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I absolutely consider rehabilitation to be like healthcare and as such should be provided at little or no cost. There can be private options of course as well a

I absolutely consider rehabilitation to be like healthcare and as such should be provided at little or no cost. There can be private options of course as well as public. I’m not familiar with what you refer to in Canada. In any case I absolutely don’t want hard drugs to be legalised and marketed like alcohol, I’m talking about something like clinics providing for free in proper doses for those that come seeking. It’s fine to have harsh penalties for those that try to supply outside of that.

seanmcdirmid 4y ago
Seattle is in the USA. Drug rehabilitation costs for fentanyl are very costly and most of those people aren’t coming back even with those resources. They are simply gone. Rehab isn’t free, and I don’t think we can afford it on a large scale. People eventually have to take responsibility for their decisions, and the no coming back aspect is definitely a deterrent (whenever we encounter a person in crisis, which sadly is often these days, I make a point of telling my 5 year old that this is where drugs get you).
- Swenrekcah 4y ago
  It indeed is, I’m not sure how I messed that one up! Regarding the cost, of course that should be taken into consideration but I don’t understand how it can be that expensive. Or rather, I understand how it can be but there is no good reason for it to be. The state has all means to commission drug manufacturers to provide it cheaply for this purpose. It is in fact very important that there exists no monetary incentive for any industry to sell drugs to these clinics. Regarding people not coming back, that is incredibly tragic, yet it’s still better to keep them “contained” rather than leaving them to procure their next fix on their own by any means necessary.
- danShumway 4y ago
  > People eventually have to take responsibility for their decisions I also want to point out that this is a huge cop-out, pun absolutely intended. If you put in people in prison, you are effectively putting them in rehab unless you're planning on giving prisoners fentanyl. Rehab is very often the way that people address really serious drug problems, even when they're taking responsibility themselves for the treatment. Saying that rehab is too expensive for the state to bear is effectively saying that these people shouldn't go on rehab at all, because if the state can't afford it, then the broader community of drug-addicted unhoused people definitely can't. Is the alternative that they just get left on the street? That's not what anybody wants, including the tough-on-crime people. I'm trying to figure out how someone can have a concern about the scalability of rehab and not have a concern about the scalability of prison/arrests, which are effectively trial costs + admin costs + housing costs + rehab costs + probation/enforcement costs. The way I see it, if you've got someone on the street and they're drug addicted, you have basically two options: you can leave them on the street, or you can pay to get them off of the street. Telling them to have responsibility doesn't really solve the problem, if they're addicted to fentanyl that's probably not something they can fix on their own. In my mind, I see "tell them to take responsibility, it's not our problem to solve" as equivalent to "leave them on the street" -- and I don't think that's what most Californians want. ---- Like, some people support criminalization because they think that prison is a more effective rehabilitation. I think the evidence is kind of against them on that, but I at least understand the reasoning. And even those people would agree that as far as rehabilitation goes, prison is more expensive in the short term. They just argue that the long-term effectiveness for individuals/communities makes the long-term cost of prison/criminalization less in the long run. Which is again something people can debate, but it's a very different argument than telling people to "take responsibility" for themselves -- being imprisoned/arrested is pretty much by definition the state taking responsibility for you.
  - seanmcdirmid 4y ago
