Discussion about this post

User's avatar
Jim Zhou's avatar

Actually, focus on one agency relationship and narrow your focus down to their interactions will show you a very specific picture. Luckily, almost all of it is either in the federal register, or can be FOIAed. The relationship is the one between the DEA and the FDA and who's the dog and who's the tail. Because criticism will eventually be forgotten. But their self-serving, careless, irresponsible, and sometimes outlandishly reckless actions have decimated my friends, clients I've represented, and many more. The dead cannot talk, but some of us watched our friends die and did not stand and simply cry ourselves to sleep, but kept notes, and directed questions to the agencies when they're legally required to justify their actions, and ignored the state's official line. After all, I'm not a medical doctor, but I have plenty of people in my family and friend groups are. I practiced in the exact areas of the law - criminal and admin - that's associated with the agencies, and I know how police - which the DEA basically is, entirely - operate. And the history is well documented, and I even have primary sources as no state has the capacity to truly be panopticon, and sometimes you wait 3 generations and a family find someone else fluent in Chinese looking through notebooks written in longhand a century old, kept dry by the desert heat of Nevada on land owned since the 1800s.

All drugs - hell, all chemicals we put in our bodies - have tradeoffs. Some are ones that no sane person would consider as okay. Some less so. That's not really the problem. That's how the world works. As the scientific method allowed advancements in science to go beyond mere quackery and guesswork and the placebo effect, doctors and quacks from the 1700s to, well, essentially John Snow and the cholera epidemic, were engaged in what sometimes felt like a battle of snakeoils. In fact, sometimes the snakeoil was literal, although most of the time, fearmongering needed far less work.

Medicine and quackery are not yet 100% separated. Mental health is effectively a guessing game for many patients. Individuals have differences just because of human variability. My allergies are not likely to be your allergies. I lived with someone whose COVID was entirely asymptomatic. I was not that lucky. Some drugs prescribed to me have paradoxical effects, some had no effects. The first night I was prescribed Ambien I took a long drive around Los Angeles and remembered nothing. It was the last night. I do not have such adventures on benzodiazepines. I've taken more variants than most people know exists. The Z-drug issue is so well-reported that Google Scholar runs out of room to show all the results. It's considered safe and routinely given without warning. Benzodiazepines, on their own, have LD50s so high that it's unethical to test in humans. They are scheduled by large, some on the flimiest rationales, and not even cases that has any relationship to America.

The DEA has lawyers, but they are shared in a pool with DOJ. They are prosecutors, not lifers. They are our future lawmakers, while the first day as a defense intern I was given the Dante-esque warning that this is my last chance to turn around if I wanted to go into politics. I have no regrets except my naivete that I can change anything from the inside. Turns out, funding research helps far more, preferably nonpartisan, absolutely not state-sponsored. Indiana wants to defund Kinsey? Great, Mike Pence can GTFO and I will gladly ensure that they can continue the research. I dont know the outcome - which is why I want the research to happen. I donate to research organizations because I don't know what the outcome is because why the hell am I going to pay for what already exists for free? As long as the correct question is being asked - which means one that isn't starting with a presumption or bias, which is actually far rarer than one thinks - it should be funded, and as a private individual, a donation is not in itself able to tell you anything except curiosity and importance. If the researchers aren't onboard with those, they're in the wrong line of work. I want to know about edge cases. I want to know about boundaries. I want raw data, as well as analysis, as long as its ethical. I have no power to set policy so the only thing I can pursue is information, data, and replication. But not everyone has that ability to singularly make a difference, and so individuals pool their resources so that research can be done not on a penny-by-penny basis. It's possible to do so anonymously. The IRS spent 1.6 million dollars attempting to run a sybil attack on the monero blockchain and failed. Except the traffic makes my server - that I'm renting out of pocket - more difficult to access, which violates the CFAA, and I could have logged each attempt and billed the IRS. Attempting to DDoS my servers is unlawful, but I'm not a snitch, nor am I any different from anyone not living in America. The key is they did not succeed, even though usually failure doesn't get one paid over half a million dollars just to do someone a 14 year old can do.

All that is to say, you're on the the right track, but you're one level below where the actual issue lies. Who is truly never responsible for all of the malice they can muster? Well, the executive, of course. We just spent months bombing Iran and capitulated. What consequences are to come? None. The DEA runs a multi-decade long money laundering operation on the border and takes credit for things they did not accomplish so they are a reason to exist. The law requires reporting and approval. The last time this happened was 2012. This is public, with redactions. Their OIG as well as archive.org has the PDFs. They like to redesign how their site works, so maybe archive.org is a better option.

What I don't get is why do you think you get to be the arbiter of "bad" for all of humanity. Substance use disorder has a subjective element to it. If I do heroin all day but have no money problems, supply issues, and am productive, by definition, I'm not an addict. I know plenty of people in that situation, but planes landing safely don't make the news. My great grandmother died at 94 with a bottle of grain alcohol in her arms and no regrets. I was there. Who am I to judge. My family was decimated by the Japanese invasion and she survived. I have yet to find anyone on a DNA matching site that I don't already know about who is within 3 degrees of consanguinity. I no longer drink, and I don't smoke, but if she needs it, I understand.

Purdue or any other company's opioid products are not the primary or even teriary reason for overdoses. That's not when people overdose. Tolerance protects on from that. It's the quackery of treatment that throws people into withdrawal and makes them unable to determine where their body is at, plus the inability to obtain affordable and safe supplies outside, that kills. People with tolerances can do prodigious amounts of drugs and be fine. It's hard to actually intentionally overdose oneself via injection because there's no guarantee of quality or that you will have the time to push the entire dose into you before you pass out. Acute cases happen when one is opiate naive. This is not new. It predates the Opium War. De Quincey. Coleridge. Responsible drug users can't talk because it's an admission to a crime. What's left is the official narrative. And there's no DEA antonym for abuse. Seriously. I asked.

They also do not care about patient access. Check the federal register over the rescheduling of Hydrocodone + APAP. Not their job. They're cops. Who dictate what doctors can do. The FDA rubber stamps their desires. They will never be held legally repsonsible now that Bivens is dead. They lie so often that testilying remains in use as joke and also as a descriptor. This is their UBI, their welfare state, but just for them. At our expense. The same idiots who freak out thinking skin contact to fentanyl is so dangerous that they would add a felony but not so dangerous that they are still alive to testify.

You're on the right track, but the blame is one level up. They are just very very difficult to touch. I happened to have spent years turning down higher salaries in less consequential jobs so I at least know. But in the end, we are all just Cassandra anyway.

All that, for no better reason than people who look like me and people who are white and female were having consensual intercourse in the 1880s. We can call that project a failure, at least. Although kicking my entire ethnicity out for 80 years seems... outlandishly paranoid.

Max Weber may be a bit simple in his descriptor (public choice fills in the rest), but he is, ultimately, correct.

No posts

Ready for more?