#prozac

Gun makers or Drug makers? Who should we be more afraid of?

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One by one, more of Corporate America is shunning the National Rifle Association (NRA). There is a touch of irony, perhaps hypocrisy about these moves. For a long time it has served rental car agencies, United Airlines and credit card companies to show their support for the NRA as its membership base was credibly large that it was ‘good for business.’ Despite dozens of massacres after the Columbine High School shooting in 1999 why did they not shun the NRA in the last 19 years? Why didn’t the 14 gun massacres under Obama where Democrats had a majority in the House and Senate cause them to ban guns or automatic rifles period? Now all of a sudden corporates have woken up from their wistful slumber to realize that supporting the NRA may no longer be appropriate “in moving with the times”, the very phrase which is used to silence debate. In the process these corporates pillory all members of an association that in the overwhelming majority of cases are law abiding citizens.

Let’s make it clear. CM is no fan of guns. CM is a fan of laws. A fan of democracy that lets people vote on issues such as this. Changing the constitution is in most countries a matter for the people to decide, not just the handful of politicians within the walls of law making. CM doesn’t need a gun. CM doesn’t want a gun. CM, like most reading this can’t understand why one would want to massacre innocent people with a gun. However we’ve stated clearly that banning guns won’t fix the problem in America. One could easily drive a car through a school campus and mow down dozens of kids during play time. Do we ban cars? The two students who carried out the Columbine massacre had handgrenades, pipe bombs and propane time bombs. While guns were the sole cause of the 15 deaths, these kids had intended to murder 100s in the commons area with the bombs (which were made from everyday off the shelf items).

Although when United Airlines starts taking the moral high ground with respect to the NRA after its own scandals of heavy handedly frog marching passengers off its aircraft it isn’t worth listening to. If these corporates could openly say that running NRA discounts was not worth it on economic grounds in terms of the administration in running such programs one could understand. If they made rational decisions that showed their business would fall of a cliff by supporting the NRA one could understand. It hasn’t happened in 20 years, so why now? If one chooses to fly United for whatever reason (convenience, price, family emergency) will they stop flying it in fear of association with the NRA might be bad for their image? Does the average American, where there are as many guns as people, think ill of the NRA? 32% of US households own guns. Are 32% of households unhinged lunatics? Granted the NRA does itself  little favors in the PR department after such tragedies.

As we’ve written in recent days, the growing incidence of broken homes and the surge in the dispensing of antidepressants to ‘tranquilize’ those who might be tempted into suicidal or homicidal tendencies is a worrying trend. Pharma companies are expected to mint $17bn in antidepressants by 2020.  Should we spurn Eli Lilly’s over-the-counter drugs because they are the evil corporates milking billions from Prozac?

To put it into perspective the total number of overdose deaths involving heroin from 2002 to 2015 jumped 6.2-fold in the US. Automobiles killed around 32,000 people last year or a little over 2x that of heroin overdoses. When adding non-methadone opioids (illicit fentanyl) overdose that number surged to 20,000, a 33% YoY jump on 2014 and 5.9x 2002. Why is it happening? The problem for many prescription painkiller users is that once their bottle ends, the addiction doesn’t stop meaning many switch to heroin to get the same ‘opioid’ hit.

Excessive use of pain relievers make up a large proportion of illicit drug use. Oxycodone is one of the more common type of opiate pain killer and it is highly addictive. In 2010, the US Food and Drug Administration (FDA) required the formulation of OxyContin be changed to make it harder to become addicted to. Talk about loading patients with too much ammunition.

As opioid overdoses rise, companies such as Adapt Pharma have seen sharp rises in the sales of products like Narcan (Naloxone) which basically revives victims from the dead. Narcan publicizes its price that is even insured meaning one can overdose and revive with a $10 co-payment.

94% of insured lives in the US have coverage for NARCAN® Nasal Spray*. According to IMS Health, nearly three quarters (74%) of prescriptions for NARCAN® Nasal Spray have a co-pay of $10 or less**. For those paying cash, ADAPT Pharma has partnered with retail pharmacies to reduce out of pocket costs (Retail is $62.50/dose)…To expand community access, NARCAN® Nasal Spray is available to all qualified group purchasers for $37.50 per 4mg dose ($75 per carton of 2 doses). This pricing is available for all Qualified Group Purchasers, such as first responders (EMS, Fire Department, Police), community organizations and Departments of Health, regardless of size. This pricing represents a 40% discount off the Wholesale Acquisition Cost (WAC) of $125 per carton.”

