamental stupidity, the glaring
question that goes unasked is why has the price of Naxalone tripled in
the last year? Well, because there is a heroin epidemic, and an
Oxycontin epidemic. That is capitalism.
One of the by products of the spike in Narcan usage (its even sold
over the counter in some cities, without prescription) is a kind of
Overdose-porn; cell phone videos of addicts passing out and in
respiratory arrest being given Narcan and having those symptoms
reversed. I see a reality TV show in the future. Of course Narcan also
triggers severe withdrawl symptoms in anyone with an opioid addiction. I
remember friends being given Narcan and immediately running out to find
some junk to stop the pain. There is such an obvious disregard for
addicts in this society that it almost feels pointless to repeat the
same statistics yet again. The War on Drugs is much like The War on
Terror. It is a business opportunity for western Capital.
Interestingly, 76% of Americans think addicts should be a medical
problem and not a criminal one. However, compassion is NOT a business
opportunity, ergo compassion is not part of the lexicon of the ruling
class.
dailybeast | M______ Charles M_____ turned 26 in jail on March 2, a week after his
arrest for misdemeanor heroin possession. But his entire life may as
well boil down to an inglorious 30 seconds of tightly edited video,
played on local news channels, that shows him nearly dying.
On
Feb. 18 a closed-circuit surveillance camera captured him shooting
heroin, then falling out of his seat on a crowded city bus in Philly
suburb, Upper Darby. The video cuts to a police officer hovering over
the unconscious man and applying a dose of the powerful overdose
antidote naloxone.
Naloxone (sold under the brand name Narcan) has been the subject of
increasing media attention since the Food and Drug Administration
approved a nasal spray version of the drug in last November to reverse
the effects of opioid overdose, namely severe respiratory depression
that can be fatal if left untreated. Narcan works by reversing those
symptoms. A number of police departments now outfit their officers with
it, and changes to state laws have made the drug legal for sale over the
counter in some pharmacies. In 2014, Pennsylvania passed a law that
made naloxone available through a standing prescription to laypeople,
including drug addicts themselves and their families.
The video
footage of M_____’s overdose concludes with him back on his feet and
being escorted off the bus by police paramedics—a seemingly happy ending
to a nearly fatal tragedy.
But M_____’s story is anything but happy. And it’s far from over.
After
saving his life, the police arrested him for the tiny amount of heroin
(four baggies) they found on him. While M_____ suffered the first pangs
of opioid withdrawal in a jail cell (imagine severe flu combined with
anxiety and depression) the police humiliated him by tweeting a link to
the video provided by the transit authority.
washingtontimes | Citing the deadly opioid crisis, Baltimore
officials made it easier on Thursday to acquire an overdose-reversing
drug over the counter, saying the antidote should be as prevalent as
possible to prevent more deaths.
City Health Commissioner Leana Wen
waived training requirements for acquiring and using naloxone, a
fast-acting medication that’s become a vital and ubiquitous tool in
fighting the nation’s heroin and prescription painkiller crisis.
Dr. Wen
said the training only took a few minutes — naloxone can be
administered as a nasal spray or injected into the muscle, like an
EpiPen. But the associated paperwork was cumbersome, so she implemented a
recent state law allowing her to scrap the training altogether.
“Any
resident can go into any of our pharmacies in Baltimore City and
immediately get the medication for saving someone’s life,” she said.
City
residents on Medicaid can acquire two doses of naloxone for $1 — it’s
free if they don’t have the money — while those on private insurance
typically face co-pays of $10 to $40.
Baltimore
estimates that 20,000 residents use heroin and thousands more abuse
prescription opioids. There were 481 fatal overdoses in the city during
the first nine months of 2016, according to preliminary data, and deaths
related to fentanyl have risen twentyfold in recent years, the health
department said.
scientificamerican | First came Martin Shkreli, the brash young pharmaceutical
entrepreneur who raised the price for an AIDS treatment by 5,000
percent. Then, Heather Bresch, the CEO of Mylan, who oversaw the price
hike for its signature Epi-Pen to more than $600 for a twin-pack, though
its active ingredient costs pennies by comparison.
Now a small Virginia company called Kaleo is joining their ranks. It
makes an injector device that is suddenly in demand because of the
nation’s epidemic use of opioids, a class of drugs that includes heavy
painkillers and heroin.
Called Evzio, it is used to deliver naloxone, a life-saving antidote to overdoses of opioids. More than 33,000 people are
believed to have died from such overdoses in 2015. And as demand for
Kaleo’s product has grown, the privately held firm has raised its
twin-pack price to $4,500, from $690 in 2014.
