A Crucial Element of Democracy

This is a blog by Robert Gutierrez ...
While often taken for granted, civics education plays a crucial role in a democracy like ours. This Blog is dedicated to enticing its readers into taking an active role in the formulation of the civics curriculum found in their local schools. In order to do this, the Blog is offering a newer way to look at civics education, a newer construct - liberated federalism or federation theory. Daniel Elazar defines federalism as "the mode of political organization that unites separate polities within an overarching political system by distributing power among general and constituent governments in a manner designed to protect the existence and authority of both." It depends on its citizens acting in certain ways which Elazar calls federalism's processes. Federation theory, as applied to civics curriculum, has a set of aims. They are:
*Teach a view of government as a supra federated institution of society in which collective interests of the commonwealth are protected and advanced.
*Teach the philosophical basis of government's role as guardian of the grand partnership of citizens at both levels of individuals and associations of political and social intercourse.
*Convey the need of government to engender levels of support promoting a general sense of obligation and duty toward agreed upon goals and processes aimed at advancing the common betterment.
*Establish and justify a political morality which includes a process to assess whether that morality meets the needs of changing times while holding true to federalist values.
*Emphasize the integrity of the individual both in terms of liberty and equity in which each citizen is a member of a compacted arrangement and whose role is legally, politically, and socially congruent with the spirit of the Bill of Rights.
*Find a balance between a respect for national expertise and an encouragement of local, unsophisticated participation in policy decision-making and implementation.
Your input, as to the content of this Blog, is encouraged through this Blog directly or the Blog's email address: gravitascivics@gmail.com .
NOTE: This blog has led to the publication of a book. The title of that book is TOWARD A FEDERATED NATION: IMPLEMENTING NATIONAL CIVICS STANDARDS and it is available through Amazon in both ebook and paperback versions.

Friday, July 6, 2018

FROM AMERICAN LOCALITIES TO GLOBAL SOURCES


[Note:  This posting is a continuation of a report on the development of a civics unit of study.  This unit is directing students to formulate informed positions on the opioid epidemic.  Presently, this development, in real time, is reporting a set of factoids on a particular drug which is part of this epidemic.]
The drug problem has been with this nation for a long time.  If one considers alcohol a drug, its been part of the American story almost from the beginning.  But with the opioid chapter – and especially regarding fentanyl – that story seems to have taken a significant turn.  Here is a thought from Christopher Caldwell of The Weekly Standard:
There have always been drug addicts in need of help, but the scale of the present wave of heroin and opioid abuse is unprecedented.  In Maryland, the first six months of 2015 saw 121 fentenyl deaths.  In the first six months of 2016, the figure rose to 446.[1]
The turn in the nation’s drug story does not promise to have a happy ending; it has already been tragic to too many.
          And the problem seems to be concentrated in certain areas of the country.  This posting looks at some of those areas.  A good place to begin is Ohio.  For example, in 2014, the Center for Disease Control was able to attribute 998 deaths there to fentanyl overdoses and then the same number in only the first five months of the following year, 2015 – a similar rate of increase to that of Maryland.
          Reflecting on this development, a federal official in northern Ohio attempted to underline it by saying:
One of the truly terrifying things is the [fentanyl] pills are pressed and dyed to look like oxycodone. If you are using oxycodone and take fentanyl not knowing it is fentanyl, that is an overdose waiting to happen. Each of those pills is a potential overdose death.[2]
          Another state with a concentration of overdoses is New Hampshire.  There reports indicate that two thirds of deadly overdoses were, at least in part, due to fentanyl consumption.  Again, as indicated in the previous posting, consumers were often unaware they were taking this potent, synthetic opioid.[3]
          Of course, along with its hidden presence, it is sold under various names.  For example, in Florida, fentanyl pills are sold on the street under the name Xanax.[4]   And this aspect leads one to another angle to the story; that of the producers and the suppliers. There the story shifts attention mostly abroad in trying to find out where are the sources of the drug originating and what are the costs in producing and attaining it.
          The Drug Enforcement Administration reports that an interested party can purchase one kilogram of fentanyl for $3,000 to $5,000 in China and smuggling it into the US can be accomplished by merely mailing it there.  That smuggled kilogram can mean a million and half dollars in sales.  This inexpensive drug abroad, in turn, motivates drug dealers to purchase it and then mix the fentanyl in with other drugs they sell without the eventual consumer knowing it.[5]
          According to the medical news outlet online, STAT, Mexican cartels are the main suppliers of heroin, but it is from China that most raw fentanyl originate.  It is also the main source of production machinery.[6]  This machinery opens the potential for many places producing and supplying the drug in pill form.  For example, police in British Columbia found a lab producing 100,000 fentanyl pills every month.  These pills are then sent to Calgary, Alberta, causing a fentanyl problem there, 90 overdoses in 2015.[7]
          And finally, domestic production capabilities have been found.  A drug lab in Southern California was one.  There, pill producing machines were potentially producing thousands of pills per hour.  This facility was discovered by federal agents. [8]  So, as of this writing, while better knowledge has become shared concerning the dangers of the drug, fentanyl, helping to level off consumption rates, the production and distribution seems to be amply in place.  The next posting will address the prevalence of pill mills.



