Summary Of Dopesick By Beth Macy

The United States of America has had a war against drugs since the 37th president, Richard Nixon, declared more crimination on drug abuse in June 1971. From mid-1990s to today, a crisis challenges the health department and government on opioid regulation, as millions of Americans die due overdoses of painkillers. Opioids are substances used as painkillers, and they range from prescription medications to the illegal drug, heroin. Abusing these substances can cause a dependency or addiction, which can lead to overdoses, physical damages, emotional trauma, and death. To ease the crisis, physicians are asked to depend on alternatives to pain management. Law enforcement cracks down on profiting drug-dealers and heroin abusers. People are warned against misusing opioids. The controversy begins for those who suffer from chronic pain, because they depend on opioids. There’s so a correlation to the 1980s cocaine epidemic, and people are upset over racial discrimination. Nonetheless, the best way to avoid this crisis is to recover the people at risk, reduce inappropriate opioid description, and have a proper response.

This literature review will focus mainly on the drug use of heroin, the scary numbers behind the drug and the sudden rise of overdosing on the drug across the United States. Issues that will be discussed are what is Heroin, what’s in Heroin that makes it addicting, how it can increase the users risk of contracting other life threatening diseases and where it’s use and abuse are most popular across the United states and we will take a look at multiple studies that show examples of our new drug problem in the United States. While we looked at how homicide rates have dropped while in class, the flip side to that is that the amount of drug usage has risen.

According to the Centers of Disease Control and Prevention 44 people die each day in the United States of America due to an overdose of a prescription painkiller (“Joining the Fight”, n.d.). A staggering 2.1 million people in the United States suffer from substance abuse disorders and the number of people using opioids for nonmedical uses is continuing to rise (Volkow, 2014). Who is to blame for these outrageous numbers? I believe that the patient and the pharmaceutical companies are to blame for this on-growing problem. Some of the largest contributing factors to these growing statistics is that the pharmaceutical companies have very aggressive marketing of the medicines, which in turn leads to a rising number of prescriptions written for

Prescription drug abuse, now known as the “silent epidemic,” is spreading rapidly in the United States, so who’s to blame? This essay will argue that oftentimes, pharmaceutical companies are responsible for luring the opioid dependent population, and more often than not, causing their deaths. It is their greed that over powers the true meaning of medicine. One would think that millions of dollars in profits would be enough. However, considering it is a multibillion dollar industry, apparently not. Selfishness shown by bribery, false advertisements and “the Domino Effect,” will reveal that they are truly guilty.

Getting involved with opioids now days seem fairly easy, our young ones are becoming addicted to these medications because our doctors don’t care. Doctors are just signing off prescriptions left and right. But in reality physicians have responsibilities, such as obtaining physical examination, a medical history, develop a written treatment plan for their patients, and comply with controlled substances laws and regulations. In a lot of cases doctors don’t want to deal with their patients so they will just prescribed medications to get people in and out of the office, to keep up with their hectic schedule, and don’t want to find the root of the cause, or maybe they just don’t have the time. Other ways to get opioids include within relatives, visits out of the country, pharmacy and hospital theft, and “stealing from grandma’s cabinet” (Inciardi, Surratt, Kurtz, and Cicero 2007). Despite the overload of opioids in our country almost 80% of the world 's population today has no access to morphine. And an estimated 33 million people, need specialized medical care but have no access to even basic care and symptom control. This terrible lack of pain relief can be attributed to our governments need to control and regulation.

Opioid abuse is a growing epidemic within the United States. Not only are people abusing the prescription forms of opioids (such as oxycodone - OxyContin, hydrocodone - Vicodin, codeine, and morphine) by taking more than they are supposed to, but they are also being bought, sold, and used on the streets illegally; such as heroin. Opioids are highly addicting because of the high they can induce in a person, causing a dependence and yearning for continued use (NIDA, n.d.) In 2007, the United States was responsible for over 99 percent of the global consumption of hydrocodone and 83 percent of the global consumption of oxycodone (United Nations Publications, 2009).

Prescription drugs are given to patients daily all over the world. Opioid painkillers are known to provide pain relief, but there seems to be an excessive amount of death and injuries because, more than ever, they are highly marketed and incorrectly prescribed. More than 2 million of Americans are dependent or abuse prescription pain pills (Opioid Crisis…). Worldwide nearly 26.4 million people abuse opioids (Public Affairs). It’s not just an issue in the United States but is becoming a worldwide crisis. The issue is known as the opioid epidemic. This is the question that is being asked: What are the factors of prescription opioids in the United States?

