911… What’s Your Emergency?

The opioid epidemic in the United States is continuing at an exponential rate.  According to the Centers for Disease Control and Prevention (CDC), over 28,000 people died from an opioid overdose in 2014.  In 2015, that number jumped to more than 33,000, then more than doubled to over 64,000 deaths in 2016.  At the current rate, more than 145 people die per day from opioid overdoses, with the majority of those affected living in rural, White America.

The beginning of the opioid epidemic started in the late 1990s.  During this period, pharmaceutical companies began marketing new opioid pain relievers, promising the medical community that opioids prescribed for pain relief were not addictive.  With such reassurance, medical providers began prescribing opioids at higher rates than the staple pain relievers of the time, Motrin and Tylenol. The increased amount of prescription opioids in circulation lead to the widespread misuse and abuse of prescription opioids, as well as an increased use of heroin.

In response to the opioid epidemic, America has funneled millions of federal funding to combat the crisis, with some of the funds directed towards law enforcement programs that assist those battling addiction and facing prison time.  The passing of the Affordable Care Act (ACA) was one of the first measures to combat the opioid crisis.  The ACA required coverage of substance abuse treatment with all marketplace plans. In late 2016, Congress passed the 21st Century Cures Act, which created $1 billion in Opioid State Targeted Response (STR) grants to enhance states’ response to the epidemic.  In 2017, the Secretary of Health and Human Services (HHS) declared the opioid epidemic a public health emergency and rolled out HHS’s 5-Point Strategy to combat the epidemic.  A Traveling Opioid Memorial was also created to educate the masses on the effects of opioid addiction.

I can’t help but wonder where were all these resources and sympathy during the crack cocaine epidemic of the inner cities in the mid-1980s and early-1990s when the majority of faces affected were black and brown?  Instead of allocating funds to prevention and recovery of crack cocaine addictions, America used billions to fund the ‘War on Drugs.’ Congress enacted mandatory sentencing via the Anti-Drug Abuse Act of 1986, with harsher sentences given to offenders of crack cocaine as opposed to powder cocaine at a rate of 100-to-1.

Just recently, Demi Lovato was hospitalized for an apparent drug overdose. There has been an outpouring of support. Fans have even created a hashtag #HowDemiHasHelpedMe to showcase how Demi helped fans with their own struggles. Demi and those battling addiction now are offered rehab and protection from jail, while those who battled crack cocaine addictions were shuttled off to jail by the thousands.  I am all for shifting sentiment as we evolve as a society, but I can’t help but wish that Whitney Houston and Amy Winehouse had similar support during their battles with addiction.

The effects of criminalization and mass incarceration of crack cocaine addiction, rather than treating it as a disease, are still felt to this day.  Before the ‘War on Drugs,’ the number of people in the US imprisoned for non-violent drug offenses was well under 50,000. By the year 2000, this number increased more than 6-fold, with the majority of those imprisoned being Black men, according to the Bureau of Justice statistics.  Due to this high incarceration rate, there were more Black men in prison than there were in all of higher education across America. It wasn’t until 2010 when the Fair Sentencing Act was passed did the discrepancy between crack cocaine and powder cocaine offenses reduce from 100:1 to 18:1; however, due to mandatory sentencing, many offenders are still locked up.  The economic setbacks caused by a lack of family unit and poor education will continue to impact the Black community for years to come as they struggle to catch up to their White counterparts.

In the end, I wish Demi Lovato well.  As a healthcare professional, I’ve understood for years that addiction is a disease with constant battles and many setbacks no matter how strong-willed a person is.  I’m certified to administer and carry naloxone, the drug used to temporarily reverse the effects of an opioid overdose, and I do my part to ensure opioids are only prescribed for legitimate reasons.  The battle to conquer the opioid epidemic is far from over. In order to resolve this crisis, America needs to do a lot of self-reflection and figure out why are so many Americans self-medicating.

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(Feature image description: Len Bias, drafted by the Boston Celtics with the second overall pick in the 1986 NBA Draft. Ironically, Len never got a chance to wear a Celtics uniform.  He unfortunately died from a cocaine overdose 2 days after the Draft.  Artwork by  TruArtist83.  Visit his Website or Instagram for more conscious art.)  

[2017 In Review] Reactionary Policy Kills Dreams (DACA)

Congress, which has an approval rating less than 20%, now controls the fate of nearly 800,000 immigrants. Time is running out. Considering this White House and everything that’s going on in the world, it’s easy to forget about this critical issue. A few months ago, one of our contributors wrote a compelling piece regarding illegal immigration and why this President is wrong.

