OP-ED Opioids: A Dark Allure With Deep National Security Implications

Housecarl

On TB every waking moment
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https://www.realcleardefense.com/ar...ep_national_security_implications_113074.html

Opioids: A Dark Allure With Deep National Security Implications

By Ming Xu & Jonathan Sawtelle
February 19, 2018

The American opioid crisis is a slow burning rot with deep national security implications. The dark allure of opium--the strongest, most addictive, and now most accessible depressants ever known—erodes communities and incurs economic losses. The crisis, causing 63,600 deaths in 2016 and 52,000 in 2015, is bestowing quantifiable and devastating harm to children, friends, family and communities into the next generation. Strained morgues and burgeoning orphanages are monuments to families eternally separated and communities at a loss for solutions. Healthcare costs compound losses of workforce productivity and tax flows. Unaddressed, these local tragedies will culminate in a reduction of national military readiness for years to come—even as China, the primary source of the dangerous opioid fentanyl rises to power parity with the United States.

Able-bodied volunteers underwrite military readiness. Even before the crisis, qualified or interested candidates are a slim minority. The U.S. Defense Department says, “71% of America’s 34 million 17-24 year-old population could not qualify medically for military service.”[ii] Less than 1% are actually interested, and only .5% of America’s population actually serve.[iii] Opioid-related deaths and related addictions are increasing slightly in the 17-24 year-old population, chipping away at this already narrow recruiting pool. [iv] The future looks bleak. America’s labor force, 25-44 year-olds, the age group most likely to be today’s parents of tomorrow’s recruits, are leading the stats in the most number of opioid-related deaths, most reported addictions, and greatest percentage increase in both categories each year since 2015.[v] Consider this devilish effect of opioid addiction on recruiting: A small business in northeast Rustbelt Ohio actually has a hiring problem—management is unable to find qualified workers who can pass the drug test.[vi] Recruiting stations nationwide may face the same issue in the coming decades as orphans in foster care struggle to achieve parody of stable upbringing, education, health and wellness of children raised in a family. While qualified volunteers guarantee the national security of the United States, it is backed by immense budgetary resources—both at risk.

A Center for Disease Control report estimates “the [U.S.] economic burden of prescription opioid overdose, abuse, and dependence…to be $78.5 billion each year.[vii] Nationally, opioid tragedies cost state and local governments more than $7 billion in law enforcement budgets, court cases and incarceration. In 2013, Medicare and Medicaid spent $2.8 billion on substance abuse treatment. Center for Disease Control data from 2001 to 2012 estimates in-patient admission costs increased $50.1 million per year for heroin and opioid addicts, and an increase in hospitalization costs of $700 million annually.[viii] A study by Regional Economic Modeling Inc. estimated opioid abuse reduced workforce productivity by $40 billion[ix], decreasing tax revenues even as the federal budget and national debt reach an all-time high. Any additional decrease in tax revenue is in direct competition with existing defense and mandatory health care spending. The outlook is dark, the prospects grim, but the U.S. can draw from recent history to see the potential national security risks of an entire country recently seduced by opiates.

America need only examine the roots of President Xi Jinping’s “China Dream” to garner the historical cautionary tale on a population succumbed to the dark allure. Behind China’s current rapidly rising economy and military modernization lay the Century of Humiliation: one hundred years marked by foreign occupations, civil wars, and the loss of national sovereignty. Opium’s role in the downfall of the last imperial dynasty made its people destitute, subjugated to foreign will, serves as the impetus for the modern drive to make China great again.

In the mid-19th Century, opium sales reversed the trade-deficit between the Qing dynasty and the British by an astounding 300%.[x] The downturn of silver in Qing coffers stifled innovation and eroded military readiness. A dulled military-edge resulted in the loss of the first Opium war and a series of foreign occupations.[xi] Drug related corruption in the ruling class eroded governing effectiveness, and civil wars erupted. Opium addiction corrupted every level of Chinese society, and its downfall was a fate the population, once seduced, struggled for one hundred years to overcome.

