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Culture War Roundup for the week of August 14, 2023

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This seems likely.

But, in my mind, the biggest thing that turns a type 1 down-on-their luck person into a type 2 pants pooper is the wide availability of fentanyl and heroin on the streets today.

Fixing housing affordability issues seems is a hard problem. Fixing housing affordability has never been done by any country (as far as I know).

Meanwhile, there are lots of countries with essentially zero drug use. Taiwan, China, Singapore, and Japan have don't have drugs. And unlike the Prohibition Al Capone memes, these countries also have very few if any gangs. We could reduce drug use by a ton and it wouldn't be that hard. All it would take is a serious effort to criminalize drugs.

And before anyone says "War on Drugs didn't work", we should take a look at the overdose stats. Overdoses deaths in the U.S. are up 1000% since the 1980s. The correct take, IMO, is that the war on drugs did work. We just didn't do it hard enough and gave up too soon.

Meanwhile, there are lots of countries with essentially zero drug use. . . . China . . . [doesn't] have drugs. And unlike the Prohibition Al Capone memes, [it] also ha[s] very few if any gangs.

I doubt this, given that China is a major producer of fentanyl. I find it very hard to believe that the Chinese megacities don't have their (albeit probably smaller) share of strung-out junkies and losers. There's no magic property of Chineseness that protects against drug abuse or opioid addiction - ask Lin Zexu!

Similarly, I find it hard to believe that there isn't significant organized crime in China, even particular to drug manufacture. Instead I would expect that, in a society without strong rule of law norms and heavily dependent upon petty corruption and personal connections, the crime would just have a blurrier relationship to official power than it has here in the U.S.

There's no magic property of Chineseness that protects against drug abuse or opioid addiction

No, they simply have the state capacity and population buy-in to prosecute drug dealers. It's not a Western country, things are different. They really do have almost zero street drug use or street crime.

This is the kind of thing that is easily falsifiable. Just visit their cities. Many visitors have Paris Syndrome in reverse. Westerners think that crime and squalor are just "part of living in a city" but Asian cities have none of it.

You are of course correct that China does have lots of official corruption.

But, in my mind, the biggest thing that turns a type 1 down-on-their luck person into a type 2 pants pooper is the wide availability of fentanyl and heroin on the streets today.

Drugs are definitely a factor, but if this were the main driving cause then you would expect to see more of the states with the worst opioid problems, like West Virginia, Rhode Island, and New Hampshire, to have the most homelessness, but instead they're in the bottom 10 nationally

Yeah, but 3/4 of those are islands. Keeping any sort of contraband out is orders of magnitude easier when the contraband must come in through known ports of entry. Ships and planes can be searched, bags can be searched, and since you don’t have large continuous borders with other countries, the odds of random coyotes and mules crossing in the wilderness unseen goes down substantially.

Maybe drug control can work, but I don’t think we can get to zero without sealing our borders like North Korea.

You can get a really shitty studio apartment for something like $150 usd a month in a crappy area of Osaka for example.

Yeah that's a good point. We've made shitty housing illegal in the U.S. That Osaka apartment would almost certainly be illegal to rent in the United States. But another factor is that there is no underclass in Japan. It's not worth renting to the underclass in the U.S. for $150/month because the damage they do to your unit will easily exceed that.

That sort of job does not get a roof over your head in most of the US, and certainly not in high cost cities.

It's worth pointing out that Section 8 government housing allows menial wage workers to get a much nicer unit than the equivalent worker in Japan. But, obviously, as a government program there are a million hoops to jump through.

In any case, the drug zombies on the streets of San Francisco aren't capable of holding a job at all.

I wonder when that changed and why? It used to be a viable business and major cities were replete with flophouses and boarding houses and long stay hotels of various qualities.

They were made illegal by ordinance.

There’s still flophouses. I can go on Craigslist right now and find single bedrooms with access to a bathroom for $500/mo in DFW. If I’m willing to compromise and live in a cubicle, or in the far suburbs, or the serious hood, I can get a lower price.

Now I can afford to not do that, but the point is that the code of tenants rights and housing code and the like don’t stop people in four different counties and who knows how many cities from doing it. Somehow the difficulty evicting when people in the market for $500/mo housing predictably have trouble paying rent doesn’t deter people from offering it.

What does "a crappy area of Osaka" entail, exactly? Presumably the low crime rate means you don't hear gunshots, can leave things outside without them being stolen, etc.

