[HN Gopher] Drug overdoses are soaring during the coronavirus pa...
       ___________________________________________________________________
        
       Drug overdoses are soaring during the coronavirus pandemic
        
       Author : antigizmo
       Score  : 123 points
       Date   : 2020-07-02 21:21 UTC (1 hours ago)
        
 (HTM) web link (www.washingtonpost.com)
 (TXT) w3m dump (www.washingtonpost.com)
        
       | williesleg wrote:
       | No kidding, just read all the shit in the news and here on what's
       | supposed to be a tech news site, it's enough to make anybody do
       | that.
        
       | flattone wrote:
       | A lot of drug trade has stopped due to border closures. Obviously
       | cannot reveal sources. I guess technically i am the source of
       | info, knowing folks who are nervous to make house payments due to
       | mexico border
        
         | perardi wrote:
         | A lot of not-that-illegal-but-still-illegal drugs that are
         | manufactured in bulk in China and India are still coming in
         | just fine.
         | 
         | Source: my sources.
        
       | yingw787 wrote:
       | I remember talking to a technically minded friend about my
       | clinical depression, and I remember how she mentioned building an
       | app to help solve it. I remember thinking at the time how
       | sometimes building an app isn't the solution to a problem.
       | 
       | Sometimes the best solutions are the simplest, most
       | straightforward, and the least innovative ones: voting in
       | policymakers who craft empathetic public policy, donating to
       | charity, being there for a friend.
       | 
       | Hope you all are doing well :)
        
         | Melting_Harps wrote:
         | > I remember thinking at the time how sometimes building an app
         | isn't the solution to a problem.
         | 
         | > Sometimes the best solutions are the simplest...
         | 
         | I agreed with your reasoning and logic but not your conclusion.
         | 
         | And while I'm a proponent of UBI, and to an extent Andrew
         | Yang's platform, simply voting someone in doesn't solve the
         | many pitfalls of the Human Condition. Which includes, but is
         | not limited to, finding value and self-wroth from one's
         | achievements and work in Society and in Daily Life.
         | 
         | Nothing stops you from going and planting a community garden,
         | or if that's not available in your area guerilla gardening, or
         | volunteering in several capacities. Even taking up hobbies you
         | may have put off is a very good use of time. Or launching a
         | side gig that can teach you new skills in a otherwise neglected
         | facet of your Life.
         | 
         | I personally went back to school in Jan as a plan B to my
         | pursuit to go to SpaceX, as I have been out of Supply Chain
         | since 2017 when I left BMW and VW, and that has kept me pretty
         | engaged. On top of that I also have neglected off-road project
         | I needed to do some much needed maintenance on after driving
         | through the 3ft+ of snow, so while my normal social-life has
         | completely gone away (and I feel it, although they did
         | temporarily open the clubs last week for 2 nights, only to re-
         | close this weeks events) I'm still pretty engaged with my old
         | team as well as have school and cars to keep me engaged--
         | honestly, this feels too much like HS for my taste.
         | 
         | In short: Public Policy can and should address many things,
         | like de-funding and de-militarizing the police to focus on
         | community outreach, but it cannot overcome the many perils of
         | being Human. We need to feel engaged in our Community and
         | within ourselves, and I think very few people have adjusted to
         | that well, as most of Civilization has been built on overcoming
         | the (in)convenience of Life and left very little room for self-
         | reflection.
         | 
         | Sidenote: I've been chef for the past years after leaving Tech,
         | and the way restaurants operate now is completely odd and not
         | at all appealing to me for in-room dining; I went with some
         | friends and it's not at all pleasant, and they let us take off
         | our masks at the table/bar area we were sat at. I don't foresee
         | myself going on dinner dates at a resteraunt anytime soon. Its
         | good for a take out deal and walk somewhere or go home, but I
         | can cook, so the ambiance is really the only thing I pay for.
         | 
         | > That's a hilarious sort of tech delusion that people make fun
         | of
         | 
         | Honestly, that seemed like something Mike Judge wrote if we had
         | a new season of COVID based Silicon Valley, I can see the main
         | character pitching something like:
         | 
         |  _Pied Piper now has a mood optimizer attached to your VR
         | headset and relies on real-time data acquisition gathered from
         | your fitbit to adjust the visuals to fit your Lifestyle!_
         | 
         | I'm glad I left the Valley when I did. The collective mind-set
         | there is not just delusional, its outright absurd and perhaps
         | even dangerous. Having so many people unable to do even basic
         | tasks outside of their controlled environment/World is a
         | disaster waiting to happen.
         | 
         | Honestly, I'm looking forward to the crazy twisted things
         | coming out of Charlie Brooker's head right now for Black
         | Mirror. I have a fan-art script I have been working on/off for
         | years that probably would go really well in this social
         | distancing era as it was about the emergence of people like
         | this, and oddly enough I started writing it only months before
         | this article came out in 2014:
         | 
         | https://www.huffpost.com/entry/eating-in-front-of-webcam-sou...
        
         | cosmodisk wrote:
         | As long as it's not written in JS,right? Your friend's solution
         | to the problem,while quite hilarious, shows a complete lack of
         | understanding of how the world works among some techies. That's
         | why we end up with AI based dog leash, remote juice press,or
         | watches that do everything but show time...
        
         | copperx wrote:
         | Your friend must be hilarious. I don't think anyone would say
         | something like that seriously.
        