The role Chinese-made fentanyl plays in today’s U.S. opioid crisis makes for bitter historical irony. Profiteers and smuggling elements within China and the U.S. assure Americans steady access to cheap narcotics, fentanyl, and heroin. U.S. law enforcement and drug control experts point to China as the primary source. However, the internet retail revolution exacerbates the opiate supply line, lacking any meaningful government intervention.[xii]

America’s citizens, residents, institutions and leaders must address this crippling epidemic spreading from sea to shining sea. This month, China celebrated the Spring Festival, its new year’s tradition. China has already resolved to rise from its opiate-induced slumber and become a global superpower. In the U.S., New Year’s Day has come and gone with only the seeds of nationwide conversation. America must understand the dire impacts and resolve to reverse course, we the people will not have a hundred years to do so.

Ming Xu and Jonathan Sawtelle are U.S. Air Force officers. The views expressed are their own opinion and do not reflect the views of the U.S. Air Force or the Department of Defense.
Notes:
https://www.cbsnews.com/news/opioid...ths-us-life-expectancy-drops-for-second-year/
[ii] http://www.businessinsider.com/heres-why-most-americans-cant-join-the-military-2015-9
[iii] http://www.nytimes.com/2013/05/27/opinion/americans-and-their-military-drifting-apart.html
[iv] CDC. https://www.cdc.gov/drugoverdose/data/statedeaths.html
[v] https://www.cdc.gov/mmwr/volumes/65/wr/mm655051e1.htm
[vi] http://www.cnn.com/2017/07/29/us/ohio-factory-owner-cnntv/index.html
[vii] https://www.cdc.gov/mmwr/volumes/66/wr/pdfs/mm6626a4.pdf
[viii] Douglas, J. Hsu et al. “Hospitalizations, costs, and outcomes associated with heroin and prescription opioid overdoses in the United States 2001-12”, Addiction, 112/9, September 2017, p1558.
[ix] http://www.remi.com/wp-content/uplo...-the-Opioid-Crisis-REMI-Webinar-11-9-2017.pdf
[x] Julia Lovell., The Opium War: Drugs, Dreams, and the Making of Modern China, (The Overlook Press: New York, NY), 2011.
[xi] Julia Lovell., The Opium War: Drugs, Dreams, and the Making of Modern China, (The Overlook Press: New York, NY), 2011.
[xii] Nathanial Popper, “Opioid Dealers Embrace the Dark Web to Send Deadly Drugs by Mail,” 10 June 2017, https://www.nytimes.com/2017/06/10/business/dealbook/opioid-dark-web-drug-overdose.html
 

Dozdoats

On TB every waking moment
Build a society that pushes drugs on kids practically from birth and this is what you get. Feel sick, take our pill commercials every ten minutes on the teeveee...
 

Melodi

Disaster Cat
Yep, and bring real pain patients to the brink (or over) of suicide by treating them like criminals or telling them to "suck it up and take an aspirin;" that is a very different problem from health 20 somethings using pain drugs for self-medicating their depression or for kicks.
 

Luddite

Veteran Member
Yep, and bring real pain patients to the brink (or over) of suicide by treating them like criminals or telling them to "suck it up and take an aspirin;" that is a very different problem from health 20 somethings using pain drugs for self-medicating their depression or for kicks.

I agree completely. I witnessed another aspect recently. A twenty-something I know got an arm slightly mashed in a construction mishap. Employer made him go to ER. He told them at ER reception area he didn't want pain meds and he nor his company would pay the bill if they brought a scrip out with his name on it. He told me the pain wasn't too bad and he knew he would be there hours while they finally got around to cycling him through the process. It turned out they got him through an xray and out of there very quickly. He told me that refusing pain meds gets you treated differently. This kind of thing never occurred to me but he's seen some of his peers play the er pain game. Sad that pain management has devolved into this kind of drama.
 

Dozdoats

On TB every waking moment
They got crack for the blacks, and meth and opiods for the honkies.