Price hikes have been a feature of naloxene. As of January 2015, Amphastar’s version of naloxone was up to $41 a dose, according to Fierce Pharma, a pharmaceutical industry news website. That follows a price increase from $17 to $33 a dose back in October 2014, according to data provided by Truven Health Analytics. So not only is volume spiking, so is price. Walgreens has expanded the availability of prescription-free naloxone to 33 states.

West Virginia health officials are responding to opioid overdoses by distributing more than 8,000 kits with Naloxone that can get people breathing again if administered in time. Money for the kits comes from a $1 million federal grant to West Virginia, which has had the nation’s highest rate of overdose deaths at 41.5/100,000 people.

Local emergency medical services agencies in West Virginia administered 4,186 doses of Naloxone in 2016, up from 3,351 the year before and 2,165 two years ago and that data doesn’t include uses by hospital emergency departments, urgent care centers, first responders and family members.

The gun industry in America is around $11 billion. 35,000 work in the manufacture of guns and ammo. There are 50,000 retailers in the US. 32% of American households possess a firearm. One-third. The federal government collects $132 million in taxes on guns. 17 million background checks for gun purchases are conducted annually.

By all means let’s have common sense debates on regulation surrounding guns. Sending memes of Republicans on the payroll of the NRA can be met with as many Democrats accepting fortunes from the pharmaceutical lobby so as to prevent price cuts being driven through Congress. While guns maybe noisy killers, pharmaceutical companies are  in a sense becoming (or already become) stealthy silent assassins. Their drugs causing patients to switch to harder substances. 13% of adolescents are on antidepressants. Thirteen percent. 68% of them have taken antidepressants for 2 years and a quarter for over a decade,

The tragedy of school shootings is awful in every conceivable way. How it tears families apart, destroys the lives of survivors who must cope with unspeakable trauma and creates a platform for such horrid knee jerk responses in all forms of media. How the loss of 17 lives takes a back seat to agendas which feed the very opposite of the intention they proclaim. Corporates joining the bandwagon only fuel mixed messaging. It is exactly the type of ‘shaming’ that was so prevalent at the time of the election.

Trying to get the NRA to come around to spreading the word amongst its members that banning bump stocks and certain weapons is feasible won’t occur when corporates and the media publicly kick them. It is never an easy discussion but it only makes members want to dig their trenches deeper. Do people honestly believe that all NRA members would reject common sense proposals about screening, age limits and certain weapons restrictions? Yet that is the picture that is painted. They’re lunatics to a man, woman and child. Let’s hope that United Airlines and others that have spurned the NRA now turn to the drugs list in the company health provider to ensure that those pharmaceutical companies behind so many of the deaths from the explosive concoctions they sell are dealt with in the same way. Here’s a prediction. That hasn’t crossed their minds. So much for pharma companies saving lives. They are cashing in as a growing number of patients check out.

Did you put on your bulletproof vest sweetheart?

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Is this the next school uniform? As written yesterday, gun violence in US schools has been a problem for decades. Metal detectors have been installed at certain schools since the 1990s. Gun massacres have still occurred. The problem stems from a growing tide of broken homes and kids venting out. The Zero Hour documentary on the Columbine massacre reveals in chilling details how premeditated and well prepared (not to mention preventable) the attack was – propane bombs, pipe bombs, machine guns, pistols and even handgrenades. Perpetrator Eric Harris’s father called up the police on hearing of the shooting fearing his son maybe behind it. The police had received multiple enquiries from concerned parents over death threats Harris had made online to students yet chose to do nothing. Harris and Klebold openly documented their intent in videos and diaries. It is patently clear they wanted revenge for their subjective feelings of having had their esteem crushed by society, especially by more popular class mates. It is clear there were no role models trying to pull them back from the brink.