[1] Christopher Caldwell, “American Carnage:  The Landscape of Opioid Addiction,” First Things, April 2017, accessed June 18, 2018, https://www.firstthings.com/article/2017/04/american-carnage .

[2] David Armstrong, Truly Terrifying:  Chinese Suppliers Flood US and Canada with Deadly Fentanyl,” STAT, April 5, 2016, accessed July 4, 2018, https://www.statnews.com/2016/04/05/fentanyl-traced-to-china/ .

[3] “Addressing America’s Fentanyl Crisis,” National Institute on Drug Abuse/Advancing Addiction Science, April 6, 2017, accessed on July 4, 2018, https://www.drugabuse.gov/about-nida/noras-blog/2017/04/addressing-americas-fentanyl-crisis .

[4] Ibid.

[5] Ibid.

[6] David Armstrong, “’Truly Terrifying’:  Chinese Suppliers Flood US and Canada with Deadly Fentanyl,” April 5, 2016, accessed July 4, 2018, https://www.statnews.com/2016/04/05/fentanyl-traced-to-china/ .

[7] Ibid.

[8] Ibid.

Tuesday, July 3, 2018

BIGGEST KILLER


[Note:  This posting is a continuation of a report on the development of a civics unit of study.  This unit is directing students to formulate informed positions on the opioid epidemic.  Presently, this development, in real time, is reporting a set of factoids on a particular drug which is part of this epidemic.]
Of late, there is a newer, scarier form of the opioid drug.  It is a synthetic form; it’s fentanyl.  The numbers concerning fentanyl are “jaw-dropping.”  There is not much of a history here, the dangers associated with fentanyl seem to have mushroomed since 2014.  What can be said is that the drug is mostly smuggled into the country although there some production facilities in the US.
          Here are some of the reported facts concerning fentanyl.  First, fentanyl is a synthetic opioid; as such, it is a painkiller.  That function should not hide its hideous qualities.  It is enormously more potent than morphine – 50 to 100 times – and more potent than heroin – 30 to 50 times.[1]  A mere 2 milligrams (or just under two ounces) is enough to kill a person.  Looking at, smelling, or tasting it is misleading and dangerous; it is white, odorless, and flavorless.
          To underline these characteristics, first-responders who have been called to help overdose victims have suffered overdose symptoms themselves by either touching or smelling residue amounts.[2]  These accidental incidences has changed protocols by which authorities handle on-site drug samples.  Now, applying DEA recommendations, officers or medics do not field test suspected fentanyl samples.  Instead they send collected material to laboratories for analysis.[3]
          With these factors, one can imagine the costs regarding the effects of this drug on users.  Several sources have reported the resultant death rates associated with fentanyl.  Allison Bond,[4] who illustrates the comparative danger of fentanyl by showing the lethal amounts of the drug next to lethal amounts of heroin (the former consists of a few grains, while the latter fills about one-eighth of a two-inch vile), reports on these death rates. 
Highlighting the state of New Hampshire, Bond reports deaths rates in the US skyrocketed from 2015 to 2016, a 540% jump.  A study appearing in the Journal of American Medical Association (JAMA) further supports this finding by stating that the massive increase in opioid-induced deaths are almost totally due to fentanyl consumption.[5]  And, of course, when one considers drug use, mixing becomes a factor.
Big urban areas, such as Philadelphia, Detroit, and Chicago, have seen fentanyl-laced heroin become a major problem.  These substances are easily hidden, and victims report that they were surprised to learn their heroin intake was so doctored; in some cases, what they consumed was pure fentanyl.[6]  And the extent of the “fentanyl problem” might be undercounted. 
According to the Center for Disease Control, reported figures of opioid overdoses omit synthetic opioids, but the agency believes that a significant portion of that count is due to illicit fentanyl.  Therefore, the total effect of this synthetic drug is not known.[7]  Its surreptitious quality relating to its use and even to its generally known dangers – many Americans first became knowledgeable of its dangers with the death of the rock star, Prince – has added to its lethal effect.
So, what one can surmise is that the dangers of fentanyl have to do with its undistinguishable characteristics in granulated form and the lack of knowledge (most victims in hospitals, from overdoses, are surprised that they are there due to their heroin being laced with fentanyl).[8] 
The next posting will report on some of the facts concerning the production of fentanyl, on the effects the drug has on various states or regions around the country, and on some of the supplying areas around the world.