    > I also want to point out that this is a huge cop-out, pun absolutely intended. If you put in people in prison, you are effectively putting them in rehab unless you're planning on giving prisoners fentanyl. Ah, I think you missed what I wrote above: rehab often doesn't work. I didn't say what we should do afterwards, just that if you get involved in fentanyl, you have a good chance of simply never getting over that. Rehab is not only expensive, it is not effective. There is also an element of individual choice: given a choice between going to rehab and staying on the streets so they can do more drugs, a lot of people simply don't want to bother with rehab. Throwing resources at these people...we can do, we are doing that, to the tune of ~$100k/year, but much of that is simply not effective because they aren't aligned with what the person under treatment wants. So you don't want to tell them to take responsibility, then what? Force rehab on them somehow since they aren't expected to do any effort in themselves? Can forced rehab work? Criminalization of drugs is simply because (a) people don't make the best decisions, (b) we all have to pay for those mistakes. If you can't "take responsibility" for your own behavior, society has to take that responsibility for you.
    - danShumway 4y ago
      > Criminalization of drugs is simply because (a) people don't make the best decisions, (b) we all have to pay for those mistakes I don't understand how you think that criminalization means we don't have to pay for those mistakes. Putting people in prison is expensive, it isn't free. And then they eventually come out of prison. So unless you're planning on keeping them in prison indefinitely, you have just paid more money for what is effectively a temporary rehab. And if the plan is to keep them in indefinitely... that is very, very expensive to do. > If you can't "take responsibility" for your own behavior, society has to take that responsibility for you. But you're arguing we don't have means to do that. You're arguing that rehab doesn't work and is too expensive, and that instead we should put people in prison which will be... permanent rehab? Temporary rehab that also doesn't work? Except more expensive for the state? The disconnect here is that you're arguing that we can't treat addiction because it's too expensive and doesn't work, and the alternative you're proposing is a system where we either temporarily or permanently take responsibility for someone's entire life, which is both wildly expensive for us to do, and in the case of temporary prison sentences is likely (and in fact when you look at the statistics on rehabilitation after prison, arguably more likely) to have the same outcome. > I didn't say what we should do afterwards I don't understand, what we do afterwards is the only part of this conversation that seems to actually matter. People are already on the street addicted to fentanyl, you can either leave them there or the state can try to expend money/resources getting them off of the street and dealing with that addiction. Telling them to have personal responsibility is leaving them there. Which, fine, I guess, but again I just don't think that's an outcome most people in California (or anywhere else) want, regardless of how sympathetic they are or aren't towards those people. If you think prison is effective rehab and that it's worth the increased cost, then fine, say that, but again, that's just a very, very different argument from saying that we should criminalize drug use because it's too expensive for the state to take responsibility for other people. Criminalizing drug use is the state taking responsibility for other people on the taxpayer's dollar.
nathanaldensr 4y ago
You're a fool if you think anything related to health--or much of anything else, for that matter--is "free." I hope you have a fat wallet, because you're about to have it all stolen by the state to fund "free."
- Swenrekcah 4y ago
  I never said free. It may be of interest to you to learn there are a number of countries in the world that manage to provide their people with tax funded healthcare at little or no cost to recipients, without excessive taxation and while being generally pretty good places to live.

