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This is probably the most important stat about drugs, however, it falls victim to a pet peeve of mine. For cigarettes and alcohol and drugs of abuse (the ones
by the_watcher 13y ago
This is probably the most important stat about drugs, however, it falls victim to a pet peeve of mine. For cigarettes and alcohol and drugs of abuse (the ones without accepted medical applications - street heroin, cocaine, etc.), the analysis is pretty useful. However, with prescription drugs, simply counting the number of deaths is misleading. ADR's are tragic, and we should be doing all we can to learn more to prevent them. However, a correct analysis, at least when attempting to optimize the way it seems he is trying to, is to total the number of deaths caused by drugs, and then subtract the number of deaths prevented by these drugs. All optimizations should be addressed through that lens. I think the author would agree with this, I just didn't see any mention of the fact that while drug deaths are tragic, there are also many deaths prevented by current application of drugs, and ignoring the opportunity cost of changing drug application (potentially reducing the number of lives saved) is potentially dangerous.
- Alex3917 13y agoYeah I didn't mention this in the essay, other than briefly alluding to the fact that not all were preventable, but if you look at the footnotes the sources I linked to go into this in more detail. It's difficult to come up with an exact number though: the primary source I'm citing says that (IIRC) only about a third of ADRs are preventable, but the FDA page citing that source says that most ADRs are preventable. And in a way they could both be correct; it's possible that someone could die from taking an emphysema drug that they needed in that moment, but maybe the emphysema itself was preventable.
- the_watcher 13y agoThanks for the clarifications. Don't get me wrong, this was a great effort at summarizing the data available, I was just adding the additional data that would be useful.