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The silent epidemic: opioid abuse in the united states | heinrich-böll-foundation
The mass drug abuse in some rural regions of the united states plays in the current presidential campaign, no role. more people die in the country of a drug overdose than by traffic accidents.
In an election campaign that is almost exclusively of the character suitability, and the personal missteps of the candidates focused, a lot of subjects which concern the people in the country immediately and move on.
One, of the millions of americans directly and indirectly affected, is abuse a in us history unprecedented amount of opiate. in 2014, the last year with country-wide statistics, killed more people in the united states by a drug overdose than ever before. with over 28,000 dead, alone, in 2014, the main cause of unnatural death overdoses are now cases of traffic accidents. the annual cost of the health and social services amount to 55 billion us dollars.
Extensive prescribing of opiates as a problem
One of the main causes is the extensive prescription of opiates as a painkiller. also, the lack of availability of medical marijuana is considered to be vordiesem background as a contributory cause of the crisis. be prescribed on an average day in the united states of 650,000 prescriptions for opiates. for many patients this is the entry into a life long addiction, which frequently leads to heroin addiction. so, over a million americans heroin-are now estimated to be dependent, more than ever before. and many of the prescribed opiates to land at high prices on the black market.
A large growth in the drug fentanyl, which is 50 times stronger than heroin is currently experiencing, and in many cases leading to death. this led, for example, in baltimore already, that all the inhabitants are called to carry the antidote naloxone always, to be able to in the event of a confrontation with the overdose of a person immediate assistance.
What is the response of the candidates?
Donald trump wants to curb the opiate abuse through the construction of a wall on the border to mexico. in addition, he has yet to make any substantial proposals. hillary clinton has, in turn, presented a more detailed plan, the strengths, among others, with new programs and public resources of the country-wide prevention, antidote more readily available and the medical prescription of opiates to restrict.
Both trump as well as clinton define the dependent itself as a victim of the opiate epidemic. this is on trump’s side a remarkable deviation from his usual “law and order”discourse that is grounded in the specific demographics of this crisis. in the case of hillary clinton, this breaks with the rhetoric of bill clinton in the 1990s, drug addiction addressed.
White dependent vs. black dependent
Although the current crisis of opioid abuse is often compared to the crack epidemic of the 1980s and 90s, the accompanying political rhetoric is completely different. the crack epidemic was defined as a criminal phenomenon. according to her, it was met mainly with longer and tougher law enforcement. the opiate crisis, however, is discussed widely as a challenge to the public health and the addicts as ill seen, which has to be helped.
It is striking the degree to which here are black and white with different discourses are connected. because while the crack epidemic was predominantly an urban phenomenon and largely black victims are today’s opiate-dependent, especially in rural areas and in largely white men.
Regions of the hopelessness
The crisis is mainly in the regions acute care, in which the following trumps is the greatest. it is the rural regions, where wide layers of the population have experienced a decades-long economic decline. for example, opiate in the pre-election campaign in new hampshire-abuse of the local voters as the most important political theme is named.the mass drug abuse is not only a crisis of the health system, but also another indicator about the hope and hopelessness which prevails in some rural regions of the united states now, with all the health and social side effects. other indicators in these regions should improve in the medium term, it is likely to be, therefore, difficult to be this epidemic permanently lord.
This article first appeared on 3. october 2016 on our blog 16 route.
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