           | chongli wrote:
           | I also knew someone who built an app to try to help depressed
           | people. She was pretty serious about it. As a person who has
           | battled depression off and on, I also found it difficult to
           | believe someone would take such an app seriously.
        
             | Mirioron wrote:
             | It depends on what the app does though. One of the ways
             | people cope with things like that is escapism. If your app
             | can provide that then it can help some people. Eg a game or
             | an app for stories, jokes etc.
             | 
             | Another thing that can help with depression is exercise.
             | But it's difficult to exercise while depressed. If you can
             | somehow build an app that tricks people into exercising
             | (like Pokemon Go "tricked" people into going outside) then
             | that could help too.
             | 
             | It's not as weird as it sounds.
        
         | vmception wrote:
         | > I remember thinking at the time how sometimes building an app
         | isn't the solution to a problem.
         | 
         | Is it ever?
         | 
         | Let Apple and Google churn out that stuff. Let the rest of us
         | sell shovels for $180k/yr to tech company founders. Or $500k/yr
         | to Apple and Google.
        
         | rohitb91 wrote:
         | That's a hilarious sort of tech delusion that people make fun
         | of
         | 
         | Surely a react app is the only thing in the way between global
         | peace and happiness and harmony, let's just make a nice webpage
         | and raise hundreds of millions of dollars for it :)
        
           | baddox wrote:
           | It's also somewhat delusional to think that things will
           | change if you just vote really hard and tell your friends to
           | vote really hard.
        
         | wavepruner wrote:
         | "Sometimes the best solutions are the simplest, most
         | straightforward, and the least innovative ones: voting in
         | policymakers who craft empathetic public policy"
         | 
         | This gets extraordinarily complicated because many political
         | groups refuse to empathize with anyone who doesn't have the
         | same life experience as themselves.
        
       | pstrateman wrote:
       | The same is happening in Canada, it's because addicts are able to
       | get money from the government and they buy far more drugs than
       | they're used to having.
       | 
       | Edit: all the people downvoting me, why? not a single comment
       | 
       | seriously, this isn't a theory, it's just the facts
       | 
       | https://www.cbc.ca/news/politics/cerb-pandemic-opioid-addict...
        
         | rohitb91 wrote:
         | I've suspected it's the same and this is an extremely hard
         | conversation to have.
         | 
         | If Trudeau says 'he will take care of Canadians', how can
         | anyone argue against that? He's a hero, he's sending out $2000
         | to anyone with a social insurance number, based on the honour
         | system. In practice, people began gaming it from day one,
         | started groups telling each other how to game it, and soon the
         | disconnect between CERB applicants and actual newly unemployed
         | was in the millions.
         | 
         | If you pass a policy that gets money in to the hands of
         | Canadians, great, however, surely there should be some
         | restrictions for those who can't handle any sort of money over
         | $100 for their own health. Give a hard addict more than $100,
         | and in a night they'll overdose. Give them, people skirting the
         | line with full blown addiction, $2000, along with a border
         | shutdown limiting supply and you have a recipe for a drug
         | crisis.
         | 
         | Unintended consequences are important to acknowledge too, and
         | this I think is too hard to talk about, because how can you
         | argue with someone who is just trying to take care of
         | Canadians?
        
         | Tiktaalik wrote:
         | It's not this. After all to get CERB you need to show how
         | you've been put out of work due to covid 19. How do you do this
         | when you have no job or fixed address? How do you do this if
         | you're a sex worker selling sex for survival and your
         | occupation is illegal?
         | 
         | A side effect of covid19 is that drugs have become more scarce
         | and expensive due to the border shutdown. This may be having an
         | impact.
        
           | pstrateman wrote:
           | That's the requirements for the program, but in practice
           | anybody can get it.
           | 
           | https://www.cbc.ca/news/politics/cerb-pandemic-opioid-
           | addict...
        
           | pstrateman wrote:
           | > A side effect of covid19 is that drugs have become more
           | scarce and expensive due to the border shutdown. This may be
           | having an impact.
           | 
           | Wait, less drugs, more overdoses... what?
        
         | wolco wrote:
         | This makes the most sense. Perhaps being forced inside away
         | from someone who could say stop.
         | 
         | Which raises the question would a basic income cause more
         | misery for the general masses?
        
         | ethanbond wrote:
         | Potentially a factor, but don't you also think widespread
         | unemployment and general trauma - collective and individual -
         | could play a role?
        
           | starkd wrote:
           | Drug addiction will cause people to do truly unthinkable
           | things. They get a wad of cash, the only thing they think
           | about is drugs, and to hell with anything else. It's amazing
           | how it re-prioritizes the structure of the brain.
        
           | rohitb91 wrote:
           | Were the drug addicts the ones that were employed beforehand?
        
       | elchief wrote:
       | For Vancouverites, you can get free take-home drug testing kits,
       | here:
       | 
       | http://www.vch.ca/public-health/harm-reduction/overdose-prev...
       | 
       | There's not a _whole_ lotta point, since everything has Fentanyl
       | in it these days, except pot (probably)
       | 
       | And free Naloxone (Narcan) kits at Shopper's Drug Mart, London
       | Drugs, and other places:
       | 
       | https://towardtheheart.com/site-finder
       | 
       | They only ask your age and whether this is your first kit. No ID
       | required
       | 
       | There were 131 overdose calls in Vancouver yesterday
        
         | refurb wrote:
         | It's only a matter of time before hard drugs are legalized,
         | similar to marijuana. It'll probably take 20 years, but we will
         | get there.
         | 
         | I know Vancouver setup a legal opioid vending machine as a test
         | run. Doctor checks you out, prescribes a legal opioid
         | (hydromorphone in this case). You scan your badge and your dose
         | pops out.
         | 
         | No more stealing, prostituing, robbing, or other "hustle". You
         | just take your dose. Much lower risk of overdose and far fewer
         | complications from shooting street drugs.
         | 
         | I've read about addicts in these types of programs and suddenly
         | they don't have to hustle for 12 hours a day. They can get a
         | job. Or, they just have the time to stop and think about their
         | life and what direction they want it to go in.
         | 
         | Not claiming it's a panacea at all. But it's better than the
         | situation we're in now.
        
