In 2017, 1.7 million Americans had substance use disorders with an addiction to prescription opioid pain killers. A little over 650,000 Americans had a heroin addiction (with some overlap between the two).
In 2017, approximately 47,000 Americans lost their lives due to opioid overdoses.
National opioid prescribing rates started increasing in 2006 and peaked in 2012 at 255 million with a dispensing rate of 81.3 prescriptions per 100 Americans. In 2019, the dispensing rate had fallen to 46.7 per 100 persons with over 153 million opioid prescriptions dispensed. However, some counties had rates that were 6 times higher than the national average.
Opioid overdose deaths increased from around 21,000 in 2010 to nearly 50,000 in 2019.
Roughly 21-29% of people given prescriptions for opioid pain relievers misuse the medications. Up to 12% of people who use opioids to treat chronic pain treatment go on to develop opioid use disorder.
Around 4-6% of people who misuse prescription opioids later go on to abusing heroin.
8 out of 10 heroin users started out by first using prescription opioid pain pills.
OPIOID ABUSE STATISTICS IN THE UNITED STATES
1.6 million Americans have an opioid use disorder.
10.1 million people report misusing opioids at least once in the past 12 months.
Among opioid abusers, 9.7 million people misuse prescription pain pills, 745,000 abuse heroin, and 404,000 abuse both prescription pain pills and heroin.
STATISTICS ON OPIOID-RELATED DEATHS IN THE U.S.
Every day, 136 people die from an opioid overdose in the United States, including prescription and illicit opioid drugs.
Overdose deaths in the U.S. involving prescription opioids (including methadone and semi-synthetic opioids) numbered around 3,500 in 1999 and increased to over 17,000 in 2017.
From 2012 to 2015, there was a 264% increase in deaths related to synthetic opioids.
In 2019, more than 71,000 Americans died from drug overdoses. Of these, over 70% (roughly 50,000 deaths) were overdoses involving opioids, including prescription pain relievers, heroin, and synthetic opioids like fentanyl.
From 2018 to 2019, the overall opioid-involved death rate increased by over 6%. While prescription opioid-involved deaths and heroin-involved deaths declined by 6-7%, the synthetic opioid-involved death rate increased by more than 15%.
Between 1999 and 2019, nearly 500,000 Americans have died from an overdose involving an opioid drug.
STATISTICS ON COST OF OPIOID ABUSE IN THE U.S.
Misuse of prescription opioids alone costs the U.S. more than $78 billion a year, including healthcare costs, lost productivity, criminal justice costs, and addiction treatment.
Where are we now?Where has America gone?Where are we now?Is this the swan song?Where have the morals gone?Taught from above?Where are the morals now?Where are truth and love?Where are the Christians now?Since lies are King?Where are the Christians now?Does money mean everything?Where are the brains now?That death and ignorance reign?Where are the brains now?They took the chump train.They took the chump train.
They took the chump train.
They took the chump train.
My son and his fiancé asked us over for a tasty mid-morning outdoor breakfast –– her parents were visiting on their way to Texas –– so we enjoyed smoked bacon, mixed fresh fruit, and recently-gathered eggs next to a large lavender bush. A monster.
Which reminded me of an ancient National Geographic special I’d seen thirty-some years ago, featuring an African pygmy village built around a giant marijuana bush.
The men either stood before the patch red-eyed swaying back and forth between bong hits, intermittently tending to plants, or sat in the community shed eating grasshoppers –– they popped the heads off first –– between bong hits.
All the physical labor and child care fell upon the women (imagine that) while the village population dwindled in the same downward trajectory as sperm health.
The military drove the Pygmies out of the Congo’s national parks in 1991 –– indigenous lands since time immemorial –– so now they’re clinging to the fringe of those parks, hiding small pot fields here and there, selling weed illegally, and barely eking out a living while constantly dodging “authorities”.
This week’s local paper reported that although opioid prescriptions are down thirty-percent, the death rate holds firm. Folks simply switch over to street heroin or fentanyl and die just the same.
