1. In 2017, health care providers across the US wrote more than 191 million prescriptions for opioid pain medication—a rate of 58.7 prescriptions per 100 people.
2. Despite guidelines to limit opioids as a first approach to managing most chronic pain, a study found primary care clinicians write 45% of all opioid prescriptions in the United States.
3. More than 11 million people misused prescription opioids in 2017.
4. Every day, more than 1,000 people are treated in emergency departments for misusing prescription opioids.
5. In 2017, prescription opioids were involved in more than 35% of all opioid overdose deaths: nearly 17,000.
6. From 1999 to 2017, almost 218,000 people in the United States died from overdoses related to prescription opioids.
7. The CDC estimates the total economic burden of prescription opioid misuse in the US is $78.5 billion a year, including the costs of health care, lost productivity, addiction treatment, and criminal justice involvement.
My buddy in Reno is a medical doctor (psychiatry) and believes we are a virus, ourselves. This is not a new idea:
I’d like to share a revelation that I’ve had during my time here. It came to me when I tried to classify your species and I realized that you’re not actually mammals.
Every mammal on this planet instinctively develops a natural equilibrium with the surrounding environment but you humans do not.
You move to an area and you multiply and multiply until every natural resource is consumed and the only way you can survive is to spread to another area.
There is another organism on this planet that follows the same pattern. Do you know what it is? A virus.
Human beings are a disease, a cancer of this planet.
You’re a plague.
-- Agent Smith (Matrix, 1999)
During our conversation, it occurred to me that humans have taught this viral concept to their offspring throughout the ages:
Unsurprising, if God is truly Omnipotent. One of our Methodist ministers over the years, Larry Owsley, tells this wonderful story.
He’s a pretty bright guy, and was an advanced reader for his age when he climbed up into his grandmother’s lap and asked:
Can God do anything?
Oh yes, he can do anything, she said.
Can God seed the universe using comets containing DNA particles?
Her face turned red. She thought for a moment. Then said:
No, he certainly cannot do that!
My wife and I have avoided the fray, but we’ve heard about runs on toilet paper, guns, and especially ammunition. Do you think all our bullets are produced in the U.S.? That would be a logical assumption, but it’s a global business.
Send Lawyers Guns and Money …
The mayor of Champaign, Illinois recently signed an executive order banning alcohol and gun sales.
Back when Obama was first elected, I happened to be in a gun/vacuum-cleaner store — customers called it The Suck and Shoot — and the owner, a short fat man, climbed up on the counter and screamed: “Get your guns now! This bastard is taking your guns! Better get your guns now!”
I live in East Tennessee, and that wasn’t surprising. Having grown up in the Midwestern gun culture myself, I was not alarmed to see racks of machine-guns (semi-autos easily reconfigured) lining Mahoney’s Outfitters when I first moved to town. Dan Mahoney, an Irish tenor with a beautiful voice, has soloed in our church choir for decades. He doesn’t have to stand on the counter and scream.
Benjamin Franklin had his faults — ask most conspiracy theorists — and it was a known fact that he admired young women.
But when it comes to having a clear vision on accruing wealth, Poor Richard nailed it:
There are two ways of being happy: We may either diminish our wants or augment our means -- either will do -- the result in the same; and it is for each man to decide for himself, and do that which happens to be the easiest.
If you are idle or sick or poor, however hard it may be to diminish your wants, it will be harder to augment your means.
If you are active and prosperous or young and in good health, it may be easier for you to augment your means than to diminish your wants.
But if you are wise, you will do both at the same time, young or old, rich or poor, sick or well; and if you are very wise you will do both in such a way as to augment the general happiness of society.
-- Benjamin Franklin, statesman, author, and inventor (1706-1790)
First, Franklin starts the “American myth” that happiness is tied to the pursuit of property. We have more stuff therefore we win begins here. But it is true that we decide our own financial fates, and Americans differ widely on their pursuit of savings.
The advertising industry raises its ugly head in paragraph three, making stuff a “need” in the hearts of North Americans and fanning the fire of want. Ironically, one of Franklin’s many nicknames was The Patron Saint of Advertising, which he mastered early on.
Apply the last paragraph to your life and its ongoing change of circumstances and good things will happen. The Millionaire Next Door hit home with many who’ve since reaped the benefits of Franklin’s (and Stanley’s) advice. There are now more than twice as many millionaire households than there were in 1996, and 10.1 million US households now report a million dollars worth of assets.
Here’s how to apply Franklin’s commonsense rules to runaway government spending.