This article is about the cost of prescription opioid being abused, dependent on and being misused by individuals in the United States. The authors believed that the cost of prescription opioid abuse has become a burden for the United States as a society. Furthermore, the authors believe that the realms of health care, criminal justice and lost workplace productivity are faced with the most challenges of the burden caused by opioid abuse (Birnbaum, White, Schiller, Waldman, Cleveland, & Roland, 2011). The authors assumed to lessen the economic burden of prescription opioid abuse, there is a continuous need of effort from academic researchers, industry, health care providers, and government to implement appropriate actions (Birnbaum, White et

labor force. The Department of Health and Human Services discovered about three-quarters of states saw an unprecedented number of children entering foster care due to parental substance use (Hoban, 2017). In addition, the Centers for Disease Control presents an increase in numbers of babies who were born with Neonatal Abstinence Syndrome (NAS) which is a drug withdrawal syndrome that happens shortly after birth (Hoban, 2017). It is important to note that the number of babies who were born with NAS has quadrupled over the past 15 years in the U.S. (Hoban, 2017). In regards to the labor force, research conducted by Alan B Krueger (2017) found that the increase in opioid use from 1999 to 2015 could account for about 20% of the observed decline in men’s labor force participation (LFP) (Hoban, 2017). Moreover, it is found by Krueger (2017) that LFP fell more in counties where more opioids were prescribed in the past 15 years. Hoban (2017) also indicated that many victims of the opioid crisis tend to be individuals who are older, white, and they are legally prescribed opioids. It is estimated that 2.7 million Americans are suffering from opioid dependence or addiction in 2015, and individuals, who received legal prescriptions from medical providers, aged from 45 to 64 account for nearly 40 % of all opioid overdose deaths (Hoban, 2017). Lastly, Carol Graham (2017) presented an understandable magnitude of

“The total toll from prescription opioid overdoses exceeds 175,000, three times the U.S. body count in the Vietnam war” (“Pain Medications are Killing…” 1). In 2013, half as many people died in a traffic accident than overdosed, and 2,000 less had been murdered (“Pain Medications are Killing…” 1). Opioid prescription has contributed to a rise in heroin abuse and deaths, because opioid patients turn to find new and stronger drugs and seek a street equivalent chemical that is easy to find and cheap to use (“Pain Medications are Killing…” 2). It has also lead to a rise in other drugs, and today there is the highest prescription and drug abuse rates ever. Not only is it causing deaths, but it is causing debt in America. To address the scale of

”Opioid Crisis Hits Cities in the United States” Opioids are strong, and addictive drugs. Some doctors hand out opioid prescriptions like its candy because they don’t think about the possible outcomes of addiction. In 2016 fatal overdoses rose 62% in Maryland, 26% in Connecticut, 35% in Delaware, and 39% in Maine. ”Opioid

Since the 19th century the United States has struggled with the control of opioids and how to properly treat the people who become dependent on them. By the 1980s studied revealed that the potential of drug dependence, also known as iatrogenic addiction, was relatively low for patients who were prescribed opiates for treatment (Beauchamp, 2014, p. 2023) - In the mid 1990s, Perdue Pharma introduced OxyContin, a Schedule II prescription opioid analgesic, to the pharmaceutical market (Boerner, 2016, p. 20). Since the release of OxyContin, a substantial number of Americans have been prescribed opiates for medical treatment. Society’s view on prescription opiate use has slowly shifted from being a normative treatment method recommended by healthcare professionals, to being viewed as deviant. Prescription opioids have played a large role in increased rates of incarceration, fatal and non-fatal opiate overdose, transitions to illicit drugs and HIV infection in the United States (Boerner, 2016, p. 21). Prescription opiate use is seen as deviant when the drug is misused for non-medical purposes.

Opioid epidemic have led to the use of heroin. Heroin and Opioid are silent killers that effect all levels of society and economic status. Prescription drugs alone is a 25 billion dollar business. “They are prescribed and sold illegally through street style pharmacists or “doctor shopping” by individuals who visit numerous physicians to obtain

Studies show that in the last 15 years the rate of opioid overdose deaths has paralleled the rate at which opioid prescriptions are given. Each year the number of deaths attributed to opioid overdose has increased, reaching 47,055 in 2014 according to the Centers for Disease Control and Prevention (CDC). Still other statistics state that 4 out of 5 heroin users started on prescribed narcotics. When they could no longer obtain the drug legally, they turned to illegal means. Doctors at the American Medical Association, Hallam M. Gugelmann and Jeanmarie Perrone, state that “Individual use of prescription opioids increased 402% from 1997 to 2007. This increase in opioid prescribing parallels substantial increases in opioid addiction, fatal overdoses, and diversion of these drugs for recreational or nonmedical use.” The skyrocketing of overdose and death, as well as the millions of dollars expended for treatment has lead to a public outcry for change. Accomplishing this change seems daunting. How will America go about fixing such a pervasive problem? Logically, the only solution lies in changing the habits of the medical practitioners who are prescribing these medications and who started this

In America, the use of opioids is at an all time high, it has became such an issue nationwide, that it has became an epidemic. Because of the opioid epidemic, America is tearing apart, children all across the country are dying everyday, these children are dying from overdoses due to poisoning. The opioid problem is not just because of a person's decision to pick up a needle or a pill bottle, but it is because in the 1990’s doctors gave up on trying to treat patients for their overwhelming pain and discomfort, causing opioids to become over prescribed. Due to the carelessness of America, opioids are being distributed more and more everyday, causing the skyrocketing number of deaths.