'Bout got the entire population hooked now ... lots of profits for the Dark Side, too.
 

coalcracker

Veteran Member
Thoughtful and well-written OP.
China has certainly taken advantage of our weak situation. Classic Chinese war strategy. Patient. Sun Tzu.

Can only blame ourselves. Our "me first" lifestyle leads to psychological alienation. Be thankful that you are not growing up in this generation. There are no national, cultural, or religious anchors. You float aimlessly in the waters of public schooling and social media. You desensitize your soul to violence at an early age via tv and video games. Sex and fast food are frequent, but they give no lasting satisfaction. Your soul is vacant. Your life is meaningless. Life sucks.

Enter opioids.

Of course, all generations have faced some level of alienation and temptation to escape via drugs/alcohol. All teens have lived the "me first" mantra for a long time. The difference now is that our culture has become void of religion, patriotism, and groups that teach service to others. These harbors provided some rest, some opportunities to find meaning, in years past.

America's problem isn't opioids. It goes much deeper.
 

cleobc

Veteran Member
Just heard the statistic on Fox that 40% of opiod deaths were from prescription meds. A large percentage of that is going to be illegally obtained prescription meds. The glaring 60% is heroin and fentanyl abuse. Heroin isn't even mentioned in these stories. Mexican illegal immigration soared during Obama's administration and the smuggling of heroin soared as well. The huge amount of heroin available dropped prices and made it more attractive to young drug users.

Why are the vast majority of deaths being ignored to focus on prescription med abusers and imply that everyday people are dropping like flies?

Discouraging the use of recreational drugs and acknowledgement of the import of drugs by illegal aliens would help slow the traffic and use. Why do they ignore this issues?

I have felt for a long time that if liberals had created a campaign against drug use like their campaign against tobacco use (it kills you, it's not cool, etc.), they could have saved thousands of lives. But they won't--because they are users themselves. Liberals' children suffer and die from drug use but liberal politicians will not take a stand because they know that a large percentage of their supporters are recreational drug users.
 

tech

Veteran Member
The entire premise that drugs are alluring is a damning statement. It is indicative of the lack of morals, discipline and sensibility widely prevalent throughout society.
 

20Gauge

TB Fanatic
I agree completely. I witnessed another aspect recently. A twenty-something I know got an arm slightly mashed in a construction mishap. Employer made him go to ER. He told them at ER reception area he didn't want pain meds and he nor his company would pay the bill if they brought a scrip out with his name on it. He told me the pain wasn't too bad and he knew he would be there hours while they finally got around to cycling him through the process. It turned out they got him through an xray and out of there very quickly. He told me that refusing pain meds gets you treated differently. This kind of thing never occurred to me but he's seen some of his peers play the er pain game. Sad that pain management has devolved into this kind of drama.

i've done the same when I go to the doctor. No pain meds for me. They do look at you a little strange, but I guess I have a higher pain tolerance.
 

20Gauge

TB Fanatic
The entire premise that drugs are alluring is a damning statement. It is indicative of the lack of morals, discipline and sensibility widely prevalent throughout society.

True, but people have always wanted something to help them detach from the world if only for a little while. It's human nature.
 

WalknTrot

Veteran Member
I found out when I had a total knee replacement that I'm highly allergic to any opiate or synth. Even Tramadol sends my throat to closing up and face swelling. Tylenol w/codeine not tolerated either. So, did a total knee on OTC Tylenol, ice and exercises. I was doing farm chores and driving a stick shift P.U. (new left-knee) the day I came home from the hospital third day post-surgical.

It's only pain and though I know I have a high tolerance - it can be done. Especially short-term. I DO understand that chronic pain is a whole 'nother deal, but I have dealt with that too, with the help of a sports-med Doc....opiate-free. They have stronger, prescription NSAIDS at their fingertips that work really well - don't know why they aren't used more often, especially for acute pain.

It always drove me nuts the way they pushed the synths on my elderly Dad whenever they saw an excuse. He liked the stuff waaaaaay to much, and was getting close to dependent. That plus he drank like a fish. Ahermmm...I had to get sorta in his face (and the Doc's) about it.
 
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