by Robert M. Traxler

“Drug overdoses have since become the leading cause of death of Americans under 50, with two-thirds of those deaths from opioids. In 2016, the crisis decreased overall life expectancy of Americans for the second consecutive year. Overall life expectancy fell from 78.7 to 78.6 years. Men were disproportionately more affected due to higher overdose death rates, with life expectancy declining from 76.3 to 76.1 years. Women’s life expectancy remained stable at 81.1 years.” — Wikipedia

Some years ago, I told a story that needs to be told again. In the 1980s while I was in command of a United States Army Criminal Investigation Command (CID) unit in Korea, we found ourselves involved in an international dispute between Japan and South Korea.

Methamphetamine, not yet a drug of choice in the U.S., a drug invented by a Japanese chemist in the 1930s and widely used by the Imperial military during World War II, was being illegally produced in South Korea and sold in Japan. The Japanese government demanded that the Koreans stop the manufacture of the drug; the Koreans were less than responsive. Korea and Japan are traditional adversaries and none of the meth was sold in Korea, so they did not see why they need to spend time and treasure to stop it. Richard “Dixie” Walker, the American Ambassador to South Korea, went to the Commander in Chief of United Nations Forces in South Korea and told him to do something, and that filtered down to us.

They used a premise that some of the drugs were being used by American or Allied forces, although none of the mandatory urine testing proved that. But we were in President Reagan’s War on Drugs, so we went to work. The South Korean National Police were not willing to help until we told them that millions in untraceable cash could be seized and we could not retain it, so they would need to seize it and account for it. The National Police were suddenly extremely helpful.

We worked long and hard, and in a year, the drugs just dried up; no meth labs could be found. Informants coming up with nothing, good news, right? I called the FBI legate in Japan, who said the meth was cheaper and more prevalent

than ever in Japan, but it was being produced in Taiwan and later North Korea. The life lesson learned is that supply and demand can’t be stopped; with billions to be made in illegal drugs, someone will fill a need and get rich or dead in the process.

The opioid epidemic is a classic example; it is politically correct to blame American doctors and pharmaceutical industry for the explosion, but quite frankly I was puzzled as to how. During two major surgeries and an ongoing battle with cancer, I was prescribed opioids for pain. I never needed the entire amount prescribed, but the leftovers were few, not enough to amount to a few days’ supply for an addicted person. So, with an epidemic number of addicted Americans, some 20 million, where do the drugs come from? Enter the law of supply and demand; the drug dealers, primarily in Mexico and South America, reacted to market forces and are producing opioids by the train load.

Heroin, an opioid cheaper and easier to produce than pharmaceutical grade drugs, is surprisingly a smaller part of the addiction problem. According to the National Society of Addiction Medicine, 29% of the overdose deaths in 2016, nearly 12,000, came from heroin; the remaining 40,000 plus came from other opioids.

Is there an answer to the opioid deaths? The liberal use of NARCAN to stop the effects of an overdose has thankfully saved lives, lots of lives, but it also has made opioid use more acceptable and safe. So, the truth is that if we demand opioids and billions are to made filling the demand, no law enforcement, religious or educational program will stop the undeniable power of supply and demand. Americans will continue to die in ever increasing numbers and drug dealers will continue to get rich.

 

 

 

 

 

 