       | kukx wrote:
       | There are more and more reasons to open back the economy. Does it
       | make sense to keep stalling? Most likely some people will avoid
       | the infection this way, but at what cost to others.
        
         | fzeroracer wrote:
         | Texas is rapidly running out of capacity to treat patients.
         | You're saying it's a good idea to 'open back the economy'
         | knowing this?
         | 
         | [1] https://www.texastribune.org/2020/07/01/coronavirus-texas-
         | ho...
        
           | kukx wrote:
           | In the same article: "Even as new cases and hospitalizations
           | soar, the number of daily deaths in Texas has remained
           | relatively low.".
           | 
           | There may or may not be an increase of cases when the economy
           | opens. While the former is more likely the latter is not out
           | of the question, depending on whether the community will take
           | precautions like wearing masks.
           | 
           | However, if the economy stays closed, without a doubt, many
           | lives will be negatively affected.
        
             | fzeroracer wrote:
             | Also from the same article: "But experts caution that
             | rising hospitalizations today will likely result in a spike
             | in deaths in the coming weeks, and those who require ICU
             | care for COVID-19 but recover often leave the hospital with
             | lasting health problems."
             | 
             | Why did you ignore the line right after the statement you
             | quoted? What we've seen over and over in each wave of the
             | coronavirus is that the deaths lag behind the number of
             | cases by a few weeks [1]. What you're arguing for is
             | irrational and against the facts of the situation because
             | the reason why we've seen an increase in cases is because
             | our state opened up too early and too recklessly!
             | 
             | How can you honestly argue that there won't be an increase
             | of cases when the economy opens when we're facing down
             | exactly that situation?
             | 
             | [1] https://www.businessinsider.com/coronavirus-deaths-can-
             | still...
        
         | prostoalex wrote:
         | From https://www.wsj.com/articles/masks-could-help-stop-
         | coronavir...
         | 
         | > Hong Kong, with 7.5 million residents, is one of the most
         | densely populated places on earth, but recorded only six deaths
         | from Covid-19 despite having no lockdown and receiving nearly
         | 350,000,travelers a day from abroad until authorities started
         | reducing cross-border travel on January 30.
         | 
         | > The key secret of Hong Kong's success, Prof. Yuen said, is
         | that the mask compliance rate during morning rush hour is 97%.
         | The 3% who don't comply are mainly Americans and Europeans, he
         | said.
         | 
         | ...
         | 
         | > The Czech Republic was the first European country to impose
         | mandatory mask-wearing in some public spaces on March 18,
         | before it recorded the first death by Covid-19. It has since
         | reduced the number of daily new infections to below 50 and has
         | one of the lowest coronavirus death rates in the world.
        
       | maerF0x0 wrote:
       | Back when this started I made the claim that the long term
       | consequences of lock down would exceed the short term benefits .
       | 
       | Depression, Drugs overdose, murder (despair), Suicide, extra
       | sedentary issues leading to diabetese/CVD, loss of jobs/meaning
       | et al.
       | 
       | I havent seen anyone do the math of the uptick there to talk
       | about the marginal benefit of lockdown or the fact that this,
       | once again, is a form of biased benefit for the elderly at the
       | expense of the younger (elderly more likely to die, younger more
       | likely to suffer harder from lockdown)
        
         | nostromo wrote:
         | WHO has predicted hundreds of millions of people will risk
         | starvation this year due to the economic ramifications of
         | lockdowns.
         | 
         | https://www.pbs.org/newshour/show/pandemic-could-mean-260-mi...
        
         | AnimalMuppet wrote:
         | There are _medical_ consequences to the lockdown also. Things
         | like all the cancer screenings that didn 't happen because
         | people weren't going to the doctor. And the people who died
         | from heart attacks because they were afraid to go to the ER.
        
           | Klinky wrote:
           | Those aren't consequences of the _lockdown_ they 're
           | consequences of a _pandemic_.
        
             | AnimalMuppet wrote:
             | Of the two examples I gave you, I can agree on one. People
             | afraid to go to the ER could be considered a consequence of
             | the pandemic - the lockdown doesn't say "Don't go to the ER
             | if you need to". But lockdown _did_ say  "Don't make
             | unnecessary trips to anywhere, not even the grocery store."
             | Many of us interpreted that as avoiding unnecessary trips
             | to the doctor also, which is why I for one have not had an
             | annual physical so far this year.
        
               | Klinky wrote:
               | "Don't make unnecessary trips" isn't the same as "don't
               | see your doctor for necessary medical intervention". Call
               | your doctor, find out what they recommend, and/or use
               | Teledoc.
               | 
               | Regardless, if there was no lockdown, and medical systems
               | were overwhelmed, like in New York, would you have been
               | able to see your doctor then? Would you have wanted to go
               | to an overcrowded ER or Urgent Care and wait for hours
               | surrounded by infected patients?
        
