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I had originally posted this in the Friday fun thread but it turns out that it was killing the vibe in there. Not sure what I was thinking. Anyway...
Note: I will completely qualify Portugal Europe and Portland Oregon in this article because they're easy to mix up.
Is liberalism peaking in Oregon?
In 2020, the state of Oregon passed a referendum, ballot Measure 110, which decriminalized all drugs(!) with a vote of 58% in favor.
Voters in Oregon (such as myself) believed this was the path to enlightened drug policy, being informed by the revered Portugal Europe model. Tacked onto the referendum was a bit of social justice theory as well: the police would be required to document in detail the race of anyone they stopped from now on for any reason. To ensure the police weren't disproportionately harassing the 2.3% of the population that's black.
As an occasional drug enjoyer, I do find it a relief to wander the streets of Portland Oregon squirting ketamine up my nostrils like I'm a visionary tech CEO without fear of police. But in broad strokes it appears to be a disaster.
Indeed, the ensuing data was an almost perfect A/B test, the kind you'd run with no shame over which kind of font improved e-commerce site checkout conversions.
By 2023, Oregon's drug overdose rate was well outpacing the rest of the country, so much so that the police officers regularly Narcan with them and revive people splayed out in public parks. Sometimes the same person from week to week. It's true this coincides with the fentanyl epidemic, which could confound the data and have bumped up overdoses everywhere but that wouldn't explain alone why deaths have especially increased in Oregon. The timing fits M110.
https://www.axios.com/local/portland/2024/02/21/fentanyl-overdose-rate-oregon-spikes
At some point someone decided to compare notes with Portugal Europe's system. Some stark differences!
https://gooddrugpolicy.org/wp-content/uploads/2024/02/PortugalvOregon1.pdf
Briefly, Portugal Europe uses a carrot and stick model with a lot of negative incentive, whereas Oregon just kinda writes a $100 ticket and suggests calling a hotline for your raging drug problem maybe.
In the first 15 months after Measure 110 took effect, state auditors found, only 119 people called the state’s 24-hour hotline. That meant the cost of operating the hotline amounted to roughly $7,000 per call. The total number of callers as of early December of last year had only amounted to 943.
The absence of stick appears to not be very effective in encouraging users to seek treatment.
Are the kids having fun at least? https://www.nytimes.com/2023/07/31/health/portland-oregon-drugs.html (paywall bypass: https://archive.ph/fHxWk)
That's the brightest part of the article. The rest is pretty depressing and sad and sickening and worrisome.
After a few years of this, the Oregon legislature yesterday finished voting to re-criminalize drugs.
The NYT again https://www.nytimes.com/2024/03/01/us/oregon-drug-decriminalization-rollback-measure-110.html (paywall bypass: https://archive.ph/3zksH)
The governor has indicated that she would sign.
Critics are out in force, arguing that the legislature overrode the will of voters (remember it was passed by referendum) and that the state sabotaged the program by not efficiently distributing treatment resources to addicts. This poster believes the low uptake and missing negative incentives prove that drug harm reduction is not primarily about access to treatment, but about incentive not to use. I do sympathize that better public services and addiction resources that people actually trusted would help, but fentanyl complicates the situation substantially. People need to hit bottom before they seek help (or so goes the popular saying) but fentanyl is so potent and unpredictable that they're dying of an unexpected OD before they find themselves at bottom, ready to seek change.
Frankly, I'm surprised Oregon repealed this so quickly. Has liberalism peaked in Oregon?
As someone who voted for the referendum back in 2020, I'm a little sad that some of the overdose deaths are on my hands. Kind of. Like 1 millionth of the overdose deaths perhaps. It's good to run experiments though, right? This was a pretty good experiment. We at least have an upper bound on how liberal a drug policy we should pursue.
I believe this shows Oregon is not quite as ideologically liberal as previously led to believe. Or, at least, not anymore.