Founded by twin brothers Eric and Evan Edwards, 36, the company first
sought to develop an Epi-Pen competitor, thanks to their own food
allergies.
Now, they’ve taken that model and marketed it for a major public
health crisis. It’s another auto-injector that delivers an inexpensive
medicine.
One difference, though, is that Evzio talks users through the process
as they inject naloxone. The company says the talking device is worth
the price because it can guide anyone to jab an overdose victim
correctly, leave the needle in for the right amount of time and
potentially save his or her life.
According to Food and Drug Administration estimates,
the Kaleo product, which won federal approval in 2014, accounted for
nearly 20 percent of the naloxone dispensed through retail outlets
between 2015 and 2016, and for nearly half of all naloxone products
prescribed to patients between ages 40 and 64—the group that comprises
the bulk of naloxone users.
mishtalk | Total capitulation by Governor Bruce Rauner is in the works. The taxoholics wore him down.
In the emergency session, Rauner has agreed to hike the personal
income tax rate to 4.95% from the current 3.75%. The corporate income
tax rate will rise to 7% from the current 5.25% rate.
For what? Nothing. Reforms are nonexistent.
Another Deadline Come and Gone
Illinois failed to approve a budget today and thus heads into its third fiscal year without one.
A vote has been scheduled for Sunday.
I do not expect your opinion will matter, but in the slim chance I am wrong, Please Email Your Representative voicing displeasure of the tax hike.
The preceding link will find your rep based on your address.
Rule of Nothing
A zombified Rauer has capitulated in every way but the final signing.
Tax hikes have been agreed to with no reforms in return.
Rule of Nothing
In any given political situation, the best outcome one can reasonably expect generally happens when politicians do nothing.
Implied corollary#1: When politicians attempt to fix any problem, they are highly likely to make matters worse.
Corollary #2: Politicians almost never do nothing. It’s why we have a
messed up healthcare system, education system, public pension system,
etc..
zerohedge | S&P warned one month ago will likely result in a humiliating and
unprecedented downgrade of the 5th most populous US state to junk
status.
Then came the begging.
According to Bloomberg, on Friday Illinois House Speaker Michael Madigan, a Democrat who controls much of the legislative agenda, pleaded with rating companies to "temporarily withhold judgment” as
lawmakers negotiate. “Much work remains to be done,” the Democrat said
on the floor of the House Friday, before the chamber adjourned for the
day. “We’ll get the job done.”
Meanwhile, the state remains without a spending plan, its tax
receipts and outlays mostly on "autopilot", leaving it with a record $15
billion of unpaid bills as it spent over $6 billion more than it
brought in over the past year, and with $800 million in interest on the
unpaid bills alone. The impasse has devastated social-service providers,
shuttering services for the homeless, disabled and poor. The lack of
state aid has wrecked havoc on universities, putting their accreditation
at risk.
However, in a "shocking" development, just hours remaining before the
midnight deadline to pass the Illinois budget, and Illinois' imminent
loss of its investment grade rating, federal judge Joan Lefkow
in Chicago ordered Illinois to come up with hundreds of millions of
dollars it owes in Medicaid payments that state officials say the
government doesn’t have, the Chicago Tribunereported.
Judge Lefkow ordered the state to make $586 million in monthly payments (from the current $160 million) as
well as another $2 billion toward a $3 billion backlog of payments - a
$167 million increase in monthly outlays - the state owes to managed
care organizations that process payments to providers.
While it is no secret that as part of its collapse into the financial
abyss, Illinois has accumulated $15 billion in unpaid bills, the
state's Medicaid recipients had had enough, and went to court asking a
judge to order the state to speed up its payments. On Friday, the court
ruled in their favor. The problem, of course, is that Illinois can no
more afford to pay the outstanding Medicaid bills, than it can to pay any of its $14,711,351,943.90 in overdue bills as of June 30.
The backlog of unpaid claims the state owes to managed-care companies
directly, as well as to the doctors, hospitals, clinics and other
organizations “is crippling these providers and thereby dramatically reducing the Medicaid recipients’ access to health care,” Lefkow said in her ruling
* * *
Friday’s court ruling, which meant that the near-insolvent state must
pay an additional $593 million per month, may have been the straw that
finally broke the Illinois camel's back.
“Friday’s ruling by the U.S. District Court takes the state’s finances from horrific to catastrophic,” Comptroller Susana Mendoza, a Democrat, said in an emailed statement after the ruling.
As a result of the court decision, “payments to the state’s pension
funds; state payroll including legislator pay; General State Aid to
schools and payments to local governments -- in some combination -- will
likely have to be cut.”