         | ianleeclark wrote:
         | > Back when this started I made the claim that the long term
         | consequences of lock down would exceed the short term benefits
         | .
         | 
         | And yet the USA will both have their cake and eat it too. You
         | get both the full brunt of the virus alongside economic
         | collapse.
         | 
         | Instead of discussing the very real results of a demand
         | collapse and how to address that, we get borderline eugenics
         | posts attempting to throw more meat back into the grinder. Its
         | all so incredibly abstract, these lives you want to sacrifice
         | at your local Applebee's. But, hey, you're just worried about
         | the long-term results--you're the caring one here. Those of us
         | who want lockdown, were the ones causing the harm. Not the lack
         | of a safety net, not the collapse of consensus, not the
         | completely incompetent response, and never the fact that the
         | copper has been so thoroughly stripped from the global supply
         | chains that you couldn't even get enough masks into the country
         | with a several months headstart.
        
         | victorhooi wrote:
         | I hear these sorts of sentiments from the USA a lot - where
         | apparently people are actively rioting and protesting against
         | the health lockdown.
         | 
         | I'm from Australia - where while we've had some grumblings
         | about the health measures, on the whole, we've been pretty
         | lucky. Our death toll is 104 people - which even though
         | (comparative) low is still a tragedy.
         | 
         | Yet the USA death toll is over 130,000 people - that is a
         | terrible thing =(. I do not get how the USA can be so blase
         | about it.
         | 
         | And that is _with_ measures in place (although I 'm sure there
         | are breaches). Imagine if you simply let it run rampant, and
         | let the health system get overhwelmed? (See Italy).
         | 
         | It does seem like its overwhelming the young who are very laid
         | back about COVID-19, and chaff the most at restrictions.
         | 
         | To be frank - that seems very selfish.
         | 
         | Imagine if the virus had a 30% mortality rate in your cohort?
         | You'd be terrified.
         | 
         | (I'm young, with two young kids under 5. My parents refused to
         | see me or our kids for a couple of months, out of fear they
         | might catch it from us - I missed them as did their grandkids,
         | but I understand why - it must have been scary for them).
         | 
         | And even that aside - have you considered that a lot of the
         | economic downturn isn't from the actual health measures in
         | place - but from the uncertainty, doubt and fear caused by a
         | virus pandemic? People are scared, and that's naturally going
         | to curb some spending. We are a interlinked global economy, and
         | you cannot escape that.
         | 
         | I hope that we'll have a vaccine soon, so we can go back to
         | normal - but in lieu of that, trying to stamp out the virus or
         | contain it isn't a bad goal.
        
           | 1996 wrote:
           | > To be frank - that seems very selfish.
           | 
           | No, it seems logical: if the elderly are at risk, by all
           | means, let them shelter at home and give them money without
           | destroying the economy (as the elderly as less likely to be
           | employed).
           | 
           | Even better, for old people who need to work, give them full
           | pay every week, and just ask them in return to stay at home
           | and use uber eats.
           | 
           | But we didn't do that. Too bad: it would still have saved a
           | lot of money (and the actual economy)
           | 
           | > I hope that we'll have a vaccine soon
           | 
           | I will be generous enough to not claim my dose, to let you
           | and others test it first, to make sure there are no
           | autoimmune diseases or other bad things it can trigger
        
         | victorhooi wrote:
         | Also - I should mention - it's the job of governments to guide
         | their people through these sorts of pandemics, natural
         | disasters etc.
         | 
         | This is why government are engaging in stimulus spending, or
         | increasing their social support programs.
         | 
         | This is why they exist.
        
         | toiletfuneral wrote:
         | my partner is a nurse so I just want to say fuck you
        
         | chrisco255 wrote:
         | Not to mention long term economic consequences of permanently
         | (not sure how much of this social distancing thing will last
         | after the pandemic is over) altering human connectivity. 15-25%
         | unemployment in most developed economies right now. A lot of
         | the activities people get enjoyment out of (dancing, concerts,
         | church, school, etc) are completely shut down.
        
       | p1mrx wrote:
       | 40% seems low... how many more are just undiscovered? A lot of
       | people stopped going to work / paying bills / attending events
       | this year, so it's probably getting more difficult to notice when
       | someone is dead.
        
       | Tiktaalik wrote:
       | Gotta love how everyone is applauding the wisdom of Dr. Bonnie
       | Henry in her success in keeping the coronavirus under control in
       | British Columbia and that of the government for following all her
       | recommendations, and yet when Dr. Henry suggests that to tackle
       | the opioid overdose epidemic, that BC needs to decriminalize
       | drugs and create a safe supply of drugs for the addicted,
       | suddenly everyone stops listening to her.
       | 
       | Drug overdose deaths in BC in May eclipsed covid 19 deaths for
       | the entire year. You'd think people would be a bit more concerned
       | about drug overdoses and willing to listen to the provincial
       | health officer and follow her recommendations.
       | 
       | https://www.cbc.ca/news/canada/british-columbia/overdose-dea...
        
         | goatherders wrote:
         | I live in Vancouver but am from Texas. I think the way they are
         | dealing with the opiod issue in BC is on point and the right
         | way to deal with the crisis.
        
