Reddit reviews Dreamland

Suosittelen kaikille joita tämä kriisi kiinnostaa lukemaan seuraavan kirjan: Dreamland: The True Tale of America's Opiate Epidemic

Kirja kertoo lääkefirmojen agressiivisesta mainoskampanjasta lääkäreille määrätä vahvoja kipulääkkeitä perustuen hyvin puutteelliseen tutkimukseen jonka mukaan kivuista kärsivä ei jää koukkuun opiaatteihin, tapahtumia käydään läpi yksittäisten henkilöiden kautta. Taustoja, kuten keskilännen talouden taantumaa kartoitetaan myös.

Rinnalla kerrotaan xaliscon poikien uudesta heroiniin myyntitavasta, joka onnistui levittämään mustan tervaheroiinin länsirannikolle ja keski-lännen osavaltioihin. Suurten määrien sijaan ryhmät liikuttelivat pieniä määriä huumeita kerrallaan ja välttivät väkivaltaa, jotta poliisi ei kiinnostuisi ryhmien toiminnasta. Huumeita toimitettiin kotiinkuljetuksella, lopettamista suunnitteleville tarjottin ilmaisia annoksia, ja ryhmät tekivät säännöllisesti asiakastyytyväisyyskyselyitä, muun puuhastelun ohella.

Harvoin tulee yhtä paljon "mitä hittoa"-hetkiä kuin tätä lukiessa.

The problem with this case is that they specifically claimed that their new drug was not addictive in a very shady way. If you're curious, check out Dreamland by Sam Quinones

The book "Dreamland" is a great way to get a better understanding of this problem.

TLDR: It's a combination of the abuse of over-prescribed prescription pain medication that was heavily marketed, followed up by small time Mexican drug dealers that supply black tar heroin once the source of prescription drugs runs out or becomes too expensive.

The book gives you a better understanding of why you can't just easily shut the heroin dealers down. They generally are small cells run by only a few people, their dealers carry very small amounts, and if the people running operations in the US get arrested, they are just deported back to Mexico where they can try to enter the country illegally again or find some new recruits to do it for them. There's no big overlord or kingpin you can take out to shut down the flow. It's basically a highly successful franchise business.

The recent heroin problem was brought on by a more specific set of circumstances. The book "Dreamland: The True Tale of America's Opiate Epidemic" explores the situation in depth. Basically it started with heavy marketing and over-prescription of Oxycontin in the '90s, followed by the arrival of cheap black tar heroin from Mexico. The author, Sam Quinones, has given talks all around the country, including recently at NKU. He also did an extensive interview on Mark Maron's WTF podcast a while back. Well worth the listen if you are interested in the topic.

Econtalk voted the Dreamland episode #1 of 2017 (book). Dreamland is about a tight-knit village in Mexico which became rural America's under-the-radar door-to-door supplier of heroin for those who could no longer afford Oxycontin. Also strong reporting by The Atlantic on an offhand remark in the New England Journal of Medicine that became the justification for pain as the fifth vital sign. Also New Yorker on the Sackler family behind Oxycontin that paid for immunity via arts and university grants.

I don't understand why this isn't, by far, the dominant issue in all US news. Opioid deaths have over the past decade increased by more than the ~33,000 car deaths annually. You could argue, as Case and Deaton do, that opioids are a symptom of despair, and that alcohol and suicide deaths are also increasing. Many news outlets aired recurring segments listing the name of every American who died in Iraq/Afganastan. And yet, in terms of death toll, this problem is 10s of times worse than the ~4400 Americans killed in Iraq and Afganistan over the past 15 years.

Good on Science vs. for giving it the time. Virtual media malpractice the degree to which other sources neglect the issue.

The book Dreamland on the shelf is about the opiate epidemic in America.. here's the amazon summary.

If you want to take a deep dive into the multitude of causes of this epidemic I highly recommend reading Dreamland: The True Tale of America's Opiate Epidemic. It paints a fascinating, and depressing, picture of the perfect storm of circumstances that underly the massive opiate epidemic, as well as putting a human face on it.

If you were educated in this, or at least read a book about it, you would know that Purdue pharma marketed these pills as only being addictive to 1% of the population for years. This was based on testing done in countries that have concern for the welfare of their citizenry, and not just their corporations profit margins. In those countries people were not allowed to be prescribed opioids, and they could only take them under medical supervision, which was in the hospital right after surgery. The average patient would take 3 or 4 in total. Here in the good old US, we sent patients home with 100 pills (based on Purdue's lies). It was found Purdue Pharma knew about the highly addictive qualities of their drugs, but kept marketing them the same way. That is why they are losing court battles.

So you scream about personal responsibility, but you let Purdue off the hook for not taking responsibility when they knew for a fact that the pills were more addictive than they were saying. The Sacklers, by the way, were involved in the decision making process in the private company. So where is your personal responsibility now? Why don't you hold them to that same standard? Maybe because 'Hell yeah! Rich people are awesome! Fuck anyone that gets crushed in their pursuit of money!' You don't know that through their distributors Purdue pharma shipped enough pills to the state of Florida in one year to give every man, woman, child and infant 100 pills.

Seriously, educate yourself a little bit.

Dreamland was a pretty awesome book that detailed this if you haven't read it already.

Think this was it: https://www.amazon.com/Dreamland-True-Americas-Opiate-Epidemic/dp/1511336404

Sean McCarthy of the Grubstakers podcast joins us to talk about the opioid crisis.

My main source for research this ep is a the book Dreamland by Sam Quinones. www.amazon.com/Dreamland-True-Am…mic/dp/1511336404

Check out Sean at @SeanMcCarthyCom and listen to Grubstakers at @GrubstakersPod or @grubstakers

As always, bonus eps are available for just 5 bucks by subscribing to our patreon (which is now SEARCHABLE!!!!!) at

patreon.com/PodDamnAmerica

@poddamnamerica
@feraljokes
@ptakjokes

One major part of the answer to your question

Sean McCarthy of the Grubstakers podcast joins us to talk about the opioid crisis.

My main source for research this ep is a the book Dreamland by Sam Quinones. www.amazon.com/Dreamland-True-Am…mic/dp/1511336404

Check out Sean at @SeanMcCarthyCom and listen to Grubstakers at @GrubstakersPod or @grubstakers

As always, bonus eps are available for just 5 bucks by subscribing to our patreon (which is now SEARCHABLE!!!!!) at

patreon.com/PodDamnAmerica

@poddamnamerica
@feraljokes
@ptakjokes

This will probably get lost, but if anyone is interested in the horrifying story regarding the rise of prescription opioids, the book Dreamland by Sam Quinones is an excellent read.

(https://www.amazon.com/Dreamland-True-Americas-Opiate-Epidemic/dp/1511336404)

https://www.amazon.com/Dreamland-True-Americas-Opiate-Epidemic/dp/1511336404

Are you proposing some sort of causal effect with welfare:burnt down communities?

I think that's irrelevant and muddies the argument. Unless you have any data whatsoever claiming that.

Might want to give this a look too

https://www.npr.org/2017/11/04/562137082/why-is-the-opioid-epidemic-overwhelmingly-white

https://www.amazon.com/Dreamland-True-Americas-Opiate-Epidemic/dp/1511336404