Here’s the original article…

“Just as the DEA’s (Drug Enforcement Agency) work in the “war on drugs” is primarily reactionary, meaning most of their enforcement is done to those who do business after narcotics have entered the United States, illegal immigration enforcement efforts are primarily against the illegal immigrant and not against the structures supporting their illegal immigration.”

To further to my above statement (technically a run-on sentence), drug enforcement stops roughly just 1% of the illegal drugs that enter the United States. Since 1972, the United States via local, state, and federal law enforcement has spent over a trillion dollars ensuring little Johnny doesn’t smoke weed. What do we have to show for it? We have more than 2.6 million people in prison and over half of them are there for drug related “crimes.” That’s more than any other nation, a million more than China. Yes, that China, the one with 1.2 billion people. The one where basic freedoms aren’t allowed and anything and everything will land you in prison; yet, somehow their prison population is one million less. I digress.

Back to illegal immigration.

Remember the classic Denzel Washington movie “Training Day”? It’s classic because it came out 16 years ago – newborn babies who just arrived when it hit the theaters are now driving, yikes! Anyway, there’s a scene in which Denzel is sitting in a restaurant with three judges. One of the judges tells Denzel’s character, Alonzo, about a case in which a man avoided prison because he claimed insanity. His proof was spreading peanut butter between his buttocks, and when hearing about this, Alonzo says, “Well, he earned his freedom.”

So, what does “Training Day” and the war on drugs have to do with President Trump ending DACA (Deferred Action for Childhood Arrivals)? First, let me explain exactly what DACA is. DACA is an Obama-era program that shields young undocumented immigrants from deportation. The purpose of DACA is to protect eligible immigrant youth from deportation who came to the United States when they were children.

Now, let’s start comparing. First, let me use the “Training Day” reference, and quite frankly, you can find a “Training Day” comparison for anything. When Alonzo said, “he earned his freedom” in reference to getting out of jail, I compare this to children who arrived in the United States via their parents. The children at 9 obviously couldn’t tell their parents, “Naw I ain’t going,” when forced to leave their country for the United States. For that, how can one realistically penalize them? Furthermore, for those children born in the United States, there’s a thing called the Citizen Clause in the 14th Amendment, in which it states, “All persons born or naturalized in the United States, and subject to the jurisdiction thereof, are citizens of the United States and of the State wherein they reside.” Even Trump should be able to decipher that one. Constitutionally speaking and common sense wise, the children have earned their right to be United States citizens. No need to join the military, recite the pledge of allegiance backwards, or take a test in which most Americans would fail, to solidify their citizenship.

That takes care of the children, now the parents.

By definition, an illegal immigrant is a foreigner who enters the U.S. without an entry or immigrant visa, especially a person who crosses the border by avoiding inspection or who overstays the period of time allowed as a visitor, tourist, or businessperson. And though many of us as Americans like to think we’re the greatest and most happening; we do have a lot going on for sure, but people aren’t risking it all to come here to just go to Chick-fil-a or watch a ballgame. No. People come here for a very specific reason. Primarily to land work and a chance to better their current situation. It’s as simple as that. They don’t come here to rape and pillage the American landscape.

Just like the DEA’s work in the war on drugs is mostly against dealers and those involved in the drug trade within US borders, enforcement of illegal immigration is mostly against individuals and not the structure or system which enables their efforts prior to illegally entering our country. Efforts against the businesses and entities supporting the lifestyle of one who is illegal aren’t enforced with the same punishment and veracity. Meanwhile, back at your typical Trump rally, the call to round up the owner of Jed’s construction, who employs and pays illegal immigrants, isn’t as loud as it is to remove the workers he employs who made efforts to come to the United States.

In other words, just like the DEA fails to stop the drugs from entering the United States, immigration enforcement fails to truly address the support structures that keep illegal immigration alive and well.

Lastly, I’m one who supports reasonable legal immigration efforts. I understand the need to address illegal immigration; but, unlike President Trump I also understand there needs to be more serious efforts and disdain directed towards the elements behind illegal immigration and not the person simply trying to make a buck… even if it’s only to buy a chicken sandwich.

This article was originally published on 8 September 2017.

More on DACA?

Trump Ends DACA, America’s Top Universities Respond