The global village is now built around the Big Pharma Bush
Although recently discovered to be a significant part of human culture since 500 BC, weed carries health risks that cannot be ignored as injecting smoke into your lungs is always risky.
Positive effects are legion, but the only canary-in-the-coal-mine on current public display is Willie Nelson, who recently said that weed saved his life and kept him vital, avoiding the alcohol/tobacco-reaper that gathered so many of his Outlaw buddies.
However, if marijuana separates the user from family duties, job responsibilities, friends, or personal growth, then those negatives must be confronted.
Which is true of all drugs and obsessions.
Big Pharma, however, is about to gobble up the fledgling legal marijuana industry –– the same way corporations have gobbled up agriculture –– and dominate a legal market valued at nearly five billion.
Similarities between the pygmy pot-bush and Big Pharma’s Mega Bush abound. Blazed Americans –– minds awhirl on opioid-alcohol mixes –– stare at television screens (ironically showing other people exercising for outrageous amounts of money ) while blowing themselves up on refined sugars, alcohol, and processed food.
Simultaneously, their befuddled brains absorb self-prescribed “news” squirting from CNN or FOX, twisted fabrications of the truth sharing the same genetic code: keep the gullible gulping.
And like weed-soaked pygmy sperm, American spunk is losing its pop as birth rates plummet to forty-year lows.
At the same time white male suicide is off the chart: 69.6% of the total. Reports link this atrocity to increasing numbers of women graduating from college, superseding their male counterparts in the workplace, and subsequently earning higher wages and filling essential jobs while leading corporations in higher numbers.
As a male teacher comfortable with strong women in leadership roles – my favorite principal, and her evil opposite – were both female, teaching me that people are people. You take them one at a time.
Big Pharma owns innumerable super branches reaching out to dangle dozens of pills –– including sleep-aids –– in front of the eyes of the overworked and weary. A popular small business owner in our region has trouble shutting of his mind at night, so his doctor prescribed Ambien.
A month or so later his wife found him in the garage sitting in the driver’s seat of his running truck –– at 2:30 AM with the garage door closed –– loading a pistol with live ammo.
“I was asleep the whole time” he told me.
Like any fast-growing yard-dominating plant, the real work goes on underground, evil spreading in all directions unseen by the human eye, trillion dollar roots which won’t perish with legalization.
Chopping down the bush is a pipe (stuffed-with-weed) dream. Ain’t going to happen.
A capitalistic nation is never going to abandon tons of tantalizing cash held high in the hands of its citizens, even addict-citizens seeking rehabilitation. When this much money is involved, death rates will increase into a dark future.
Packing up the truck and moving sober Clampets away from The Big Pharma Bush may appear to be prima-facie practical, but in reality, it’s a world-wide-phenomenon, pills waiting for all Clampets in both Beverly and Beijing — the only escape being internal, self-generated discipline.
We see people all around us avoiding unnecessary medicines, pills, tobacco, alcohol and pharmaceuticals thrust at them every commercial break, people who exercise regularly, eat right, stay hydrated, and live vigorously through their 80’s and early 90’s. As I typed the first draft of this piece a 101-year-old runner made national news.
However, a sad majority live in a global village built around the Big Pharma Bush. Seven-in-ten Americans swallow over-prescribed prescription drugs on a daily basis. That soma-drenched brave new world predicted by Aldous Huxley arrived as expected with only a few self-discipled-sweat-soaked naturals remaining unscathed.
And waiting for the majority of macho American males to summon enough inner strength to reach as high as an …
Whenever my life begins to feel too “cushy” – which is often since I’m a spoiled American Baby Booming corpulent white male with a loving/doting wife, a squared-away son, a reasonably functional family, early retirement, and a supportive church family – I sign up for a mission trip, foreign or domestic.
Which cures the spoiled-brat syndrome pronto.
If you embark on such an adventure, expect: crushed legs on long flights, strange food clogging the septic system, strange water unplugging the septic system, flat-hard hotel beds, endless oversize bags full to maximum 49.9 pounds of cement-grade calcium carried up and down steps via human chain, sleepless nights filled with the cacophony of poultry crowing contests and spontaneous dog fights, mission beds made of burlap and two-by-fours, water-less showers until Angel Plumbers work their magic, twelve-hour days spent mostly on the feet, the ringing sound of eighty voices banging around the cement walls of the clinic, three languages bouncing in a Babel of towering intensity.
