Fentanyl use, say, during hospice is not a problem. The American “fentanyl problem” IS an American addiction problem. 2/4 - ThreadSky

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thenwhen.bsky.social • 18 days ago

Fentanyl use, say, during hospice is not a problem. The American “fentanyl problem” IS an American addiction problem.
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thenwhen.bsky.social•18 days ago

Many American responses to addiction exacerbate the suffering. Ironically, many of my clients came to fentanyl as they tried to break through the opiate muting of injectable buprenorphine.
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thenwhen.bsky.social•18 days ago

I was responding to the original supposition that the war on drugs created the addiction problem.

I spent 25 years working directly with addicts, listening carefully, and helping many into recovery. I also wrote curriculum about addiction and the mechanisms of addiction.
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danalarsen.bsky.social•17 days ago

Opioid addiction is as much as cause of fentanyl now as alcoholism was a cause of methyl alcohol during liquor prohibition. Without prohibition, neither substance would have become readily available.

thenwhen.bsky.social•17 days ago

Well, both wood alcohol & fentanyl were available before they started killing addicts, but prohibition methanol was a 1:1 substitute for ETOH while fentanyl is 100:1 potency swap over morphine.

The potency differential implies multiple motivations for its use beyond scarcity (prohibition)

thenwhen.bsky.social•17 days ago

When prohibition ended, methanol abuse became rare. Were the war on drugs to end, fentanyl abuse would probably not evaporate in the same way.

chrisweedon.bsky.social•18 days ago

Athena, a huge misunderstanding on my part. My sincere apologies. After I cleaned up, my mission was to divert as many drug offenders from custody to treatment as possible. It was people like you that helped change their lives. Thank you for correcting my impulsive reply.

thenwhen.bsky.social•18 days ago

My brother, I see you. Thank you for the good work you have done.

Thank you for seeing me too.

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