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Culture War Roundup for the week of February 14, 2024

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This will probably get some play and is a bit of a different topic. Former CEO of YouTube CEO Susan Wojcicicki son died of a drug freshman year of college at Cal.

https://www.nbcnews.com/news/us-news/former-youtube-ceos-son-found-dead-uc-berkeley-rcna139355

The obvious implications is he took something laced with fentanyl. Culture war wise concerns about fentanyl are red coded though issues with fentanyl seem apparent in both red and blue states and people.

Overall I feel like this issue has lost its place in the news cycle. A quick google overdose deaths topped 112k in 2023 an all-time record. I am seeing a current U.S. population of 334 million. So to put this in perspective 112k multiplied by an average lifespan of 80 years is like 9 million deaths. Or close to 3% of US population at current rates will die by a drug overdose. I think I can fairly say it’s a huge issue even if you disagree with how I’m calculating the average persons risks of OD at around 3% in their lifetime.

Quick analysis of the kid he looks in shape for a 19 year old and was majoring in math so he’s the dream of any parent. Odd thing is he was found unresponsive at 4:23 pm on a Tuesday. That is going to be weird and details will come out as that time frame is more of an addict death. Versus I expected a weekend OD and he did some fentanyl laced coke/Molly during the weekend.

From people I’ve talked to opioids are amazing. I do not know if I’ve ever done them. They have to be if people do them. I’ve done molly/coke/mushrooms in the past. The big thing to me is I’m paranoid I’m doing something laced now and have largely cut out doing anything now.

The midtwit take is that dealers either sell both and cross contaminate or lace other drugs to get people addicted. Personally opinion and perhaps a difference without a difference is it’s probably lacing just so people say it’s the good shit.

Sorry for their loss.

Culture war issues

  1. Plays into the immigration debate of not controlling the border

  2. Blue states seem to be adopting a let it happen and treat but it doesn’t seem to be working

  3. War on drug topics. I don’t think the old war on drugs ever dealt with the death rate we have now but war on drugs doesn’t seem stupid when it’s a 3% population level lifetime death rate which is far higher than COVID and killing people with high life expectancy

  4. Other policy considerations. Some would say things like legalize drugs to kill fentanyl and people get “safe” drugs. Some conservative arguments that something’s should just be illegal. Opioids probably are fantastic but the death rate for someone who tries opioids seems extremely high.

My numeracy tells me this is a big problem and I believe an order of magnitude bigger problem than COVID. I don’t think it’s quite as hard coded in culture wars.

A quick google overdose deaths topped 112k in 2023 an all-time record.

[...]

I believe an order of magnitude bigger problem than COVID.

Trying to put some actual numbers to this:

According to the NYT COVID data page, weekly COVID deaths in the past year have ranged from 490 (July 2-8) to 2,462 (Jan 7-13) or 0.9%-3.6% of all deaths. Of course, this is deaths from acute COVID, actual COVID deaths is somewhat higher than the official numbers, but hard to get good data on how much higher, so let's stick to these numbers. Also, going back further the numbers are a lot higher and less regular, I'm assuming the past year is a much better approximation of what to expect going forward than including any older data. (Also, I'm not seeing an official 2023 death count... looking I found this 2022 report published in May 2023 so it's probably just too early for finalized 2023 numbers.)

112k/52 = average 2,153 deaths/week from overdose deaths, doesn't seem hugely different from number of COVID deaths, although since overdose doses are mostly young and COVID deaths are mostly old, measuring in QALYs would likely paint a different picture... although if you're measuring QALYs, not trying to measure the impact of post-COVID conditions seems unfair, and I'm not sure how that would affect the conclusion.

There's also the obvious issue that COVID is practically unavoidable, although there's ways to reduce the impact (vaccination, antivirals, not getting old being healthier), while avoiding an overdose is straight forward: Don't Do Drugs(tm). Or, at least, that's the oversimplification in the popular conception of the two.

Yes when I say OD are an order of magnitude (or close to that) bigger issue it was adjusting for life expectancy loss.

Yeah, it's bad.

If you have a 3% chance of dying of an OD, and the average OD death shaves 50 years off a person's life, then easily 10% of life expectancy reduction is due to overdoses.

Someone might object that, when a junky finally ODs, society has not actually lost that much. Which is somewhat true. But that's only because of how much was already lost when a healthy person was gradually turned into a junky in the first place.

Let's consider the millions of people who are harmed (but not outright killed) by drug addiction. In terms of QALYs lost, drugs are one of the worst perils our society faces, possibly up there with heart disease and obesity.

A new war on drugs would save the equivalent of millions of lives.

A new war on drugs would save the equivalent of millions of lives.

If, really big if, it is effective.

Comparing the badness of various problems to COVID isn't a meaningful basis for a response because the response to COVID wasn't driven by how bad it is.

It's tempting though, isn't it?

"We spent 10 trillion for zero (or possibly negative) value during Covid. Surely we can spend 10 billion on my issue".

Also works for Afghanistan/Iraq wars.