Anyone tuning in to Fox & Friends this week was treated to an awkward moment courtesy of Dr. Oz, when he went off-script after plugging his upcoming interview with Ivanka Trump and launched into an impassioned defense of medical marijuana.
“Can I ask you one thing? I talked about the opioid epidemic, but the real story is the hypocrisy around medical marijuana. And just really quickly, medical marijuana – people think it’s a gateway drug to narcotics but it may be the exit drug to get us out of the narcotic epidemic. But we’re not allowed, we’re not allowed to study it, because it’s a schedule I drug. And personally, I believe it could help.”
“Wow,” co-host Steve Doocy intoned, visibly tense. “Hadn’t heard that before.” He reminded viewers to watch Oz’s show and cut to commercial break, clearly wishing the cardiologist had taken co-host Brian Kilmeade’s cue to end the segment twenty seconds prior. Continue reading →
In 1918, the Treasury Department established a Special Narcotic Committee, tasked with reviewing the scope of the drug problem in the United States. The Committee issued its final report, Traffic in Narcotic Drugs, in June of 1919. The product of a year’s worth of work by a committee which included reputable figures in the drug field, the report covered many aspects of the drug problem—but no part of the report drew more attention than the conclusion that the nation’s addict population numbered one million. To understand how that figure was obtained, we need to briefly review some very poor statistical analysis. And that’s part of the story. But the bigger story is that “one million addicts” took on a life of its own, a mythical number that long outlived the federal government’s own interest in its promulgation.
Wine laced with marijuana. I’d need a cup of coffee after that.
When we use a drug off label because it makes us feel good and we are tired of feeling bad, or calm nerves with a glass of wine, or have an extra shot of espresso to get through a long day, we are self-medicating. “I’d better figure out where to score some pot,” my friend said before beginning her treatment for breast cancer. People self medicate. Obviously.
I first met Anita in the Boston jail where she was doing time for passing bad checks related to a prescription opioid addiction. She had first been introduced to opioids after giving birth to her first child several years earlier. “I was prescribed percs [percocets] for pain related to the delivery,” Anita explained. “I just remember taking them and being high and cleaning … I took four or five at a time.” Anita’s drug use spiraled out of control, as her physiological tolerance to the opioids increased and she needed to buy more and more pills to get the same effect. One day, Anita’s dealer offered her heroin, and off she went.
Ethnographers and historians of drug use are all too familiar with stories that resemble Anita’s. As an anthropologist who studies prisons and addiction treatment, I find it relatively easy to point the finger at doctors for their professional complicity in “epidemics” of opioid addiction.
But as a medical student in my final year, destined to start residency in July in an internal medicine-primary care program, I also worry I won’t be able to refuse prescriptions for opioids for patients presenting to me in distress and pain.
Historians of medicine and drug use have detailed how physicians—whether they wanted to or not—became central to the distribution and administration of opioids in the United States. In the wake of the Harrison Narcotics Act, addicts had to obtain prescriptions for their drugs, and so-called “dope doctors” would provide them for cash. The alternative to the dope doctor was the street druggist, the so-called “pusher.”
Laudanum (image via Science & Society Picture Library/Getty Images)
Doctors and opiates have a long, complex history. In the era of magical formulations, Dr. Thomas Syndenham compounded laudanum by mixing “two ounces of opium and one ounce of saffron dissolved in a pint of Canary or sherry wine” with a “drachm of cinnamon powder and of cloves powder,” as historian Richard Davenport-Hines noted in his history of the subject. At the time, opiates (plus or minus alcohol) were among the few medicines that were actually effective pain relievers (working at the μ pain receptors in the brain). They were instrumental in bolstering the medical profession’s emerging reputation for dispensing effective interventions rather than simply bearing witness to suffering. Indeed, enterprising pharmacists and doctors alike created their own patented formulations of various narcotics marketed as cure-alls– a mix of magic, profiteering, and chemistry.
Sam Quinones and I share an affinity for this startling fact: more Americans now die of drug overdoes than car crashes. I often say this when I am trying to convince someone that it’s important to study the drug wars; Quinones last week used the tidbit in the first paragraph of his New York Times opinion piece titled “Serving All Your Heroin Needs.”
In this article—and probably elaborated in his new book Dreamland: The True Tale of America’s Opiate Epidemic—the L.A.-based journalist writes about a new breed of Mexican heroin dealers who deliver drugs “like pizza” in cities across the Midwest. He uses a nickname for the dealers coined by a cop he knows: Xalisco Boys, for the poppy-growing region from whence they come to the United States looking for a fast buck.