[1] Christopher Caldwell, “American Carnage:  The Landscape of Opioid Addiction,” First Things, April 2017, accessed June 18, 2018, https://www.firstthings.com/article/2017/04/american-carnage .

[2] Catherine S Hwang; Hsien-Yen Chang; Caleb G Alexander, "Impact of Abuse-Deterrent OxyContin on Prescription Opioid Utilization," Pharmacoepidemiology and Drug Safety, 24, no. 2, 2015, 197–204 AND Kristen A. Morin, Joseph K. Eibl, Alexandra M. Franklyn, and David C. Marsh, “The Opioid Crisis:  Past, Present and Future Policy Climate in Ontario, Canada,” Substance Abuse Treatment, Prevention, and Policy, vol. 12, no. 1 (2017), 45 AND “FDA Requests Removal of Opana ER for Risks Related to Abuse,” U.S. Food and Drug Administration, Office of the Commissioner, June 8, 2017, accessed July 2, 2018, https://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm562401.htm .

[3] “Briefing Guide for First Responders,” U. S. Department of Justice/Drug Enforcement Administration, accessed July 2, 2018, https://www.dea.gov/druginfo/Fentanyl_BriefingGuideforFirstResponders_June2017.pdf .

[4] Allison Bond, “Why Fentanyl Is Deadlier Than Heroin, in a Single Photo,” STAT, September 29, 2016, accessed July 2, 2018, https://www.statnews.com/2016/09/29/why-fentanyl-is-deadlier-than-heroin/ .

[5] Peter D. Scott, Peter Dale and Jonathan Marshall, “Cocaine Politics:  Drugs, Armies, and the CIA in Central America (Berkeley, CA:  University of California Press, 1991), 2. 

[6] Christopher Caldwell, “American Carnage:  The Landscape of Opioid Addiction.”

[7] Josh Katz, “The First Count of Fentanyl Deaths in 2016:  Up 540% in Three Years,”  The New York Times, September 2, 2017, accessed July 2, 2018, https://www.nytimes.com/interactive/2017/09/02/upshot/fentanyl-drug-overdose-deaths.html .

[8] Adrienne Cutway, “Orlando Man Pleads Guilty to Selling Heroin Mixed with Fentanyl,” Orlando.com, March 20, 2017, accessed July 2, 2018, https://www.clickorlando.com/news/orlando-man-pleads-guilty-to-selling-heroin-mixed-with-fentanyl AND Jacqueline Howard, “Why Opioid Overdose Deaths Seem to Happen in Spurts,” CNN, February 8, 2017, accessed July 2, 2018, https://www.cnn.com/2017/02/08/health/opioids-overdose-deaths-epidemic-explainer/ AND “Opioid Data Analysis,” Centers for Disease Control and Prevention, no date, accessed July 2, 2018, https://www.cdc.gov/drugoverdose/data/analysis.html .