4 ms·

It's not a menu, it's a place where you go to get a clean, safe fix for your opioid addiction. You get what you get, the best opioid or analogue that the docto

by yholio 5y ago

It's not a menu, it's a place where you go to get a clean, safe fix for your opioid addiction. You get what you get, the best opioid or analogue that the doctors decide to give you, possibly with a slow release mechanism that avoids the rush but allows you function throughout the day, hold a job, not stick the first AIDS-infected needle in your vein etc.

oaktrout 5y ago
But how do we get people to choose the slow release over the rush? Buprenorphine and methadone are the slow release analogs you speak of, we already have those, and they are helpful for some. Still, there is a fraction of the addicted that are not interested in slow release. Anecdotally, a close friend of mine sold his buprenorphine so that he could afford to purchase heroin.
klyrs 5y ago
Look, I'm sure you mean well, but it doesn't sound like you understand the behavior of drug users. So let's re-phrase that: I'm going to out-compete the liquor scene with free but watered-down beer. If you want to help people, you need to meet them where they're at. The moralizing "you get what you get" approach is only going to tide people over for when they can't afford to score the potent stuff.
- yholio 5y ago
  > out-compete the liquor scene with free but watered-down beer. Make that: free strong beer versus liquor that has a 2% chance to be mixed with rat poison, is illegal to sell or buy, and costs more to use than the average job pays. A quite compelling offer for any drunk, but, yes, some lost souls will still go for the "real" shit. I understand the whole "reduce harm, addicts are lab mice caught in a chemical trap" philosophy. But providing ever increasing doses of hard drugs, as most addicts eventually require when left to their own devices, might be an even faster way to the grave. Let a doctor make the choice minimizes overall harm, not consumer preferences.

by yholio 5y ago

oaktrout 5y ago

But how do we get people to choose the slow release over the rush? Buprenorphine and methadone are the slow release analogs you speak of, we already have those, and they are helpful for some. Still, there is a fraction of the addicted that are not interested in slow release. Anecdotally, a close friend of mine sold his buprenorphine so that he could afford to purchase heroin.

klyrs 5y ago

Look, I'm sure you mean well, but it doesn't sound like you understand the behavior of drug users. So let's re-phrase that: I'm going to out-compete the liquor scene with free but watered-down beer. If you want to help people, you need to meet them where they're at. The moralizing "you get what you get" approach is only going to tide people over for when they can't afford to score the potent stuff.

yholio 5y ago
> out-compete the liquor scene with free but watered-down beer. Make that: free strong beer versus liquor that has a 2% chance to be mixed with rat poison, is illegal to sell or buy, and costs more to use than the average job pays. A quite compelling offer for any drunk, but, yes, some lost souls will still go for the "real" shit. I understand the whole "reduce harm, addicts are lab mice caught in a chemical trap" philosophy. But providing ever increasing doses of hard drugs, as most addicts eventually require when left to their own devices, might be an even faster way to the grave. Let a doctor make the choice minimizes overall harm, not consumer preferences.