So, why do we subject ourselves to that?
Probably for the same reason soldiers return to Afghanistan seven-or-eight times. Why firefighters rush into burning buildings. Why doctors continue to practice medicine into their eighties, serving a network of friends they’ve made over a lifetime.
They do it for the tribe.
Opinion: we are designed by the Creator to function in small groups, say twenty-to-sixty people – all carrying different abilities (spiritual gifts) – a tribe where everyone has a job, everyone is respected for their contribution, and everyone is connected to a purpose outside their own agenda.
“In 1753, Benjamin Franklin wrote to a friend about a curious phenomenon in the American west. White prisoners rescued from Native American tribes were seizing the first chance they could to flee into the wilderness and rejoin their captors. There were no reports of native warriors migrating in the opposite direction. Perplexed, Franklin concluded that the errant whites must have become ‘disgusted with our manner of life’ despite being shown ‘all imaginable tenderness’ on their return.” (Source).
Sebastian Junger, author of Restrepo and The Perfect Storm, recently penned a book titled Tribe: On Homecoming and Belonging, which focuses on the War in Afghanistan and veterans’ mental health. Junger writes: “Today’s veterans often come home to find that, although they’re willing to die for their country, they’re not sure how to live for it.”
Instead of focusing on job training and social re-conditioning, we treat vets like pariahs and load them up on drugs while ignoring the root cause of their distress and side-stepping psychiatric care, which is expensive and time consuming. We treat veterans as if they aren’t worth our time and effort after they return with lost limbs and shattered psyches. The suicide rates for white males over sixty-five, many of whom are Vietnam vets, bears witness to these unresolved issues.
“In 2008 active duty and veteran military personnel abused prescription drugs at a rate that was more than twice the rate for the civilian population. In 2009, the VA estimated that around 13,000 vets from Iraq and Afghanistan suffer from alcohol dependence syndrome and require veteran mental health treatment for this problem.” (Source)
After listening to Junger’s podcast, it occurred to me that we are indeed better beings when connected to a well-functioning small group, which is why churches, synagogues, mosques, Boy Scouts, Rotary, Lions Clubs, Crips, Bloods, and Hell Angels exist.
The last three will probably lead to harm, but the call of the tribe is embedded into our nature, and that is why making a conscious decision to serve on a positive team is a healthy choice.
The March 2018 medical mission I joined to Ixtepec, Tatoxcac, and Xochiapulco, Mexico offered unending examples of a high-functioning tribe than I can list (starting with the angel who swapped her airline aisle seat twicefor my leg-killing window view); furthermore, this team comes together bi-annually to bring medical care to under-served residents in the rugged mountains northeast of Puebla, Mexico. Nearly half of the folks treated were indigenous, speaking Totonaca, a native language “not closely related to other native languages in Mexico.”
Which required three levels of translation: English – Spanish – Totonaca — and back again.
This year I was the “optometrist” which meant that I helped 320 folks find workable reading glasses over four days using two Bibles (the KJV, and a Totonaca New Testament), a spool of thread, a needle, a flashlight, and a pocket knife to cut plastic. The spectacles were donated by the generous Lion’s Club Tribe.
My Spanish interpreter – Fany (pronounced Fanny), from the Methodist College in Puebla – was coming off a semester of concentrated French, so the combination of suddenly switching to English while simultaneously deciphering an unknown indigenous tongue wore on her along with all the physical challenges, yet she hung on to gain a second wind and finish the week admirably.
Local teens connected to the Ixtepec Methodist Church also saved the week by giving fully of themselves, obviously loving and cherishing their elderly by listening carefully to their needs, then translating them into Spanish, where Fany would pass it to me, and then back again. Three hundred twenty times in four days.
Multiply that by the entire cohort of volunteers (approximately 120), and you begin to perceive the amount of coordination it takes to make this mission work.
Plus eleven months of planning and preparation up front.