10 Comments

Virgil R Gleason
March 16, 2018
The only way I see out of this is to quintuple the resources behind mental health care from birth to death and place our educational system first in line to receive the resources. Superior mental health care would be effective in curing a lot of problems we are experiencing, and this payoff is experienced in every aspect of life, for life.
Robert M Traxler
March 16, 2018
Mr. Gleason, Thanks for the comment, you are correct,we as a nation have disregarded mental health issues for a very long time.
March 16, 2018
Do you ever write any upbeat news or are you just a doom sayer?
Robert M Traxler
March 17, 2018
Mr Williams, Sir, The editors job has been filled,sorry.
Lynn Mandaville
March 17, 2018
Mr. Traxler, I agree with some of what you say. What you haven't said is that some doctors are to blame, and big pharma has abetted them. It has been reported that pharmaceutical companies have filled orders to pharmacies in small backwaters in the hundreds of thousands of pills where it could not be believable that so many could reasonably be prescribed. Somewhere those pills were making it into the "using" population. For many decades doctors have been scammed for drugs, making addicts out of people who, for whatever reason, were not getting the pain relief they needed. My own father-in-law was one of those who shopped the doctors for more and more prescriptions for his back pain, becoming dependent on them to a harmful degree. My point is that this problem has many causes, many "conspirators," many profit-driven individuals (licit and illicit). Thus, the solution must be multi-pronged. Laws alone will not do it. As you point out, supply and demand are a powerful combination. But the harder part will be eliminating the corporate greed of pharma and the medical industry. They care more about the bottom line than the alleviation of real, physical pain. Their complicity cannot be discounted.
Robert M Traxler
March 17, 2018
We have a drug problem because of corporate greed; what corporation produced meth, cocaine, heroin, LSD, angle dust, and a dozen designer drugs? Dammed corporations, who knew. " My own father-in-law was one of those who shopped the doctors for more and more prescriptions for his back pain, becoming dependent on them to a harmful degree." He broke the law but you blame the Doctors who were trying to help him? The "medical industry" as you call it saved my life, so pardon me for not condemning them. A very harsh comment, but thanks for making it.
Lynn Mandaville
March 22, 2018
I don't blame all doctors. I personally had very responsible doctors managing my pain following back surgery many years ago. But big pharma has been complicit in the opioid problem. And big pharma IS the medical industry, as are the insurance companies, all of whom manipulate Washington through their PACs and whopping unethical financial support of the men and women willing to acquiesce to their greed and their own. It's a dirty business.
Free Market Man
March 23, 2018
Ms. Mandeville, I applaud your position and arguments. I suggest the depth of you indignation of pharmacology and insurance companies, maybe you should consult your local witch doctor or shaman to ease any discomfort which may befall you, since you seem to hate all those "industries". There is no doubt mankind can be evil and sell products to fatten their bank account, but don't paint all pharmacists with the same broad brush. And insurance companies provide a service, you don't need to use if you prefer otherwise.
Robert M Traxler
March 23, 2018
Ms. Mandaville Thank you for the comment. Wow! "It’s a dirty business", according to you. Just who should develop the drugs and procedures who saved millions of lives? The development costs are in the billions, would it be better if life saving drugs and machines were not developed? If big pharma and the medical industry and insurance companies are all bad where do we go for medical care a witch doctor, faith healer? Please feel free to decline medical care from the "medical industry" anytime you wish. Please feel free to boycott the medical industry but perhaps it would be a good idea to not allow the hate you have for the modern medical care industry to be extend to those you care about, "whopping unethical financial support of the men and women willing to acquiesce to their greed and their own. It’s a dirty business",until you or your loved ones need it. Please do not allow those you love to be denied medical care because of your irrational rejection of the medical industry. Please, rethink your stand on modern medical care. I must disagree saving lives is not a "dirty business". Thank you for the comment.
Lynn Mandaville
March 23, 2018
Sirs, you "misunderestimate" me. One can find fault with something without hating the whole thing. Of course I use medicine for my physical woes. But explain to me the logic in this: I use an expensive drug called Enbrel for a debilitating case of chronic psoriasis. I've used it for over eight years. When I moved to AZ and got a new dermatologist he had to get a special dispensation from the insurance company out here to prescribe it for me. Enbrel was not in their formulary. The AZ insurance company wanted me to switch to a different drug that was MORE EXPENSIVE than the Enbrel. Why? A bigger payoff from the drug manufacturer? I could not get a straight answer from anyone. So annually I jump through bureaucratic hoops for my tried and true, less costly drug. Riddle me that, Batman. Tell me you wouldn't question the motives behind such a move. Follow the money.

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