Sam Quinones, Dreamland (Bloomsbury Press, 2015)
I have no doubt the system of low-violence, customer-service-oriented drug dealing that Quinones has studied for several years is real. But the old chestnuts he hauls out in talking about the public health problems caused by the increased availability of heroin in smaller cities deserve comment. Continue reading →
EDITOR’S NOTE: The Harrison Narcotics Act of 1914 turns 100 years old tomorrow. The new federal law regulated traffic in opiates and cocaine and produced lasting effects for US and international drug policy (you can read the full text here). Today, four celebrated scholars offer 100-word reflections on first 100 years of the Harrison Act.
Recent Points inductee Kyle Bridge devoted some of his M.A. research to drug use trends and crime rates in Jacksonville, Florida. Here he presents a modified and abridged version of his work.
Downtown Jacksonville (Image: Wikipedia)
Since at least the early twentieth century, as regular Points readers will know, many Americans have associated illicit drug use with criminality or otherwise deviant behavior. This holds especially true in the last fifty years of U.S. history, and some politicians have made significant hay with the issue. Combating drug abuse was a prominent plank in Richard Nixon’s 1968 platform. “Narcotics are a modern curse of American youth,” he claimed in a campaign speech, and in his first term the President committed to an “all-out assault” on what he labeled “public enemy number-one.” National worries were based on a legitimate correlation: in 1969 users made up a significant portion if not the majority of criminal perpetrators in metro areas including Los Angeles, the District of Columbia, New York, and Boston.
Nixon’s the One (but not the only one)
As a student of history and lifelong Jacksonville resident (actually Callahan, a small town just north of the city), I was curious about the local dynamic of this association, and how it changed over time. The Jacksonville public regarded drug use with an unsurprising wariness, similar to Americans nationwide. Still, policing drug use warranted little attention in local politics until around 1995, almost a half-decade after crime rates peaked during the crack epidemic. In fact new attention to drug use surfaced three years into what would become an almost entirely consistent twenty-year crime decline. By the turn of the millennium, the drug arrest rate had jumped to 1,115.18 per 100,000, almost doubling rates from the height of the crack epidemic (never higher than 689.62).
“This pussy has teeth; no one should fuck me ever” — Margaret
I begin this post with exciting news: Slava Tsukerman and Anne Carlisle are collaborating on either a sequel to or a documentary about the making of Liquid Sky, the 1982 science fiction movie about Margaret, the new wave Edie Sedgewick-inspired club-hopping model who, assisted by her alien lover, kills with her cunt.
At a press conference on June 17, 1971 then President Richard Nixon informed his constituents of a troubling menace. “America’s public enemy number one in the United States is drug abuse.” Nixon also labeled those associated with drug abuse primary enemies of the state. “In order to fight and defeat this enemy,” Nixon charged, “it is necessary to wage a new, all-out offensive.” Sadly, this all-out offensive has been in full bloom under the modern War on Drugs while drug abuse—keeping in step—has also flourished.
Earlier that afternoon Nixon gave a special message to Congress, providing more details regarding the scope of the problem. Declaring the “tide of drug abuse” a “national emergency,” Nixon reminded Congress that, “narcotic addiction is a major contributor to crime.” Nixon continued, establishing what is now an oversimplified, rarely analyzed cultural truth: “Narcotic addicts do not ordinarily hold jobs. Instead, they often turn to shoplifting, mugging, burglary, armed robbery, and so on. They also support themselves by starting other people-young people-on drugs.” The addict, and the peddler—often doubling as the same shadowy figure—became cemented as cultural boogeymen. Addicts were either hooking our youth on dangerous drugs or committing other crimes to cop. Addicts, not society, caused the problem and bore the threat to public safety. Despite his well-documented fiscal commitment to rehabilitation efforts, Nixon’s public rhetoric designed to sway silent majority voters advanced the march towards an ethos of punishment and condemnation. For example, in his same message to Congress, Nixon asked for additional funds to support enforcement efforts “to further tighten the noose around the necks of drug peddlers.” To borrow from our Managing Editor Emily Dufton, Nixon, “transformed the public image of the drug user into one of a dangerous and anarchic threat to American civilization.”
Two nuns and a penguin approach you at a bar, and you tell them you’re a writer. When they ask you to describe Flatscreen, how do youanswer?
It’s about an unlikely friendship between a young, spiritually tested nun and a wheelchair-bound penguin who is addicted to Oxycontin and loves hookers.
Points is a blog primarily for drug and alcohol historians. What do you think this audience would find most interesting about Flatscreen?
Well, there’s certainly a lot of drugs and alcohol in the book! There are a lot of great novels about marijuana, cocaine, heroin, meth, and LSD (among others), but I don’t know of any others where the primary drug of choice is Oxycontin. I’m not sure my book sheds too much light on the drug itself–it’s mostly about other things–but if you’re looking for OxyFiction, I’m not sure where else you’d go. Continue reading →