Is it ‘bad’ if more Americans* aspire to be pharmaceutical-free? What—if anything—might this imply about changing attitudes towards pharmaceutical companies and current healthcare options? How might this shape the future of drug use? And what might this say about people who need a daily Rx to survive? Are there observable rifts (in privilege, power, well-being, whatever) between the medicated (prescribed by a doctor) and the self-medicated (exploring alternatives—be them off-label Rx use, unregulated supplements, or psychedelics)?
*~46% of Americans have used one or more prescription drug in the last 30 days (as of May 2019).
Two years before Colombian drug lord Pablo Escobar’s death and 20 since Nixon started the so-called “War on Drugs,” I was born in August of 1991 in Medellín, Colombia — known then as one of the most violent cities in the world. It has taken 27 years for me to realize my very first memories are tinted by the life and death of one of the world’s most notorious criminals in the illegal drug trade. And even now, decades since Escobar was shot dead, hope for peace remains a utopian dream for the inhabitants of the paisa capital.
The cocaine market didn’t die when Escobar was killed nor did the drug itself cease to exist. The protagonist changed, demand rose, delivery routes multiplied, victims increased, and the business model adapted to the guerrillas’ open war. Colombian history since the late 1970s follows a series of cartels that fluctuate between control of drug production, circulation, and the next “patron” to dictate the law of the jungle. Continue reading “Fighting a narcocracy”
Migration as a bioethics issue — not allowing people to migrate physically (from asylum seeking to relocation for better opportunity and simply travel) and mentally (with psychoactive substance or mind-altering experiences) is a bioethics issue. Regulations on migration, travel, and drug use serve some and harm many.
The ethics of psychiatric diagnosis/prescription vs. self-medication — the current psychiatric system also serves some, but hurts many, and moving from the doctor-patient power imbalance to patient empowerment could be a solution. This research would seek information about people who do not receive psychiatric treatment (for reasons from ability to financial), who do not benefit from current pharmaceuticals, and who already know which drugs they want to try — whether from their psychiatrist or from the street. Do you know people who go to the doctor knowing what they’ll be asking for? Isn’t this doctor-approved self-medication? Do you know people given drugs by doctors that they wouldn’t take on their own, that might even make them seem worse? (Thinking strictly re: psychiatric medicine, not for example, cancer treatment.) Is self-medication really the problem authorities should fight or should they provide wider education and harm reduction instead? Reference: Portugal. Will the information age cut out doctors as the middle men between patients and their preferred medicine? This would reference Our Right to Drugs by Thomas Szasz, among others.