Sometimes I get the impression that just about everybody is pretty disastrously wrong about something, so much so that a layperson like me can't even determine which direction is up. I feel that way about drug abuse epidemics.
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People understand that LSD isn't the same as meth, but they don't necessarily get that 1990s meth may not be functionally equivalent to 2020s meth. And so on. Opioids have been with us for centuries, but the mortality rates we're seeing now are new. We need to zoom way, way out.
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I do actually worry, for example, that broader **public** elite acceptance and utilization of some so-called "hard drugs" — LSD and mushrooms (for insight), ketamine & MDMA (for mental illness), etc. — may have paved the way for broader acceptance of more addictive drugs
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It can simultaneously be true that mushrooms for end-of-life care, MDMA for trauma & ketamine for depression are all brilliant suppressed treatments, AND that street meth and heroin are zombifying and killing the less privileged at an alarming clip
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A hard part also has been the complete failure of the war on drugs. Heroin and street meth are extremely serious but I have no idea what the right strategy for handling them is
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I'm not sure what you're saying here. Broader acceptance of 𝘶𝘴𝘦𝘳𝘴 of the drugs? Probably not. High status people aren't likely to become fond of the underclass. Of legalization? Maybe, and maybe that's bad, but there must be 𝘴𝘰𝘮𝘦𝘵𝘩𝘪𝘯𝘨 better than today's prohibition
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I've never met anyone who accepts street meth or heroin as drugs with societal value. Decriminalizing/legalizing is another question, and I don't see why we shouldn't try the successful decriminalization/legalization models from Portugal or Switzerland in the U.S.
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But are people actually using opioids at a significantly higher rate? It’s not clear this is the case. I’d argue these drugs were suddenly being used in more dangerous ways. If they were truly normalized, we’d be comfortable telling people how to use, but more safely. We are not.
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“Chasing the scream” makes a pretty compelling case that opioids aren’t as inherently addictive (environmental factors significant eg most heroin using nam GIs quit easily upon returning home) or as damaging (slow wean common when decriminalized & managed) as widely believed
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