         | mtgp1000 wrote:
         | People are stuck at home now, unemployed, fearful about the
         | present and future, and if opioids were legalized now I have no
         | doubt that dependence and overdoses would _surge_. Most people
         | fundamentally don 't understand drugs or addiction.
         | 
         | Granted I personally believe drugs should be at least
         | decriminalized but I'm well aware that there will be a cost and
         | people have a right to be opposed.
         | 
         | If the last few months have taught me anything, it's that the
         | average person really isn't capable of avoiding decisions that
         | harm themselves and those around them with any consistency.
         | Obviously we already have laws for murder and such but drugs
         | also as it happens have a [lesser] external cost.
        
       | mnm1 wrote:
       | People are desperate. This is to be expected. Along with
       | unemployment, loneliness, hopelessness, helplessness, stress,
       | fear, and anxiety have all risen greatly. This is how people cope
       | when they are not in control of their lives and especially when
       | they don't see a path to regain that control. I would expect more
       | of this. Drug overdoses were already a huge issue because of
       | societal issues. Now, they will be even more so. In a society
       | with no community and poor job prospects, prospects for the
       | future look bleak. Can't really blame people for wanting
       | something to console them in such bleak times. For many, it went
       | from bleak to dire and horrific. The handling of the pandemic is
       | just the latest way that society has failed so many.
       | 
       | Being the richest country on earth and also the one with the
       | worst virus situation can also lead to cognitive dissonance for
       | many people. Envy of other places that are handling the situation
       | better is another thing that can lead people to despair. As is
       | having no leader or leadership, no direction, no goal, no plan,
       | and no idea of what the future will bring.
       | 
       | It's a nationwide disaster that people are simply not ready to
       | deal with. Many people here have no idea what suffering is and
       | therefore, they don't know how to suffer or how to get through
       | such times. Suffering is externalized onto minorities and other
       | unwanted people in society so that the well off don't have to
       | deal with it. Now everyone's suffering and many simply can't cope
       | with the suffering or with the additional suffering. Many resort
       | to childish behaviors like refusing to wear masks or social
       | distance to make themselves feel better by hurting others. A lot
       | of people simply never grew up and now that suffering is
       | inevitable, feel like they should be getting an exemption.
        
         | ansible wrote:
         | > _It 's a nationwide disaster that people are simply not ready
         | to deal with. Many people here have no idea what suffering is
         | and therefore, they don't know how to suffer or how to get
         | through such times. Suffering is externalized onto minorities
         | and other unwanted people in society so that the well off don't
         | have to deal with it. Now everyone's suffering and many simply
         | can't cope with the suffering or with the additional
         | suffering._
         | 
         | These are hard times, for all of us.
         | 
         | My background: grew up in the USA, with typical public school
         | education. When I was a kid in school, we (briefly) covered
         | times like the protests against the Vietnam War, the Civil
         | Rights Movement, Women's Suffrage, and such. But it all seemed
         | distant to me back then. I knew, at an academic level, that the
         | people fighting for change had a hard time... but we (as a
         | nation) got through it, and made things better (well, maybe not
         | really, but that's another discussion).
         | 
         | We are _living_ through history, right here, right now. I can
         | now see it from the other side. I can see a little more clearly
         | what those people in the history books were going through. I
         | now don 't have the benefit of reading in a book that it all
         | worked out in the end (that women got the vote, that civil
         | rights laws were passed, etc.).
         | 
         | It may seem like it will never get any better. That the
         | struggle for a brighter, better future for everyone is futile.
         | That hate and stupidity will drag down this country, and that
         | we'll never recover.
         | 
         | Do we all have the courage to continue on? In the face of
         | unfairness and injustice? What will the history books say about
         | us 50 years from now?
        
         | TheGrim-888 wrote:
         | I'm not sure I agree with the statement that the US has the
         | "worst virus situation".
         | 
         | It has some of the most cases, sure, if you compare it by
         | population though, it's still high, but it's not horrible. The
         | US is #12 for cases per capita, most European countries are
         | between 4,000-6,000 cases per capita, while the US is at 8,500,
         | which is definitely more. But fewer people die per capita than
         | in the UK, France, Spain, Sweden, Italy, and some other minor
         | countries.
         | 
         | It isn't like the US has orders of magnitude more infections
         | per capita, and there's more people dying per capita in many
         | other major countries. In such countries you'd have about the
         | same chance of catching the virus, and a greater change of
         | dying, as in the US.
         | 
         | The majority of people that are refusing to wear masks are
         | doing so because they believe the science/data supports that
         | decision. You might disagree with that, and whether the
         | science/data actually supports it is a different discussion,
         | but they aren't just being "childish" and refusing to follow
         | recommendations for no reason.
         | 
         | I think there's obviously political power to gain in making the
         | situation look as bad as possible, so that a group can then use
         | that as a foothold to advance their own political policies.
         | It's unfortunate that the issue is so political already. But
         | you can easily tell when it's happening when people are
         | referring to "society failing" and needing to "reshape society"
         | and saying how horrible it is in the US when it really isn't
         | that bad, etc. You can't advance new politics without a
         | narrative of the old way of things being bad.
         | 
         | I guess you can easily argue that there's political power for
         | me to downplay the situation and make it look as good as
         | possible, in order to prevent new politics from advancing. And
         | that's true. But it's good to at least share both sides of the
         | story.
        
         | dkdk8283 wrote:
         | Despair deaths will be the true toll of this pandemic. I feel
         | very sorry for everyone who is getting screwed by the extreme
         | response to the virus.
        