Still the ‘banning guns will solve it all’ solutions still avoid dealing with the real problem. The psychology of kids lost in a world where they feel outcasts. Feelings of rejection, loss and trodden on self esteem are shown to be time and time again to be a leading factor in kids picking up a weapon and seeking to right perceived wrongs. Many American high school kids drive to school. Can we envisage one deciding to drive a car on campus mowing down students at lunch time? Will banning cars be a solution?

What next? Will parents be decking out kids in bulletproof vests and hoping teachers who are incentived to arm themselves in the class room step up if all hell breaks loose? One wonders whether kids like Harris & Klebold would have been deterred by teachers packing heat. Even worse, SWAT snipers at a distance of 500 meters may not be able to determine at the time who are the ‘bad guys’. Even worse, how terrible it would be for a teacher to be tasked with ‘offing’ a student who he or she teaches in remedial maths class. One would hope the motivation of teachers is to want to educate students to get ahead rather than aim at their head. Or have things got so bad in some schools that such a remedy gets leant a sympathetic ear. Having armed security at schools is less and less a rare occurrence.

In 2015, about 3,000,000 teens ages 12 to 17 had had at least one major depressive episode over the year according to the Department of Health and Human Services. More than 2 million admitted they were experiencing depression in ways that impair daily function. The National Institute of Mental Health reported about 30% of girls and 20% of boys– some 6.3 million teens–have had an anxiety disorder.

A Seattle Children’s Hospital study tracked hashtags people use on Instagram to talk about self-harm. It noted a dramatic increase over the past two years. In 2014 researchers got 1.7 million search results for “#selfharmmm”. By 2015 that number had surged to over 2.4 million.

The American Psychological Association (APA) released a report several years ago during the school year saying that teens report their stress level is higher than levels reported by adults in the past month. Many teens admitted feeling overwhelmed (31%) and depressed or sad (30%) as a result of stress. More than one-third of teens report fatigue or feeling tired (36%).

Sales of antidepressant drugs is expected to be a $17bn industry in the US in 2020, up $3bn from 2015. The National Center of Health Statistics reports the prevalence of teenagers taking such drugs has grown to 13%, in 2015 up from 11% in 2008. 68% of people ages 12 and up said they had been taking their antidepressant for two years or more. A quarter who took antidepressants reported taking them for 10 years or more. Clinical depression affects about 16mn people in the U.S. and is estimated to cost the U.S. about $210 billion a year in productivity loss and health care.

Is this honestly seen as the best way to tackle a mental health crisis? Just dope up teenagers and hope they are comfortably numb so as to not want to do harm to themselves or others? It was shown that Harris had switched antidepressants which could have fueled not quelled his homicidal and suicidal tendencies. This isn’t about guns. It is about ignoring the elephant in the room – stressed out kids with no mentors or role models to coax them out of their problems.

In some respects, schools are only making it worse by pandering to safe spaces and enforcing trigger warnings. Instead of dealing with the psychological problems at source and proactively targeting attention starved kids growing up in broken homes by counselling them in ways to build self esteem and how to get on in the “real” world, the problem will only fester because irrational feelings of hopelessness will get reinforced by ignoring the real issue.

Tranquilizing people with mental issues by molly-coddling them is also the mantra in the world of identity politics. By muzzling people from speaking truths we only build barriers around effective solutions. That regulations around hurting people’s feelings are increasingly being enforced, is it any wonder we are growing a generation of victims who can pin the blame on irrelevant and unrelated things? Healing comes through listening and understanding by open and transparent dialogue. Not by banning it.

Will an hypothetical ban on guns prevent the growing trend of kids growing up in single-parent households (and all of the psychological data which shows clear evidence of a higher rate of delinquency in children) from committing  such terrible acts of violence because they have no access to firearms? Feelings of desperation will only lead them to find other ways of seeking their distorted view of attaining inner peace. More kids will die and at the end the exact same problems will manifest themselves again – what lead to the act? At least in this case, Parkland, Florida shooter Nikolas Cruz survived. Perhaps we will learn much more about the psychological timeline of him if the press can wake up for 5 minutes and stop trying to link the act purely to white supremacy because it fits a narrative.