One of the stronger anti-YIMBY arguments is that cheaper housing in your area, specifically, means the people who cause crime, theft, and generally unpleasant things will move in. A subtler argument is that, sure, you can prevent that by enforcing the law and maintaining strict standards of behavior - but politics doesn't support that, maybe it'd be racist, etc.

I'm not sure how true this is. I'm pretty sure marginally cheaper housing - the kind where there are (exaggerated numbers) now 2x as many top-tier apartments, and people love those so their price only goes down 10%, but and that daisy chains all the way to rent being 20% cheaper in less desirable areas - doesn't cause that. And you'd expect new development to, mostly, be that, because developers want to maximize profit so they'll only go as far down the demand curve as competition forces them to. Do mandated affordable units mess with this? My vague sense is no, but idk.

But it might be a stronger argument against zoning that allows a new building full of cheap apartments a tiny bit bigger than a college dorm, the kind that'd cost whatever the equivalent of that $150/month here is.

Even without that, I have a strong sense that the general reaction to the permitting and construction of a bunch of dorm room-size apartments would be negative. Building codes don't really allow it, anyway. Are there any other good reasons to oppose it?

East Asian culture cannot be ported over to the West and even if it could be, I would not find it desirable. Those cultures have their own problems, like over-deference to authority and ridiculous work hours. Adopting East Asia style legal approaches to drugs without porting over their culture would not necessarily lead to East Asia style drug outcomes.

Anyway, further criminalizing drugs is a non-starter for me. For me it's an issue of liberty. From my perspective, the war on drugs gives the state excess power over individuals. Yeah, drugs sometimes kill people. Drugs are a tool. Many tools sometimes kill people. I do not want the state to be able to control what I put into my body. The whole idea of it is ridiculous to me and I cannot understand the mental attitude that is okay with it.

Fixing housing affordability has never been done by any country (as far as I know).

Done by for example USSR/Poland - by building more housing (significantly improved via central planning spending in Moscow, in Poland it was mostly reconstruction after WW II and unbreaking economy).

Though note it went by providing enough supply that you can buy house/flat at all and you do not have many families living in a single flat anymore as a standard solution. Also, people getting richer (see prices in terms of how long you need to work for place to live in! Though nowadays things are rather getting worse).

Fixing housing affordability issues seems is a hard problem. Fixing housing affordability has never been done by any country (as far as I know).

Making housing perfectly affordable might be a hard problem but making it significantly more affordable than current day california is an easy problem. Just remove the artificial restrictions to building new housing and the market will do the rest.

Fixing housing affordability issues seems is a hard problem. Fixing housing affordability has never been done by any country (as far as I know).

Most places in the US have "fixed" housing affordability, in the sense that someone who works 2000 hours a year at the real local minimum wage (which may be higher than the statutory minimum if the economy is good) can afford a singlewide trailer home and/or a room in a shared house. AFAIK, the only major cities with good jobs where that is true are in Texas.

Japan has "fixed" housing affordability in the sense that an unskilled worker can afford a room in a SRO, even in Tokyo.

In none of these places is homelessness a major problem.

Just remove the artificial restrictions to building new housing and the market will do the rest.

I used to believe that but I'm starting to have second thoughts. Look at square feet of housing per capita in the U.S.. It's never been higher. California is uniquely stupid of course, but there is lots of housing going up all over the country. But prices keep going up too. This despite interest rates which have made housing less affordable than ever.

Population growth? What population growth? California is shrinking and the U.S. has flat-lined. And yet still housing prices go up.

My personal thesis: Housing prices behave like a meme stonk. They go up because they go up. China proves how far this insanity can go before it hits a breaking point.

Housing is hard because no one knows what to do. On the other hand we KNOW how to stop drug use because we have examples from other countries. We don't have those examples.for housing. Until we get examples of what works it's just, like, your opinion man that building more houses will fix affordability.

Population growth? What population growth? California is shrinking and the U.S. has flat-lined. And yet still housing prices go up.

We are allergic to actually counting the number of immigrants in this country. We're probably undercounting the population by around 20 million, which would definitely be enough to put upward pressure on housing costs.

I don't know enough about this area to have any confidence in this, but:

Look at square feet of housing per capita in the U.S.. It's never been higher

One of the effects of something like restrictive zoning and building codes is precisely to increase square feet per capita. Units per capita or something is probably a better measure. Which doesn't look up to me, although that may just be the wrong graph.

Yeah, you're probably right. Although the graph you sent shows their has been no significant reduction in units/capita since the year 2000. So what changed? Why have housing prices outstripped inflation for decades?