Portland is not quite progressive enough. Why not go all the way like Canada and have MAID for drug addicts? Now that's a compassionate way to handle social issues.
Don't worry, there is still time for even more deaths for your buck.
This feels mostly boo-outgroup. Setting aside both the moral arguments and factual issues of how Canada uses MAID, it's obvious that most of the drug addicts already have access to effective lethal injections if they wanted to use them, so the ones who are alive are probably ones who don't want help dying.
Yet fentanyl is a notoriously lethal drug. It appears hard to argue that somebody voluntarily taking fentanyl or products routinely laced with fentanyl is not somewhere, seeking death.
Perhaps I just have a tendency to find slopes slippery, but a community that chooses to turn a blind eye to this type of practice seems to be practicing some form of soft MAID. If supporters of 'soft-MAID' are uncomfortable with calling it MAID, why is that? Is there something wrong with helping people end their suffering?
I don't really know about this fuzzier sense of "seeking death". Maybe that is what some of them are doing. Speaking as guy who fully expects to take his eventual death into his own hands but doesn't expect to ever abuse opioids, it's not what I would do if I were seeking death, but I can see how it could be that way for some. Certainly it's not a thing to do if you're unwilling to risk death. Regardless, I don't think most of the ones who are alive are seeking death in the immediate sense -- the sense in which they would actually choose to make use of a MAID kit if it were offered to them.
I grant there's not a bright line between
(1) "refrain from taking away the means for people to kill themselves"
(2) "actively give people the means to kill themselves",
(3) "kill people at their request",
(4) "kill people people at your discretion"
It's appealing to try to erect a fence between (1) and (2), which separates decriminalization of potentially lethal drugs from MAID. A fence between (1) and (2) looks like making it generally permissible to possess but not to distribute. But of course this runs into problems with the presumption of "intent to distribute", and with the substantial overlap between users and distributors.
Personally, I don't care so much if people who want to die actually do so, and don't believe it's possible or desirable to spend a lot of effort to prevent this in general. It is worth spending effort to make people less inclined to self-destruction in the first place, and maybe keeping them from initially getting their hands on substances that set them off down the spiral is an important part of that. Ultimately I just don't know enough about why these people are abusing these drugs in the first place -- hard to believe it's that they don't know what road they're stepping into when they start.
I suspect the root of the problem is that we don't know how to build the "rat park" mentioned elsewhere in this thread, neither can we actually stop the movement of the fentanyl, so none of this going to get "solved" in any way that doesn't look like brutally grinding a bunch of unfortunates under society's heel. It's not surprising that this is unpalatable enough for people to try just looking the other way.
I consider the whole thing itself as just another aspect of a sick society. It is valuable to go and attempt to rescue some of these poor souls, like a one-man Rittenhouse crusading against urban Covid super-spreaders, but ultimately, it's like bailing out with a spoon.
It's hard to say exactly where charity should be placed, but there does appear to be some more effective approaches to drug containment, namely in El Salvador or the Philippines, we don't necessarily have to throw our hands in the air. 'Aaaah these people are just desperate, no can do, drugs will just keep flowing' Which I suppose would still largely be included in
Whether your child OD's, cuts their genitals, becomes a girlboss dogmom, a journalist, join the reddit volunteers for Ukraine or immolates themselves for or against Israel... It's all some failure of parenting that's unfortunately incredibly common because overcoming the odds requires some serious skills in this century.
It's cute we can still laugh at the "A|B testing" ravaging our cities like this is all a Sim City game and we can load after the aliens destroyed the map.
It is cute but I think it's actually good to run experiments? Don't we bemoan vetocracies and general unwillingness by politicians to take risks? Initiative petitions (referendums) appear to be a good outlet for some direct democracy.
We do get some good outcomes from time to time and the fact that we rolled back so quickly is a credit.
If you asked this question two years ago I'm sure the sentiment would have been that the West Oregon leftists that dominate state political power would never roll back such a pro-drug law that was wrapped in racial justice.
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