         | lemonberry wrote:
         | As a recovering alcoholic I'm incredibly grateful to have built
         | a toolkit to stay sober. Getting sober is a nightmare in the
         | best of times. People in AA - which I haven't attended
         | regularly for a few years - talk about being a "grateful
         | alchoholic". It bothered when I heard that. I just wanted to
         | have some bourbon and not put myself and others at risk. But
         | over time I realized that they're grateful because getting
         | sober forced them to deal with life in healthier ways. Or to
         | deal with it at all.
         | 
         | While I don't think all of people that are overdosing are
         | "addicts" per se, I know many non-addicts that don't deal well
         | with life that great. Sure, they're fine when everything is
         | going pretty well, but they fall down when the going gets
         | tough.
         | 
         | I feel for people. I've never felt despair or shame like I did
         | when I hit bottom.
         | 
         | Much luck and love to everyone out there. Life gets difficult,
         | and sometimes it gets really, really difficult. Lean on people
         | if you can, anyone that you can. Find a community if you can,
         | online or not.
         | 
         | I know this advice rings hollow when people are worried about
         | putting food on the table or keeping a roof over their head or
         | just trying to stay safe. But you can do this. Don't worry
         | about thriving, just survive.
         | 
         | Sorry, for the rambling, this just really hit home.
        
           | wmeredith wrote:
           | What's in your "stay sober toolkit" if you don't mind
           | sharing?
        
         | ideals wrote:
         | This time period also seems to be radicalizing people at an
         | accelerated rate. After that USAF military police sergeant
         | murdered a cop and federal security officer I started
         | investigating some of these communities and they're growing.
         | Not just the right-wing "race war" types either. Both sides of
         | the political spectrum are growing their radicalized bases.
         | 
         | The communists and the facists types are both radicalizing
         | around anti-government sentiment more than anything and we've
         | seen real lives lost as a result.
         | 
         | I hope things get better but everything is increasing in
         | polarization at a time when people have a lot of free time and
         | a country being consumed by an out of control virus that has
         | been politicized.
         | 
         | It's a recipe for disaster.
        
           | joshspankit wrote:
           | Just please watch out: the polarization you see on the
           | internet (no matter where you see it) is rarely a reflection
           | of the face-to-face reality. There is much more kindness and
           | tolerance when people are face to face. Always has been.
           | 
           | The danger, the reason I point this out, is that when people
           | see too much of it on the internet they start to lose faith
           | in humanity, and they start projecting that world view _on
           | to_ the face to face interactions.
        
       | eezurr wrote:
       | If anyone here is "losing it" from your routine being destroyed
       | and your city being shut down, I highly, highly recommend you
       | take a week (preferably 2) off and do as much outdoor activity as
       | possible. You should not return home during this period. This
       | will reset your brain because it will break your new covid19
       | routine with new activities and new location.
       | 
       | When you come back, use this new state of mind to change your
       | routine before you settle back into the state you were in before
       | you left.
        
       | Darmody wrote:
       | I lived alone for 2 years but most of the day I was out, working
       | and doing my stuff. Some weekends when I had nothing to do and no
       | one to hang out with I kind of felt what loneliness is. Not that
       | it was a big problem to me then as I can entertain myself with a
       | good book, a game, some movies, etc, but several weeks of that
       | would've been very different.
       | 
       | Loneliness can hit you hard, very hard. And on top of that if you
       | have any addiction and mental health problems...
        
         | jjtheblunt wrote:
         | Similar : moved cross country for work, felt for a few days
         | lonely, then somehow thought "not as lonely as pets in
         | shelters", adopted one, total improvement for both!
        
           | Darmody wrote:
           | Good to hear. Pets are amazing.
        
       | lalos wrote:
       | Well, right before the pandemic hit it was being reported that
       | deaths of despair were up ticking so I doubt that trend has
       | change with more pressure in the system.
       | 
       | March 23: https://www.newyorker.com/magazine/2020/03/23/why-
       | americans-...
        
         | eezurr wrote:
         | First thing when you open the article:
         | 
         | >Suspected overdoses nationally jumped 18 percent in March, 29
         | percent in April and 42 percent in May, data from ambulance
         | teams, hospitals and police shows.
        
       | drtillberg wrote:
       | I'm cynical enough at this point to wonder whether the states
       | will add these terrible losses to the COVID-19-related statistics
       | to advocate for stricter and longer lock-downs.
        
         | mrow84 wrote:
         | What do you think motivates states to want stricter and longer
         | lock-downs?
        
           | Nasrudith wrote:
           | Wanting the damn virus to die out and accepting that getting
           | it spreading again will cause a longer pandemic. They expect
           | patience to be rewarded by it staying gone like countries who
           | did it right and are opening up borders selectively.
        
           | kukx wrote:
           | I guess some vocal voters may actually prefer free money,
           | than going to a tedious work and politicians pander to them.
        
             | ianleeclark wrote:
             | Crazy to think someone would prefer unemployment to being
             | coughed on by a jet ski salesman while waiting tables at a
             | cheesecake factory.
        
               | kukx wrote:
               | I am not sure, if it is agreement or disagreement with my
               | observation. And while I assume some people may genuinely
               | be scared of the infection... It is hard not to notice
               | that while the lockdown started the beaches were flooded
               | with people. And I will not blame someone flipping
               | burgers for preferring free money to their job. Having a
               | low paid, boring job I would definitively prefer the free
               | money and the free time. And I would probably even
               | actively support the status quo. But it is nonetheless in
               | the long term very harmful to the society and to the
               | economic perspectives of normal people. The free money
               | will be paid for in the years to come and it will be a
               | long lasting burden. Maybe there will be some
               | technological revolution, a great advancement in
               | productivity that will help us mitigate this cost. But if
               | not, the future looks painful.
        