My personal answer to this is that inflation has been systematically understated in official figures for political reasons, and that if you use more rigorous and accurate means of calculating inflation things will line up a bit better. An additional factor would be large financial firms having a real estate strategy consisting of buying up huge swathes of housing stocks and then renting them out - Blackstone is the single largest owner of family rental homes in the USA (or at least they were, and there's this vast and purposefully impenetrable web of holding companies designed to obscure this).

Housing is hard because no one knows what to do.

Just be like Houston and don't have zoning or red tape. Housing is affordable and it has an absurdly low homelessness rate, lower than Denmark.

Even Houston isn't immune. Prices have gone up 7.1% per year since 2015 (as far back as I can easily check). Inflation in this period has averaged just 3.1%. https://www.zillow.com/home-values/39051/houston-tx/

But it gets worse. The average mortgage rate right now is around 7%, while in 2015 it was less than 4%.

For a buyer with 20% down, I calculate that the monthly payment to own a home in Houston has increased by 150% since 2015, or a whopping 12% per year. While I'll concede that Houston prices are still quite reasonable, their zoning is not a panacea.

Stonk-bubble mentality can eat any increase in housing supply. We need speculators to feel actual pain to reduce house price increase expectations.

Start by making depreciation not tax deductible unless you can prove that your property actually went down in value. Currently, you can "write down" the value of your investment over 27.5 years. This lets you take a paper loss and pay no taxes all the while your property is actually going up in value.

But, in my mind, the biggest thing that turns a type 1 down-on-their luck person into a type 2 pants pooper is the wide availability of fentanyl and heroin on the streets today.

I think it's meth much more than opiates. Opiates can kill you and make you unproductive, but they don't fry your brain and give you psychosis like hardcore simulants do.

And before anyone says "War on Drugs didn't work", we should take a look at the overdose stats. Overdoses deaths in the U.S. are up 1000% since the 1980s. The correct take, IMO, is that the war on drugs did work. We just didn't do it hard enough and gave up too soon.

The main reason overdoses are up is that fentanyl is really potent and easy to overdose on, but it's also the most popular illegal opiate because it's cheap to make and can be smuggled across the border in large quantities because it's so concentrated. If lower potency opiates (and narcan) could be purchased legally over the counter, fentanyl use and fentanyl deaths would plummet.

If lower potency opiates (and narcan) could be purchased legally over the counter, fentanyl use and fentanyl deaths would plummet.

Only if we legalized it the right way, which we wouldn't. Look how we legalized marijuana. See how it's celebrated and commercialized now with billboards and brightly lit stores in every shitty small town in America. If we do the same for opioids, usage will go through the roof - as will overdoses.

I would advocate a method where junkies can, under medical supervision, get free opioids in a super boring and lame way that ensures no one will ever do it for fun. That would have the effect of making street dealers unprofitable while reducing the chance of non-junkies getting hooked. Long prison sentences for dealers will do the rest.

get free opioids in a super boring and lame way that ensures no one will ever do it for fun.

But that's exactly why street dealers would still be popular.

And that's why we should arrest the dealers and throw them in prison for decades.

Push/pull works better than just push (prison) or pull (medically-supervised injections) alone.

If we do the same for opioids, usage will go through the roof - as will overdoses.

Usage would go up, but overdoses would plummet because people could dose accurately.

Why do you assume they would? People are dumb and don't pay attention to what's in their chicken nuggets - suddenly they're going to turn into savvy consumers when it comes to doing complex chemistry calculations to determine correct dosing, and batch testing to ensure that the product isn't being stepped on or cut with fentanyl as it often is currently?

they're going to turn into savvy consumers when it comes to doing complex chemistry calculations to determine correct dosing, and batch testing to ensure that the product isn't being stepped on or cut with fentanyl as it often is currently?

This is what junkies do already -- many of them are good enough at it to survive for many years!

If the junk is government supplied/inspected, the whole point is that is won't be stepped on -- inform them of a dose that is unlikely to kill a zero-tolerance user, and let them figure the rest out themselves. They are quite resourceful -- this way if they OD at least nobody will be able to say it wasn't their 'fault'.

If we do the same for opioids, usage will go through the roof

You don't need the dependent clause. We can just do the math (economics). Many moons ago, at the old old old place, I did an estimate, ignoring any effect of removing criminal penalties, ignoring any effect of branding/marketing/whathaveyou, ignoring any cultural or other developments which could change the elasticities, of how usage of marijuana might change in response to the change in price that was observed. Let's just say that anyone who thinks that usage of drugs is going to go down (or even stay flat) in response to legalization is getting high on their own supply. Marginal Revolution just referred to Portugal. The Bloody Atlantic is almost going after Oregon. It was trendy to think otherwise for a while (I believed it when I was a kid), but like most silly lefty trends, at some point the need to shut out the data and embrace cognitive dissonance becomes too difficult.

