>**San Francisco’s** Tenderloin, the downtown neighbourhood infamously known for its **rampant homelessness, crime, and drug abuse**
🤔
If they didn’t make their country such a miserable place to live in, then maybe people wouldn’t so readily resort to drugs to escape reality.
They also have no affordable healthcare to rehabilitate them even if they wanted to come off the drugs.
Because we still have and follow some code of ethics like the “[Hippocratic oath](https://en.m.wikipedia.org/wiki/Hippocratic_Oath)”. This oath is pinned on the wall of my general practitioner.
We have a tradition that pain and enduring suffering is good, and a process for healing. As such opioids are not as diffused or prescribed as in US.
Plus stronger regulations on when can you prescribe stuffs.
Fentanyl is used because people are already addicted to opioids.
People here drink casually aged 12. We drink rather than using opiods.
Probably because we take less pills and don’t pay as much for them. Second class victims.
Guess its also about how you treat addiction and the people who are addicted. The war on drugs has back fired bigtime in my opinion.
There is literally no incentive to prescribe unnecessary drugs in socialised healthcare systems. Quite the contrary. Plus there is no marketing of those drugs allowed, and no incentives for doctors to prescribe them. And there is no real worry of malpractice, which often pushes US doctors to overprescribe for fear of being sued. But also in socialised systems, there is a series of brakes (free housing, living money, etc.) that is designed to stop someone from falling into fenatyl/heroin zombie stage. (to be fair, only if you are European).
As a medical professional, it’s very easy to explain. In Europe, opioids are generally given quite rarely as pain medication – only for the most serious conditions that cause heavy, chronic pain, such as horrifying injuries, late-stage cancers and (don’t quote me on this one) burns that cover large parts of the body. For example, in the pharmacy where I work, the only patients that I’ve seen who come for fentanyls and other opioids are late-stage cancer patients. Also, pharmacies which have opioids in the first place are also quite rare and most of them are owned by the state. A few pharmacies also have methadone and other substances used to treat addiction but they are quite rare. In my opinion, the fact that Europe keeps a tight lid over opioids is what saves our societies from having to go through the same crap as the Americans.
they advertise powerful medication in the usa like it’s some new perfume “ask your doctor about this drug” and then commercial end with some happy person walking off into the sunset which might as well be heaven
Because we do not have big pharmaceutical corporations lobbying the governments, and doctors aren’t legalised/sponsored dealers as there is public healthcare
China wants America out of the way first
At least in Italy we also don’t have commercial for drugs except for the otc.
People in most Europe have more holidays/paid sick leave so they don’t have go to work while sick/in pain therefore they don’t have to take any strong painkillers/opioids so they have less chance to become addicted.
I think we need to distinguish between two separate topics that are discussed in the article:
1.) Fentanyl deaths related to prescribed opioids
2.) Fentanyl deaths related to laced illegal drugs
The former certainly is a bigger problem in the US due to a different opioid prescription culture, as well as the malicious marketing practices of purdue pharma and others.
The latter however also makes me wonder. Why are there less Fentanyl related overdose deaths from illegal drugs in Europe, or why is Fentanyl lacing of heroin, coke, speed and mdma a bigger problem in the US than here? Have we just been lucky so far?
I’ve heard people say it’s because a bigger share of illegal drugs comes to Europe via ~~China?~~ Afghanistan while the Fentanyl lacing happens mostly in Mexico. But as per the article, Fentanyl is also produced in China.
I don’t know about other countries, but in Greece opioids and other drugs of abuse are prescribed and have a red line on the packaging. If you are found to have such medication on you without a prescription, you are fucked.
there was a heroine epidemic but in the 70s
Opioid prescribing habits in America are terrible. This and overall less safety net for the vulnerable
Most important fact:
In Europe it is forbidden in most countries to advertise medicaments. Only one with no need for medical prescription are advertised.
For Americans everything is business and you think it is freedom. It isn’t, it’s just greed over human good
The only time I’ve ever taken morphine was in the hospital right after a surgery and after that it was tramal (tramol? Tramadol?) at best.
I think it’s a different way of thinking mostly.
A lot of Europe has doctors that work for the state, not the patient, prescribing from limited resources. This means they give patients what the NEED, not what they WANT, because it was advertised to them. Without that wide base of established opiate users its harder for Fentanyl to find a market.
Health care.
That’s it. They have health care. When things go bad, things get fixed. People don’t have to numb themselves.
They just go to the doctor and it gets fixed as best can be done.
The answer is health care.
Europe is not spared. The crisis might be less severe, but I’ve lost a friend to it four years ago. A lot of people were using it as a drug in the area (south Germany).
This has nothing to do with legal drugs, it’s about the illicit drugs Americans consume which are labeled one thing but cut with Fentanyl. It is mass imported from China to Mexico, where it’s pressed into pills with fillers and mostly coke and meth and sold in the US.
There wasn’t the big pharma financial push for doctors to over prescribe opiods, creating dependent addicts out of normal people, which started this devastating mess in the US.
They are global companies, but there are no safety rails on capitalism in the US, especially in healthcare
A lot of people showing their biases here and not understanding the problem. The problem in America is illegal drugs that are laced with fentanyl. Lacing a drug with fentanyl are cheaper to produce. Means more profit to the drug dealer. The people that take it don’t know that they are taking it.
So it’s clear that none of the top say 10-15 comments in this thread even read the article.
Estonia would like to have a word.
Many factors. Europe in general has better culture than the US.
33 comments
[deleted]
>**San Francisco’s** Tenderloin, the downtown neighbourhood infamously known for its **rampant homelessness, crime, and drug abuse**
🤔
If they didn’t make their country such a miserable place to live in, then maybe people wouldn’t so readily resort to drugs to escape reality.