               | ianleeclark wrote:
               | > But it is nonetheless in the long term very harmful to
               | the society and to the economic perspectives of normal
               | people.
               | 
               | Why is it harmful to the economic prospects of people?
               | Our economy literally relies on consumption. High rates
               | of consumption.
               | 
               | > The free money will be paid for in the years to come
               | and it will be a long lasting burden.
               | 
               | First thing: I reject the notion of "free money." It is
               | money that is borrowed by people at time of crisis.
               | Government works for the people, in theory, so it is the
               | people borrowing the money from their descendants in
               | order to weather a storm today without having a complete
               | collapse.
               | 
               | Secondly literally everything in our economy runs on
               | debt. The idea is you outgrow your debt. If you want to
               | have the whole "abolishing capitalism" conversation,
               | that's a big suggestion to say the least, but the two
               | ideas you're suggesting are either criminal or history
               | defining:
               | 
               | 1.) Just let all the poors die
               | 
               | 2.) We have nothing to lose but our chains
               | 
               | > But if not, the future looks painful.
               | 
               | Were a sovereign nation we can literally just write it
               | off.
        
             | [deleted]
        
         | yingw787 wrote:
         | Aren't states prematurely lifting lockdowns to horrific
         | infection increases due to budgetary concerns?
        
           | fragmede wrote:
           | I think so. Individual states don't control federal monetary
           | policy, so the failure to pass additional stimulus packages
           | so far means that state governments are in a precarious
           | financial state, much like many of us are, personally, and
           | any corporations we're involved with. Even in states with
           | with the political will to continue benefits packages that
           | would allow people to continue not working in service of
           | public health, aren't able to afford to do so.
        
         | nxc18 wrote:
         | States have been chomping at the bit to end their lockdowns.
         | The fact that cases are spiking again is precisely because
         | states were too eager to end their lockdowns.
         | 
         | China had a brutal lockdown early and thanks to that they are
         | now largely back in business. Anti-lockdown sentiment early on
         | is precisely the reason the US has had to prolong its
         | suffering. The reason long lockdowns are happening is because
         | we can't muster strict.
        
           | starkd wrote:
           | The lockdowns in China were indeed brutal, and involved a use
           | of force that simply would not be acceptable in the U.S. But
           | even there, there's evidence it was much more severe than the
           | officials let on, and there was a rebound after reopening.
           | They are very secretive about it though.
        
             | nxc18 wrote:
             | It doesn't have to be China-style brutal. It can also be
             | strict and effective, like what was done in much of Europe.
             | 
             | With a competent western-style government you can have
             | great results. See New Zealand. What matters is not how
             | authoritarian the country is, but how seriously the
             | lockdown is taken.
        
           | Darmody wrote:
           | Let's not forget the massive protests. No matter if you agree
           | with them or not. Thousands of people together on the streets
           | with no security distance between them makes things worse.
        
           | commandlinefan wrote:
           | > had a brutal lockdown early and thanks to that they are now
           | largely back in business
           | 
           | Wait, that doesn't make sense - are you saying that they
           | locked down long enough that everybody who had the virus
           | "lost it" (either by getting healthy or dying)? That doesn't
           | sound very plausible given what we know about epidemiology.
           | The lockdown was sold here as a way to "flatten the curve":
           | everybody who would have gotten it will still get it, but not
           | all at once, so the hospitals won't be overwhelmed. Is
           | anybody claiming that China's lockdown actually eradicated
           | the virus within its borders entirely?
        
             | Jtsummers wrote:
             | > The lockdown was sold here as a way to "flatten the
             | curve": everybody who would have gotten it will still get
             | it, but not all at once, so the hospitals won't be
             | overwhelmed.
             | 
             | The lockdown was intended to do two things, not one:
             | 
             | 1. What you say, reduce the rate of spread. The popular
             | "flatten the curve" thing, which, when grossly simplified,
             | suggests that if 1 million people were going to get it it
             | was inevitable, but we could spread it out over months
             | instead of weeks.
             | 
             | 2. Reduce the total number of people exposed and thus
             | reduce the total number who would eventually get it.
             | 
             | The disease is not inevitable for anyone, it is not
             | inevitable that 70% of the population (picking an arbitrary
             | figure here) would get the disease. It is inevitable that
             | it was going to spread, and with proper controls that
             | spread could be changed both in rate and total number
             | infected.
        
             | AnimalMuppet wrote:
             | Entirely? No. Nobody (I think) is claiming that.
             | 
             | But if you lock down so that each infected person, on
             | average, infects less than one new person, and you do it
             | long enough, then yes, you can completely eliminate the
             | virus that way. And yes, that is perfectly consistent with
             | what we know about epidemiology.
             | 
             | The cure may literally be worse than the disease, but we
             | could do that.
             | 
             | But there comes a point where the number of cases is small
             | enough that you use testing and contact tracing to do the
             | rest.
        