seanmcdirmid 4y ago

Seattle is in the USA. Drug rehabilitation costs for fentanyl are very costly and most of those people aren’t coming back even with those resources. They are simply gone. Rehab isn’t free, and I don’t think we can afford it on a large scale. People eventually have to take responsibility for their decisions, and the no coming back aspect is definitely a deterrent (whenever we encounter a person in crisis, which sadly is often these days, I make a point of telling my 5 year old that this is where drugs get you).

Swenrekcah 4y ago
It indeed is, I’m not sure how I messed that one up! Regarding the cost, of course that should be taken into consideration but I don’t understand how it can be that expensive. Or rather, I understand how it can be but there is no good reason for it to be. The state has all means to commission drug manufacturers to provide it cheaply for this purpose. It is in fact very important that there exists no monetary incentive for any industry to sell drugs to these clinics. Regarding people not coming back, that is incredibly tragic, yet it’s still better to keep them “contained” rather than leaving them to procure their next fix on their own by any means necessary.
danShumway 4y ago
> People eventually have to take responsibility for their decisions I also want to point out that this is a huge cop-out, pun absolutely intended. If you put in people in prison, you are effectively putting them in rehab unless you're planning on giving prisoners fentanyl. Rehab is very often the way that people address really serious drug problems, even when they're taking responsibility themselves for the treatment. Saying that rehab is too expensive for the state to bear is effectively saying that these people shouldn't go on rehab at all, because if the state can't afford it, then the broader community of drug-addicted unhoused people definitely can't. Is the alternative that they just get left on the street? That's not what anybody wants, including the tough-on-crime people. I'm trying to figure out how someone can have a concern about the scalability of rehab and not have a concern about the scalability of prison/arrests, which are effectively trial costs + admin costs + housing costs + rehab costs + probation/enforcement costs. The way I see it, if you've got someone on the street and they're drug addicted, you have basically two options: you can leave them on the street, or you can pay to get them off of the street. Telling them to have responsibility doesn't really solve the problem, if they're addicted to fentanyl that's probably not something they can fix on their own. In my mind, I see "tell them to take responsibility, it's not our problem to solve" as equivalent to "leave them on the street" -- and I don't think that's what most Californians want. ---- Like, some people support criminalization because they think that prison is a more effective rehabilitation. I think the evidence is kind of against them on that, but I at least understand the reasoning. And even those people would agree that as far as rehabilitation goes, prison is more expensive in the short term. They just argue that the long-term effectiveness for individuals/communities makes the long-term cost of prison/criminalization less in the long run. Which is again something people can debate, but it's a very different argument than telling people to "take responsibility" for themselves -- being imprisoned/arrested is pretty much by definition the state taking responsibility for you.
- seanmcdirmid 4y ago
  > I also want to point out that this is a huge cop-out, pun absolutely intended. If you put in people in prison, you are effectively putting them in rehab unless you're planning on giving prisoners fentanyl. Ah, I think you missed what I wrote above: rehab often doesn't work. I didn't say what we should do afterwards, just that if you get involved in fentanyl, you have a good chance of simply never getting over that. Rehab is not only expensive, it is not effective. There is also an element of individual choice: given a choice between going to rehab and staying on the streets so they can do more drugs, a lot of people simply don't want to bother with rehab. Throwing resources at these people...we can do, we are doing that, to the tune of ~$100k/year, but much of that is simply not effective because they aren't aligned with what the person under treatment wants. So you don't want to tell them to take responsibility, then what? Force rehab on them somehow since they aren't expected to do any effort in themselves? Can forced rehab work? Criminalization of drugs is simply because (a) people don't make the best decisions, (b) we all have to pay for those mistakes. If you can't "take responsibility" for your own behavior, society has to take that responsibility for you.
  - danShumway 4y ago
    > Criminalization of drugs is simply because (a) people don't make the best decisions, (b) we all have to pay for those mistakes I don't understand how you think that criminalization means we don't have to pay for those mistakes. Putting people in prison is expensive, it isn't free. And then they eventually come out of prison. So unless you're planning on keeping them in prison indefinitely, you have just paid more money for what is effectively a temporary rehab. And if the plan is to keep them in indefinitely... that is very, very expensive to do. > If you can't "take responsibility" for your own behavior, society has to take that responsibility for you. But you're arguing we don't have means to do that. You're arguing that rehab doesn't work and is too expensive, and that instead we should put people in prison which will be... permanent rehab? Temporary rehab that also doesn't work? Except more expensive for the state? The disconnect here is that you're arguing that we can't treat addiction because it's too expensive and doesn't work, and the alternative you're proposing is a system where we either temporarily or permanently take responsibility for someone's entire life, which is both wildly expensive for us to do, and in the case of temporary prison sentences is likely (and in fact when you look at the statistics on rehabilitation after prison, arguably more likely) to have the same outcome. > I didn't say what we should do afterwards I don't understand, what we do afterwards is the only part of this conversation that seems to actually matter. People are already on the street addicted to fentanyl, you can either leave them there or the state can try to expend money/resources getting them off of the street and dealing with that addiction. Telling them to have personal responsibility is leaving them there. Which, fine, I guess, but again I just don't think that's an outcome most people in California (or anywhere else) want, regardless of how sympathetic they are or aren't towards those people. If you think prison is effective rehab and that it's worth the increased cost, then fine, say that, but again, that's just a very, very different argument from saying that we should criminalize drug use because it's too expensive for the state to take responsibility for other people. Criminalizing drug use is the state taking responsibility for other people on the taxpayer's dollar.

nathanaldensr 4y ago

You're a fool if you think anything related to health--or much of anything else, for that matter--is "free." I hope you have a fat wallet, because you're about to have it all stolen by the state to fund "free."

Swenrekcah 4y ago
I never said free. It may be of interest to you to learn there are a number of countries in the world that manage to provide their people with tax funded healthcare at little or no cost to recipients, without excessive taxation and while being generally pretty good places to live.