We have to ask ourselves, do we need to police the globe? Has doing so improved world peace? Or has it fired up the military-industrial complex to thrive in a Brave New World of Endless War?
It’s obvious that our military wants exceed our taxpaying grasp, especially with new cuts about to favor billionaires and corporations. But does the average American really want to police the globe?
Since endless wars come at such a high cost, shouldn’t we fall back, assess the hot spots, employ better technology — in terms of rooting out evil, not nuking the earth into oblivion — and emasculate the bad guys with focused strikes?
I’m all for rooting out the bad guys, both foreign and domestic. But instead of spending on R&D for pinpoint technology, we’re filling our docks with billion dollar warships and our airfields with million dollar airplanes to fight conventional wars that no longer exist.
On the Other Hand
Here’s how we relate to a few other countries when it comes to saving cash:
What’s made America uniquely bad at saving? Perhaps America’s mix of wealth and diversity, the very staple of the American identity, is the culprit of its spending habits. In 2008, several researchers studied the stereotype that minorities spend more than whites on “visible goods”—like clothes, shoes, jewelry, watches, salons, health clubs, and car parts. They discovered that, even after controlling for income, minorities save less than whites and spend more on such conspicuous consumption goods. But the story wasn’t just about race. White people in poor U.S. states spent more of their income on visible goods than whites in higher income states.
The Atlantic, 2016
Let’s look at that again: ” White people in poor U.S. states spent more of their income on visible goods than whites in higher income states.”
The sitting president, however, is all about lifting up the elite at the expense of the rabble.
The Orange Tweeter, exhibiting bouts of sociopathy mixed with narcissism, seems incapable of focusing on any issue longer than a nano-second, and his sinking popularity now represents roughly 31% of the electorate.
Draw your own conclusions on what percent of this group falls into the “rabble” category (those still smarting from the deplorable slap), and what percent of Trump supporters are billionaires wanting to rake in more loot in the short term.
My personal guess is that moderate Republicans hoping to work across the aisle to solve the many pressing issues of the day would be a minority within that 31%.
Just a guess.
Yet the nation continues to treat world and domestic affairs like a football game — we win, you lose — without considering the simple fact that we’re actually all on the same team.
Yes, we can nuke any nation on earth into oblivion. Then the fallout blows over on us.
Yes, we have conventionally bombed nations into near-oblivion, but then they thrive after we go home, though most of the cash ends up in the hands of the upper-class.
You can’t enjoy small government and big military simultaneously.
But Trump voters aren’t interested in logic. The rabble still believes they’ll grow fat on the scraps tossed down from the elite’s tall table of big tax cuts and military-industrial-complex stock-and-bond windfalls.
They’re throwing commonsense to the wind, these lower-middle-class lovers of commonsense.
Logically, one should abstain from indulging in news the first thing in the morning.
Soaking up death, stabbings, arson, child neglect, fracking, meth-lab explosions, sex slavery, environmental disasters, racist cops, neglected infrastructure, enduring slave wages, endless CEO profit raking, idiotic politicians blubbering pie-in-the-sky promises with no intention of following through … mixing all those nauseous facts with prodigious amounts of caffeine … well.
That can’t be good for the psyche.
But the routine never varies.
Out of bed, slurp coffee, devour news, cautiously turn to the obituaries, brace for the blow.
A recent law-school grad with a long history of academic success, a loving family, and a promising future. Twenty-seven-years-old. Here’s a brief paraphrase from the obit:
God protected him many times when his parents were unable. His earthly life ended unexpectedly but his everlasting life has begun.
We’ve watched the font-size of our local print paper decrescendo for thirty years to the point where it’s barely readable.
After all, they have our subscription money, and we’ve read the news on our iPhones and internet feeds, old print news takes up valuable paper and ink, so we’ll minimalize it, shrink it with a pissant font, and look for other revenue streams.
To balance the loss of readership and revenue to online outlets, our local newspaper doubled the size of its obituary text, colorized large head shots of the recently-deceased, and unknowing created a daily parade of local folk now leaving eternal digitized images.
If you plan ahead, love to scribble, and can afford to throw even more cash at a local newspaper publisher, up goes your twin column half page manifesto, a.k.a. bird-cage lining.
Obituaries sell local papers. Furthermore, the family of the deceased wanting to run an obituary is billed up to $600— approximately five times an annual subscription price — to purchase the publication of their loved one’s death notice.
And newsprint corporations will continue to milk grieving readers until obituaries naturally migrate whole herd onto the “everlasting” cloud — which is subject to evaporation any second of any day.