Sebastian Junger claims that we need three essentials to live healthily and harmoniously: 1) we need to feel competent at what we do; 2) we need to feel authentic in our lives; and, 3) we need to feel connected to others.
Looking back at the suicide statistics, it must be noted that the Hispanic males take their own lives in much fewer numbers than Caucasian males.
“White men over the age of 65 commit suicide at almost triple that overall rate. These men are also eight times more likely to kill themselves than are women of the same age group, and have almost twice the rate of all other groups of male contemporaries.
Disparities along ethnic lines for elderly males are also substantial. Compared with white males ages 65 and older, African American males (9.2 suicides per 100,000), Hispanic or Latino males (15.6), and Asian or Pacific Islander males (17.5) in the same age range had significantly lower suicide rates.” (Source)
Research on the “why” is thin, but after spending a week in Ixtepec, casual observation of the culture exposed a deep connection to family, community, nature, and God: all characteristics of a healthy tribe.
In contrast, the phenomenon of disconnected angry white American males sitting in dark rooms drinking alcohol and absorbing CNN or FOX is ending badly.
Our Mexican patients exhibited a wide range of physical needs – missing teeth, scabies, parasites, allergies, an entire gamut of untreated ailments testing the knowledge and experience of the mission doctors, nurses, and pharmacists – but the local populations’ connectedness to the spirit, energy, patience, and genuine good nature lifted the hearts of all servants, Mexicans and Americans alike.
Pablo, a minister from another province, traveled to Ixtepec with his teenage son, both patiently washing, drying, and treating foot ailments. Ricardo and LuLu traveled from Nicaragua to lead the translating team, and three other college students traveled with Fany from Puebla to sacrifice their free time and comfort to serve their country.
The exact ratio of Mexican-to-American servants on this mission is unknown, but it seemed like 3:1 as local teens, the church pastor’s family, and other Mexican missionaries – plus half the congregation – pitched in to make it work. Villagers lined the street to tote heavy bags down to the church the minute we arrived, and waited patiently for hours on end — often in the rain and wind – to receive their annual medical care.
The Ixtepec-Tatoxcac-Xochiapulco clinics succeeds because everyone has a job – or three – everyone is valued for their contribution, and all are connected through Jesus Christ.
No matter where our travels take us – Johnson City, Ixtepec, Tasmania, wherever– if two-or-more are gathered in His name, we are connected. We are also connected by our willingness to serve, to share that last full measure of devotion that propels The Tribe.
“Therefore I urge you, brethren, by the mercies of God, to present your bodies a living and holy sacrifice, acceptable to God, which is your spiritual service of worship.” Romans 12:1 NASB
My two previous mission trips to this beautiful mountainscape northeast of Puebla occurred in the late Nineties, and I must say there is a noticeable improvement in infrastructure – the highway from Puebla to the mountains is new and modern – plus the thirty-two years of medical mission work is revealed in the faces of the people, who look much healthier. Even the dogs show fewer ribs.
The visiting team stood in awe of these patient, hard-working, community-loving, God-present, spiritually connected folk – The Tribe – functioning as it’s meant to be.
Meanwhile, reality-show Americans continue to back-stab each other on social media, ignore common values, highlight differences, suck down opioids and alcohol in record volumes, endlessly eyeball the latest fear-mongering headlines slanted to feed personal preferences, and commit suicide in record numbers.
"How do you become an adult in a society that doesn't ask for sacrifice? How do you become a man in a world that doesn't require courage?" -- Sebastian Junger, Tribe: On Homecoming and Belonging
Those who serve rely on the tribe: church family, Sunday school classes, spouses, and relatives, all connected through Christ – who finance our way, who donate medicine, eyeglasses and crutches, who pray for and bless our service with their love.
We certainly relied on the tribe in Mexico who fed, housed, worked diligently beside us, and have served faithfully for over thirty years.
From desert wanderers seeking the Promised Land … to disciples sharing the Good News … to medical missions serving the needy in foreign lands … The Tribe functions with efficiency through its unselfish connection to The One.
I don’t know about you, but I’m sticking with The Tribe.