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Notes and Reflections on Books and Media

by Hannah Leitheiser

Overview

American Fix: Inside the Opioid Addiction Crisis - and How to End It

Ryan Hampton

2018

Link

2019-03-21

- Ryan Hampton, American Fix: Inside the Opioid Addiction Crisis - and How to End It (2018)

The Opioid Epidemic System, as I gather so far:

1) Purdue Pharma develops OxyContin, and aggressively markets it as safe to prescribe.

2) People with pain symptoms are prescribed OxyContin and trust their doctors. With higher tolerance, they need more and more.

3) Street heroin is cheaper than OxyContin or more available. Showing evidence of heroin injection blacklists patients. Things tend to go downhill.

4a) Inexperienced with heroin, the person will overdose and die.
4b) The person will begin the prison pipeline.
4c) The person may seek treatment. Standard treatment
is 28 days in a sober facility, sometimes paid by medicaid.
The author says it's mostly a scam, as 28 days is not long
enough, relapse is common shortly afterward, sometimes
death. There's been almost no research on evidence-
based treatment, and managers and staff are getting rich.

5) If someone achieves long term recovery and/or exits
the prison pipeline, stigma will follow and rights and
opportunity will have been lost.