They also have no affordable healthcare to rehabilitate them even if they wanted to come off the drugs.
Because we still have and follow some code of ethics like the “[Hippocratic oath](https://en.m.wikipedia.org/wiki/Hippocratic_Oath)”. This oath is pinned on the wall of my general practitioner.
We have a tradition that pain and enduring suffering is good, and a process for healing. As such opioids are not as diffused or prescribed as in US.
Plus stronger regulations on when can you prescribe stuffs.
Fentanyl is used because people are already addicted to opioids.
People here drink casually aged 12. We drink rather than using opiods.
Probably because we take less pills and don’t pay as much for them. Second class victims.
Guess its also about how you treat addiction and the people who are addicted. The war on drugs has back fired bigtime in my opinion.
I saw i briljant Ted talk about this: https://www.ted.com/talks/johann_hari_everything_you_think_you_know_about_addiction_is_wrong/c
There is literally no incentive to prescribe unnecessary drugs in socialised healthcare systems. Quite the contrary. Plus there is no marketing of those drugs allowed, and no incentives for doctors to prescribe them. And there is no real worry of malpractice, which often pushes US doctors to overprescribe for fear of being sued. But also in socialised systems, there is a series of brakes (free housing, living money, etc.) that is designed to stop someone from falling into fenatyl/heroin zombie stage. (to be fair, only if you are European).
As a medical professional, it’s very easy to explain. In Europe, opioids are generally given quite rarely as pain medication – only for the most serious conditions that cause heavy, chronic pain, such as horrifying injuries, late-stage cancers and (don’t quote me on this one) burns that cover large parts of the body. For example, in the pharmacy where I work, the only patients that I’ve seen who come for fentanyls and other opioids are late-stage cancer patients. Also, pharmacies which have opioids in the first place are also quite rare and most of them are owned by the state. A few pharmacies also have methadone and other substances used to treat addiction but they are quite rare. In my opinion, the fact that Europe keeps a tight lid over opioids is what saves our societies from having to go through the same crap as the Americans.
they advertise powerful medication in the usa like it’s some new perfume “ask your doctor about this drug” and then commercial end with some happy person walking off into the sunset which might as well be heaven
Because we do not have big pharmaceutical corporations lobbying the governments, and doctors aren’t legalised/sponsored dealers as there is public healthcare
China wants America out of the way first
At least in Italy we also don’t have commercial for drugs except for the otc.
People in most Europe have more holidays/paid sick leave so they don’t have go to work while sick/in pain therefore they don’t have to take any strong painkillers/opioids so they have less chance to become addicted.
I think we need to distinguish between two separate topics that are discussed in the article:
1.) Fentanyl deaths related to prescribed opioids
2.) Fentanyl deaths related to laced illegal drugs
The former certainly is a bigger problem in the US due to a different opioid prescription culture, as well as the malicious marketing practices of purdue pharma and others.
The latter however also makes me wonder. Why are there less Fentanyl related overdose deaths from illegal drugs in Europe, or why is Fentanyl lacing of heroin, coke, speed and mdma a bigger problem in the US than here? Have we just been lucky so far?
I’ve heard people say it’s because a bigger share of illegal drugs comes to Europe via ~~China?~~ Afghanistan while the Fentanyl lacing happens mostly in Mexico. But as per the article, Fentanyl is also produced in China.
I don’t know about other countries, but in Greece opioids and other drugs of abuse are prescribed and have a red line on the packaging. If you are found to have such medication on you without a prescription, you are fucked.
there was a heroine epidemic but in the 70s
Opioid prescribing habits in America are terrible. This and overall less safety net for the vulnerable
Most important fact:
In Europe it is forbidden in most countries to advertise medicaments. Only one with no need for medical prescription are advertised.
For Americans everything is business and you think it is freedom. It isn’t, it’s just greed over human good
The only time I’ve ever taken morphine was in the hospital right after a surgery and after that it was tramal (tramol? Tramadol?) at best.
I think it’s a different way of thinking mostly.
A lot of Europe has doctors that work for the state, not the patient, prescribing from limited resources. This means they give patients what the NEED, not what they WANT, because it was advertised to them. Without that wide base of established opiate users its harder for Fentanyl to find a market.
Health care.
That’s it. They have health care. When things go bad, things get fixed. People don’t have to numb themselves.
They just go to the doctor and it gets fixed as best can be done.
The answer is health care.
Europe is not spared. The crisis might be less severe, but I’ve lost a friend to it four years ago. A lot of people were using it as a drug in the area (south Germany).
[Meth is currently spreading through Europe like wildfire.](https://www.emcdda.europa.eu/publications/eu-drug-markets/methamphetamine/use-in-europe_en)
This has nothing to do with legal drugs, it’s about the illicit drugs Americans consume which are labeled one thing but cut with Fentanyl. It is mass imported from China to Mexico, where it’s pressed into pills with fillers and mostly coke and meth and sold in the US.
There wasn’t the big pharma financial push for doctors to over prescribe opiods, creating dependent addicts out of normal people, which started this devastating mess in the US.
They are global companies, but there are no safety rails on capitalism in the US, especially in healthcare
A lot of people showing their biases here and not understanding the problem. The problem in America is illegal drugs that are laced with fentanyl. Lacing a drug with fentanyl are cheaper to produce. Means more profit to the drug dealer. The people that take it don’t know that they are taking it.
So it’s clear that none of the top say 10-15 comments in this thread even read the article.
Estonia would like to have a word.
Many factors. Europe in general has better culture than the US.
Profits
Cause wer not as much as junkies as Americans?