Is the Opioid Crisis Truly Worsening, and What Lies at its Core?

The opioid crisis has been a significant concern for decades, with many experts and policymakers believing that the situation is either worsening or has not improved. From personal and epigenetic perspectives, I believe that the root of addiction often lies in a profound sense of despair and mental distress. Much of the data and narratives surrounding the crisis can be misleading, focusing too heavily on opioids as a standalone problem while overlooking the underlying issues that drive individuals to seek relief in potentially harmful substances.

The Opioid Crisis: A Perceived Contagion of Despair

Let's examine the core issue. Is there an actual opioid epidemic, or is it more accurately described as an epidemic of despair and nihilism? Many wrongly portray opioids as a contagious substance that attacks people, leading to deaths. However, opioids do not cause these deaths; people die of opioids because they choose to use them for various reasons.

Legal restrictions and limited availability have only made it more difficult for individuals to access these substances safely. Opioids are indeed highly effective at reducing pain, both physical and mental. This relief is significant and provides temporary respite, but it does not address the psychological and emotional turmoil that drives individuals to seek such relief in the first place.

Addressing Despair and Emotional Pain

The fundamental problem lies in the pervasive and untreated mental and physical pain, as well as a profound sense of hopelessness. Addressing the underlying despair is crucial. Ignoring the root causes and focusing solely on the drugs does nothing to alleviate the real issues individuals are facing. Instead, we must find ways to support and treat the despair and mental and physical pain that drives individuals to seek relief in opioids or other substance use.

The Role of Economic and Social Factors

The crisis's continuation is influenced heavily by political and media narratives. Politicians and news outlets often latch onto crises to gain public attention and distract from more pressing yet less sensational issues. The January 6th event and the ongoing COVID-19 pandemic serve as recent examples. Politicians need a crisis to generate interest and manipulate public opinion.

100 years ago, in 1921, America was grappling with different crises such as rail accidents, postal robberies, opposition to prohibition, and murders. The situation was quite similar to today, with news outlets and politicians pivoting from one crisis to another to maintain public interest.

Historical Precedent: The 1916 Opioid Crisis

A century ago, there was a significant opium crisis similar to what we face today. However, it was overshadowed by the outbreak of hostilities in Europe, and the crisis was largely ignored. This historical context highlights that the current narrative may be overblown, and the true issues may be more complex than initially perceived.

Alternative Approaches and Lessons Learned

To effectively address the opioid crisis, we must take a holistic approach. Addressing the root causes of despair and providing better access to mental health services and pain management options is crucial. One possible solution can be found in the case of Portugal. Portuguese authorities decriminalized all drugs in 2001, and their drug use rates decreased by 75%, while drug-related deaths plummeted. This indicates that a more nuanced and compassionate approach can lead to better outcomes.

The DEA's overreaction to cutting down opioid prescriptions has driven many individuals to seek relief from other sources, such as illicit drugs. This approach has been counterproductive and has likely contributed to the worsening of the crisis. Until we address the systemic issues driving individuals to seek relief in opioids and provide them with accessible and safe alternatives, the problem will only continue to intensify.

Ignoring the true causes and continuing to focus on pharmacological interventions alone will not solve the opioid crisis. The solution lies in addressing the underlying issues of despair and neglecting the mental and physical pain that drives individuals to seek relief in potentially harmful substances. This approach requires a significant shift in perspective and a commitment to investing in mental health, social support, and alternative pain management options.