So we slurp coffee, wipe crust from our eyes, and suffer the dark parade of endless young-people obituaries — two or three “mysterious passings” per week — digitized head shots projecting health, vitality, and promise … while the shocking dissconnect of truth and image confounds the thoughtful reader.
Cancer victims either declare outright the nature of their earthly battle, or direct donations toward eradicating the scourge, which indicates the cause of their passing.
But prescription or illegal opioid drug deaths — cloaked in self-painted societal shame — lie hidden between the lines of the family-or-funeral-home-produced death notice.
We’re talking perhaps 2-3 opioid-connected deaths per-week in a region supporting a newspaper circulation of 43,000.
National statistics suggest nearly fifty-two Americans perish every day from prescription opioid overdoses — eighty per day if you figure in heroin— so two-or-three deaths a week in such a tiny demographic seems outrageous.
Heroin deaths are linked to the pill trade because recently skyrocketing street-prices of prescription opioids allow cheap heroin to flourish across the land, hitting rural states and Appalachia especially hard due to decades of high unemployment and a culture slow to raise education standards, though the epidemic appears to cross all lines, racial, religious, geographic, and socio-economic.
Many of our locals succumb to fentanyl, fifty times more potent than typical street heroin. They go to a party, try a little, forget how much they’ve taken, dab a little more, and before the dawn appears …. the sun sets on their precious lives.
Opioid availability first soared (in recent history) after 26 states and D.C. legalized weed in some form and jerked market out from under Mexico, who made up the loss by dumping cheap heroin and opioid-laden chemicals on an already addicted North America poised to dull the pain with ever increasing amounts of opioids, a class of drugs that has debilitated us since the Civil War.
One family, six months ago, actually came clean in the second paragraph of their boy’s obituary, saying that the deceased fell victim to prescription drugs after losing his father two years prior. The son couldn’t bear the loss.
That’s the only self-admission I’d seen in thirty years of obituary reading, though I must confess that for twenty-eight years I only skimmed obits for astounding stories of WWII vets who’d conquered the world and returned home to build new lives.
The truth remains: we all wear a mask.
This concept came home to me thirty years ago when I taught Hawthorne’s The Minister’s Black Veilto a class of honors English students in a suburban Chicago high school.
A small village church must deal with their minister, Mr. Hooper, who takes a notion to don a black veil covering his upper face — much like a widow would wear at an old-fashioned funeral. Everything goes south when he chooses to leave it on.
He becomes a better minister after this decision, ironically, and though his fiancé breaks off their engagement, she watches his entire life and comes to be with him on his death bed, where he admits all of us wear a mask. Upon his death, Mr. Hooper is buried with the veil in place.
Let’s look into the mirror.
When we’re at Sunday school, we wear the Sunday school face. Job interviews conjure a competent strong obedient flexible yes-sir face. Thursday night dollar-draft-beer Raccoon Club meetings at the local sports bar requires a special façade.
And since random acts of unprovoked violence occur in this crazy world — say the unexpected death of a child through accident or SIDs — well, that means perhaps even God wears a mask.
No one is immune from the natural instinct to project a happy face while masking reality through omission.
Facebook is simply a party-line on steroids, a party line with enough bandwidth so a billion users may share photos, text, videos, music, and fake news.
For whatever psychological reason, the vast majority of us prefer to keep the laundry in the closet and to project the shiniest image of ourselves and our loved ones, clean photo-shopped textually-tweaked images of success and prosperity.
Let’s face it, we’re all the billboard producers of our archived lives, turned digital and pulsing across the electronic social universe — Google Plus, LinkedIn, Twitter, Facebook, et al. — social media entwined through massive servers grown muscular through carrying an ever-increasing crescendo of porn to the sex-starved masses. Thirst begets thirst.
Irony. Cleanliness afforded by dirt.
As a result, we can now Photoshop and video-edit our pimples and purple lives while projecting sanitized, filtered, smiling, I’m so happy, self-assured-selfies, eternal masks frozen in digital clouds of memories, gigabytes juggled in “perpetuity” for dollars a month.
Even when people freak out, breech social barriers, and reveal their dark sides on social media, it’s often ignored until the post mortems roll in.
When an individual’s mask slips down, the tribe doesn’t WANT to look, or doesn’t want to acknowledge some of us actually DIDlook and failed to respond.
Which brings us back to the Double-O-Demons.
Jellybeaners is a topical novel about opiates and obituaries, and the fact that shame drives many of our decisions.
And until we supplant shame with grace and help people recover from addiction through counseling, financial incentives, and work opportunities, well.