WaPo | There is an ongoing terrorist attack
happening in Ohio. It has nothing to do with the Islamic State or
political anarchists. The weapons in this case come in the form of
heroin and other opioids, and the terrorists are the pushers who spread
the deadly poison.
From the Columbus Dispatch
this spring: “At least 4,149 Ohioans died from unintentional drug
overdoses in 2016, a 36 percent leap from just the previous year, when
Ohio had by far the most overdose deaths in the nation. . . . Many
coroners said that 2017’s overdose fatalities are outpacing 2016’s.”
Consider that number — 4,149 overdose deaths in Ohio in one year, more than the number who died on 9/11.
The
worst of the state’s opioid problems are here in southern Ohio. The
Highland County coroner provided our newspaper, the Times-Gazette, with a recap of cases
from 2016 showing at least 16 overdose deaths in this small rural
county. He also pointed to 50 deaths during the year from other causes
where drug use or a history of drug use were present.
Even non-fatal overdoses are taxing local resources. During the first three weeks of May, emergency responders answered calls to at least 18 overdoses
around the county, almost three times as many as during the same period
a year ago. The public information officer for the local fire and
emergency medical services department called it “the new normal.”
This
is all happening around little Hillsboro, a town often compared with
television’s idyllic Mayberry. With the FBI reporting that most heroin enters
the United States from Mexico, and local officials saying that it then
makes its way here through metropolitan drug rings, it’s no wonder that
few people in Hillsboro think President Trump’s border security plans
are extreme.
Like other forms of terrorism, the opioid attack
will have a generational impact, in this case in a foster-care crisis
being left in its wake.
thenews | Terrorism, drugs-for-arms and money laundering are intrinsically
linked and pose a considerable threat to global peace and security. They
destabilise the political and financial stability of many
nation-states. They were accelerated in the wake of 9/11. Militants and
extremists have a nexus with criminal networks involved in dealing drugs
and arms.
Evidence available with intelligence agencies confirms that from
Al-Qaeda to Daesh the real challenge involves the free flow of legal and
illegal funds. Until today, the international community has failed to
sever their financial lifeline.
It is an open secret how the drug trade in post-Taliban Afghanistan
was institutionalised through the puppet regime in Kabul and the
patronising attitude of war lords in many provinces of the country. Once
opium started being processed at a mass scale into morphine and heroin
in Afghanistan, it brought tonnes of money for commanders on the ground.
Since 2004, the controlled democracy in Afghanistan has been playing
into the hands of more sophisticated narco-enriched commanders. It is no
longer a secret that the Taliban – with whom the US and its allies have
always been in negotiation since 2004 – knew how to buy or muscle a
vote which would protect their opium interests in every election.
Even Afghanistan’s neighbours have been making profits from the
windfall: criminal groups from Central Asia, says the UN, have made
profits worth $15.2 billion from the trafficking of opiates in 2015.
Tajikistan is, by far, the worst affected by the drug plague owing to a
combination of history, poverty and geography.
In the late 1990s, the drug trade was believed to be a source of
finance for the Islamic Movement of Uzbekistan (IMU) – a terrorist group
which had bases in Afghanistan and Tajikistan. After the war in
Afghanistan, the IMU lost most of its influence. But the drugs trade
continued with organised criminals taking the place of political or
religious activists. In a survey conducted by the Open Society
Institute, eight out of 10 of those polled said – hardly surprisingly –
that “the main reason to turn to drug trafficking was to make big
money”.
medgadget | Opioids are the most widely prescribed medications to treat moderate
to severe chronic pain. These analgesics are used to manage pain in
cancer patients and also to treat severe constant pain in patients
suffering from terminal illnesses. These are generally administered via
subcutaneous, oral and intramuscular routes; other routes of
administration include nasal insufflations, patient controlled
analgesia, transdermal and oral mucosa routes via lozenges. Opioids can
be classified into three major classes namely, strong agonists
(fentanyl, oxymorphone, and morphine), mild to moderate agonists
(codeine and hydroxycodone), and opioids with mixed receptor reactions
(buprenophrine and pentazocine). Although they form one of the most
widely used analgesic classes, they cause certain adverse effects such
as constipation, nausea, vomiting, sedation, respiratory depression and
others. However, the major concern with this drug class is the high
level of drug abuse observed worldwide, leading to illegal trade of
these drugs worth hundreds of billions of dollars. According to a study
published in the Journal of American Medical Association in April 2011,
the rate of deaths occurring due to the overdose of prescription opioids
has increased substantially in the last decade in the U.S. alone. This
study also indicated that high doses of opioid drugs prescribed for pain
management possessed increased risk of overdose mortality in the
patients.