The question isn't whether drug use will go down; it's whether ODs will go down. I suspect they would; if you know how much you're getting you're not going to OD because your usual hit is 10x the potency.

Of course if you legalized hard drugs the way pot has been legalized in NY or NJ that might not work, but that's because government can screw anything up. You also can't just decriminalize possession (like Oregon did); you have to legalize production and sales.

This line of thinking is tempting as well, that it's just product uncertainty. There may be some factor, but I'm skeptical that it would be the overwhelming factor that a lot of people think. One could easily talk about two movies from this image. In one movie, fentanyl is primarily about product uncertainty, and that has driven a rise in deaths. In another movie, fentanyl is just way more potent and way more dangerous in general, so of course it's going to be higher. But hell, there are still quite a few prescription opioid deaths there; those are chugging along, even though they don't have the same product uncertainty problem. Instead, they mostly fit into the ordering just fine in terms of inherent danger of the substance, regardless of product uncertainty.

Even alcohol is still chugging along, causing deaths, even though there's basically no product uncertainty there. People still try to cram as much as they can into their bodies, just to see if they can and to see if it feels "super awesome, yo". They still party and try different shit, not actually paying all that much attention to what someone is pouring for them or what pill was handed to them. Certainly not carefully looking up the risk statistics of mixing substances and consulting a dosing chart or whatever. Nah, it's, "GET DAT SHIT IN ME AND LET'S GET SUPER HIGH!"

Maybe I'll try putting it this way... the belief that it's just about product uncertainty smells to me a lot like one of Rob Henderson's luxury beliefs. Sure, you may be a rich upper class person who can manage to make casual cocaine holiday work in your life, so long as there isn't product uncertainty in your cocaine, but for many many other people, life just isn't like that. Intense addiction, the need to try always-increasing quantities, and frankly low intelligence/conscientiousness is just going to lead to deaths mostly in proportion to how inherently dangerous the substances are. Product uncertainty can play a role, but a more minor one.

Finally, even if acute ODs do go down a little, what is the cost in terms of long-term mortality? During alcohol prohibition, the government was literally poisoning alcohol, and yet the health benefits in terms of long-term mortality and such were much more significant than the acute effects of their literal, intentional poisoning.

But hell, there are still quite a few prescription opioid deaths there; those are chugging along, even though they don't have the same product uncertainty problem. Instead, they mostly fit into the ordering just fine in terms of inherent danger of the substance, regardless of product uncertainty.

Overdose deaths will certainly keep "chugging along" even without product uncertainty (or inconsistency). Some number will be suicides, some will be chasing a greater high that tolerance has taken away. But I think the best explanation for the increase in deaths is the uncertainty/inconsistency. (I distinguish the two because an inconsistent but known product could be safe in theory, but as you say addicts aren't going to do the math).

As far as I know though, except simply in absolute amount of substance, fentanyl isn't more dangerous than heroin. Fentanyl's therapeutic index -- its ratio of lethal dose to effective dose -- is 400 compared to morphine's 70. I haven't been able to find heroin's TI (it's not prescribed in the US; I would expect UK data but perhaps they use a different term), but it's likely closer to morphine's. It's possible the euphoric dose is (relative to fatal dose) much higher than that of heroin, or that it has a larger tolerance effect, but I know of no evidence for etiher those conjectures. Instead, it seems it's just that the small absolute amounts of the substance are much harder (for both technical and non-technical reasons) for the illegal pharmaceuticals industry to control. The legitimate pharmaceuticals industry has no such problem; it can produce consistent doses even with the far more potent (100x stronger than fentanyl) carfentanil, though there's worker safety problems there.

Intense addiction, the need to try always-increasing quantities, and frankly low intelligence/conscientiousness is just going to lead to deaths mostly in proportion to how inherently dangerous the substances are.

I think we agree here, but disagree on how inherently dangerous the substances are. Note that "the need to try always-increasing quantities" is part of the inherent danger; some drugs cause more tolerance than others, and sometimes the (acute) lethal dose changes with tolerance.