             | fzeroracer wrote:
             | The point of flattening the curve is keeping the curve
             | flat. No one anywhere has eradicated the virus, but through
             | the strict initial lockdown plus constant vigilance on part
             | of both the government and the individuals they can keep
             | the curve flat and stop it from going exponential.
             | 
             | The problem is that once we flattened the curve, we decided
             | to go hogwild, masks off, open up everything and now we get
             | to pay the price for that.
             | 
             | Texas is a great example of that where our state government
             | behaved like absolute jackoffs and now we're seeing a
             | massive amount of new cases and increased pressure on
             | hospitals. But people assumed that 'we're far below
             | capacity! the lockdown is pointless!' as if the lockdown
             | wasn't the reason for that in the first place.
        
           | wolco wrote:
           | I believe the reason is because it was in the US for much
           | longer than thought. Somewhere summer last year on it started
           | to spread undetected.
        
           | chrisco255 wrote:
           | Deaths are still on the way down in Georgia, one of the
           | earliest states to re-open: https://ga-
           | covid19.ondemand.sas.com/
           | 
           | I would say, excessive lockdowns are not effective at
           | fighting the virus. You win a short term victory at the cost
           | of your long term future. You can kick the can down the road,
           | but as soon as you re-open, if you haven't achieved herd
           | immunity, the virus will spike again. That's going to happen
           | to any country, anywhere.
           | 
           | As for China, we have no real idea of how much death or cases
           | they have there. And from what I witnessed in Wuhan, where
           | residents were bolted into their apartment complexes and
           | barred from leaving, and whisked away from their homes at the
           | first sign of a fever...I do not wish that on any free
           | person. That is what happens when you live in a Communist
           | prison state. I'll take liberty with all the risks that
           | implies over Chinese tyranny any day.
        
             | Jtsummers wrote:
             | Deaths are down in GA, but cases are on the rise which
             | means that deaths will probably start rising again over the
             | next 2 weeks. They've had 3500 new cases just today.
        
         | Jtsummers wrote:
         | I'm a bit confused by this. By my reading of the reopenings and
         | behavior of state governments, many, if not most, state
         | governments _want_ to reopen. They 're struggling financially
         | since people aren't working or visiting the states to provide
         | tax revenue. Most of my teacher friends have been in calls with
         | their district administration where cutbacks (either in
         | personnel or across the board pay cuts) have been discussed
         | seriously.
         | 
         | At this point, states want shorter lock downs and the ones that
         | have reinstituted (partially or in whole) the previous lock
         | down orders have done so because of rising case numbers
         | (largely due, it seems, to people behaving as if there were no
         | reason to continue social distancing or wearing masks).
         | 
         | Which state governments do you think _want_ to continue the
         | shutdowns and cripple their economies?
        
           | travisporter wrote:
           | I'd wager parent believes it's Democratic state
           | governments/officials. Why is it that anyone arguing online
           | believes the world is either communist or pure capitalist,
           | and nothing in between. I'm glad we don't live there.
           | 
           | OK, rant over.
        
         | [deleted]
        
         | modriano wrote:
         | We haven't had real lockdowns anywhere. We've had please-stay-
         | home recommendations.
         | 
         | If we had a sufficiently strict lockdown early on, we could
         | have brought transmission down to near 0, identified all new
         | cases (and quarantined them away from the healthy population),
         | set up strict testing at every border/airport, and been
         | basically back to normal in 2 months, like China was. These
         | deaths of despair are just another consequence of the Trump
         | administration's total failure to grab the bull by the horns
         | and come up with a plan. Trump's refusal to act forced state
         | and city governments to figure out how to handle this, which
         | created a major conflict of interests. State and city
         | governments are largely funded by sales taxes, so shutting down
         | bars/restaurants/retail/events/etc takes a crucial funding
         | source away from state/city govts, but to stop transmission of
         | the virus, those businesses can't be open. State/city govts
         | can't print money like the Federal govt, and the GOP Senators
         | are refusing to provide funds to state/city govts, which lead
         | to the current explosion in case counts, which will just keep
         | this going longer.
         | 
         | TL,DR: we absolutely need stricter management of this, or it
         | will drag on forever.
        
         | dylan604 wrote:
         | What are you on about? States are not reporting accurate
         | numbers because they're wanting to re-open. I'm cynical in
         | thinking that these numbers won't get reported as COVID related
         | deaths for the simple reason the virus wasn't the cause of
         | death even though they are results of the overall effect of the
         | pandemic.
        
       | WilTimSon wrote:
       | Hardly a surprise, I'm sure suicide rates and alcohol consumption
       | are going up as well. It's a combination of loneliness, lack of
       | supervision (can't find a better word, I mean someone who could
       | help in case of an overdose), despair about the future. This
       | pandemic is unprecedented for the modern people, many don't have
       | the means to deal with it psychologically.
        
         | BurningFrog wrote:
         | > _I 'm sure suicide rates and alcohol consumption are going up
         | as well._
         | 
         | Many of these overdoses surely _are_ suicides.
        
         | redisman wrote:
         | Relentless doom and despair for at least a year with no
         | leadership or hope in sight and the only thing you can do to
         | help is to stay at home as much as possible. Yeah it's the
         | perfect storm for any "self-medicators" out there.
        
         | starkd wrote:
         | A doom and gloom from the media isn't helping either. It's one
         | thing to provide information, but the endless speculation about
         | "how bad its going to get" is irresponsible.
        
           | Mirioron wrote:
           | I would say the media is one of the larger factors (after
           | factors such add unemployment though). When you can't go out
           | and mingle with other people a lot of the information some
           | people get about what's going on is from the media.
        
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