The leading molecules in this segment that constituted about 65% of
the total opioids market include OxyContin (oxycodone), Nucynta
(tapentadol), Rybix and Ultram (tramadol), Exalgo (hydromorphone),
Ultiva (remifentanil) and fentanyl.The remaining 35% market revenue was
contributed by other generic opioids as well as combination formulations
of NSAIDs with opioids.The actual market scenario for this drug class,
however, could be different due to the strong product pipeline, with two
major entries MoxDuo IR (morphine/oxycodone) and Remoxy (oxycodone) set
to hit the market in 2016. The market entry of these two drugs is
expected to boost growth of the overall opioids market during the
forecast period. The number of patients suffering from chronic pain is
on a constant rise globally. Thus, increasing incidence of chronic pain
conditions will continue to encourage the use of pain management drugs,
thereby driving the opioids market. Doctors usually prescribe medicines
in the initial stages of pain, followed by other treatment options.
Prescription drugs are easy to use and economical and are expected to
support the growth of the opioids market globally.
unz |All over America, I’ve seen posters warning against drugaddictions. In Cheyenne, it’s “METHAMPHETAMINE / Don’t live this tragic story.” A few blocks away, I stepped over used needles on the sidewalk. In Buffalo, it’s an image of a beer bottle and a pill bottle, with “HEROIN
addiction starts here…” Appended to it was a homemade sign, “SHOOT YOUR
LOCAL HEROIN DEALER.” Also in Buffalo, it’s a photo of a seemingly dead
man on the floor, with “Learn how to recognize OPIOID OVERDOSE and SAVE A LIFE.”
In Cleveland, it’s a tagged toe in a morgue, with “DEATH BY HEROIN
OVERDOSE IN CUYAHOGA COUNTY HAS QUADRUPLED,” and this was in 2014,
before the prevalence of fentanyl.
In
2016, Philly had 277 murders and 907 fatal drug overdoses. For 2017,
murders are up 21% and drug deaths, 33%. What’s your town’s drug toll?
A
33-year-old friend admits to popping street-bought Xanax every now and
then to help her sleep. I suspect she’s on various pills, if not heroin,
for she’s always broke and borrowing money. She has a spotty memory,
sporadic hygiene and pinpoint pupils.
At
Friendly, I sat next to my buddy Jeff, who’s in his late 40’s and HIV
positive. Each day, Jeff pops a dozen pills, including Klonopin, a
benzodiazepine that can trigger paranoid or suicidal thoughts, as well
as degrade your memory, judgment and coordination. Mixed with other
substances, particularly alcohol, it can slow your breathing or even
kill you. Jeff is always drinking.
“Jeff, man, you’re always so outgoing, so gregarious, I can’t imagine you having anxieties!”
“That’s
because of the Klonopin, dude. Without it, I’d be a mess. Without it,
I’d be up all night pissed off, you know, about some stupid argument I
had 15 years ago, some fight with a hot dog vendor who gave me ketchup
instead of mustard!”
“That’s serious.”
“Here’s what it looks like,” Jeff showed me some innocent white pills in a yellow bottle. “You want one?”
“No, thanks.”
Jeff took one out anyway and gave it to the bartender, 42-years-old Lisa. She stashed it away for later.
Free To A Good Home
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I know what gooning is same as I know what felching is but I don't care to
remind myself all that often about it. The Internet just keeps exposing the
ni...
If Free Will Is False, Destiny Is True
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Free will is like God: perhaps dead, its absence having something to say
about morality (what Nietzsche meant by “Gott ist tot” was that the
Christian God ...
FREE BOOK: On Nonviolence
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“Michael Barker’s interrogation of nonviolent protest tactics and regime
change is both timely and important. Drawing on cases ranging from American
democr...
Return of the Magi
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Lately, the Holy Spirit is in the air. Emotional energy is swirling out of
the earth.I can feel it bubbling up, effervescing and evaporating around
us, s...
Covid-19 Preys Upon The Elderly And The Obese
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sciencemag | This spring, after days of flulike symptoms and fever, a man
arrived at the emergency room at the University of Vermont Medical Center.
He ...
-
(Damn, has it been THAT long? I don't even know which prompts to use to
post this)
SeeNew
Can't get on your site because you've gone 'invite only'?
Man, ...
First Member of Chumph Cartel Goes to Jail
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With the profligate racism of the Chumph Cartel, I don’t imagine any of
them convicted and jailed is going to do too much better than your run of
the mill ...
