For sure, the deaths are simply the final outcome of a vast amount of suffering that cannot accurately be measured.
The corrosion of community, friendship, and third spaces are all well documented sociological phenomena that our country has yet to sufficiently address. Part of this is due to the decline in religious worship, which, while not a bad thing per se, does reduce a historically large source of socialization for our country. Part of this is due to the urbanization of our country over the last 30-50 years, and the hollowing out of many small towns. And of course part of it is due to the increased toxicity of our political systems, workplaces, and economic realities that limit our participation in society.
I guess all of that to say - none of this is an individual issue, it’s all systemic and part of the same sociological story. Feeling like a weird person for interacting with a stranger isn’t an isolated incident. It’s more a testament to how much has changed about our social world in the last 30-50 years.
Yes. This is the result of a privatized health system where the only outcome that matters is profit. Doctors write enough opioid prescriptions each year for 46% of Americans to receive one. (Source: https://drugabusestatistics.org/opioid-epidemic/)
It’s absolute madness, but I do think the prescribing is getting better slowly. Unfortunately, the massive jumps in ODs seem very related to fentanyl taking over an illicit drug market that used to be primarily heroin and rx opiates. When I worked on national drug use surveys ~8 years ago, fentanyl was not a part of the landscape at all. Things have changed so quickly.