I think TI alone isn't the right metric to look at. Wiki would put cocaine and alcohol as similar (15 and 10, respectively), even worse than morphine. Rather than it being only a manufacturing concern, I think there's a significant consumability concern, probably with factors of tolerance/euphoric dose/need-to-try-more as you mention, as well as the culture around consumption. Like, you still have to try pretty darn hard to physically consume enough alcohol before your body starts rejecting it (or build up enough of a tolerance). "I'm already drunk as hell, but I want to push to even higher levels.... oops, now I'm asleep," seems to be somewhat of a limiting factor. "I'm already high as hell, but can you imagine popping one or two more before dozing off?" ...takes about five seconds. And that doesn't even account for mixing drugs. Been drinking half the night, just took a hit of whatever, now you're not thinking straight, just thinking about how desperately your body wants to get suuuuuper high right now. You're probably not going to be rationally counting out your pills or whatever according to a dosing chart (for values of "you" that include far less intelligent/conscientious classes of people than you, particularly).

Alcohol is safer (at least in the short term) for various reasons, like the dose one can survive goes up with tolerance, and the difficulty of getting a fatal dose into you without working at it (though college students regularly manage). But I don't think those kinds of differences exist between the commonly-abused opioids. I'm not saying fentanyl would be as safe as alcohol if the dose was controlled, I'm saying it would probably be at least as safe as heroin. And that the massive increase in OD deaths that coincides with the introduction of fentanyl is primarily due to the inconsistency, not the inherent danger.

Also in the alcohol case, I suspect if instead of the common packaging for serious abusers being bum wine or some sort of standard-proof cheap liquor (which are easily distinguishable from each other), it was whatever the addict could get ranging between 5% and 90% alcohol, plus perhaps some isopropyl alcohol mixed in, and the addict couldn't immediately tell the difference by the taste/burn, we'd have a lot more overdoses.

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The key thing isn’t the treatment options. Surprisingly opiates are enjoyable and they don’t want to quit and they also don’t want to do it in the environment you describe.

Jailing dealers would do a lot of the heavy work alone. Clearing out the city-center encampments for doing the dope would do a lot. Yes I know you said long prison sentences for dealers but that’s the hard part we have no appetite for right now. Afghanistan solved the dope issue without treatment centers. They just jailed everyone high for a couple months till they were sober.

Also supposedly the Euro countries that did the legalizing thing cleared out the encampments etc. but I don’t see political will in those cities to do that.

Yes, I agree. Clearly strict enforcement is the only real way to solve the opioid problem which is currently killing over 100,000 Americans every year. Every "soft" method has either been ineffective or made the problem worse. But I do think a push/pull might work better than push alone. Giving junkies a way to comply with the law without having to go clean seems like a useful outlet valve for when we do start actually arresting dealers.

Afghanistan solved the dope issue without treatment centers. They just jailed everyone high for a couple months till they were sober.

There's something amusingly ironic about Afghanistan, a country the US military helped to ensure produced large amounts of opiates during the occupation, being capable of solving this particular issue.

I would advocate a method where junkies can, under medical supervision, get free opioids in a super boring and lame way that ensures no one will ever do it for fun.

Scandinavian way, System shops for drugs? Does it work in Sweden in lowering alcohol use?

Yes. Somewhat.

"In 2016, annual alcohol consumption per capita (for those aged 15 years and older) was 9.2 liters of pure alcohol in Sweden and 7.5 liters in Norway, compared to the European region's average of 10.3 liters."

The monopoly/system shops way of selling alcohol means that there will be no advertising and no discount/bulk buying which would lead to over-consumption.

The report (or executive summary) also cites meth.

31% reported regular use of amphetamines, 3% cocaine, and 11% non-prescribed opioids. Sixteen percent reported heavy episodic drinking.

I realize that meth is probably cheaper per hour spent fucked up, but when you have twice as many tweakers as drunks…

I've spoken to bosses of low-skilled labor who actively prefer hiring alcoholics because if they're drunk every night, they go to bed before 10, and get up at 4 too hung over to go back to sleep, and get to work on time because what the fuck else you gonna do in the morning, and then do their work until quitting time because they don't want to be pressured to take overtime- that would cut into their drinking- so on the whole they're a lot better workers than tweakers or potheads. It's possible that low functionality people do better on booze, at least compared to other substances.

The problem with drunks is that they commit violent crimes (particularly domestic ones) in a way which potheads don't - not that they can't hold down jobs. In most of America, also that it is impossible for non-rich people to avoid driving (rich people can afford taxis) so if you are drinking you are probably drink-driving. Stimulants don't make you as bad a driver as depressants like alcohol.

The problem with drunks is that they commit violent crimes (particularly domestic ones) in a way which potheads don't

At least, not until the potheads turn psychotic. At that point they're perfectly capable of violence.