cover of episode Fentanyl and the Opioid Epidemic

Fentanyl and the Opioid Epidemic

2024/11/12
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本·韦斯托夫
迈克尔·谢默
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本·韦斯托夫:芬太尼是历史上最危险的物质,它正在污染各种毒品,导致过量服用死亡人数急剧增加。作者通过卧底调查,揭露了中国芬太尼生产商的运作方式,以及芬太尼从中国到墨西哥再到美国的走私路线。芬太尼的快速起效和快速失效特性导致成瘾性更强,并且过量服用很容易发生。解决芬太尼问题应该侧重于帮助吸毒者,而不是阻止毒品供应。目前,美国正在经历历史上最严重的毒品危机,过量服用芬太尼导致的死亡人数超过了枪支暴力和艾滋病高峰期的死亡人数。 此外,作者还分享了他调查弟弟谋杀案的经历,揭示了贫困、帮派和个人创伤如何导致悲剧的发生。 迈克尔·谢默:对芬太尼和阿片类药物流行病的现状表示担忧,并与本·韦斯托夫讨论了芬太尼的成瘾性、毒品走私路线以及解决该问题的策略。节目中还探讨了群体心理性事件、毒品非刑事化政策以及贫困对社会的影响等问题。

Deep Dive

Key Insights

Why is fentanyl considered the most dangerous substance in drug tracking history?

Fentanyl is the most dangerous substance because it is far more potent than heroin or cocaine, with a tiny amount being enough to cause an overdose. It has also infiltrated various drug supplies, making it highly lethal.

How has fentanyl impacted the rave scene?

Fentanyl has adulterated many drugs, including those commonly used in the rave scene like LSD and ecstasy, making the scene much more dangerous for young people who may unknowingly consume fentanyl-laced drugs.

What role do Chinese labs play in the fentanyl crisis?

Chinese labs produce fentanyl and its analogs, often tweaking the chemical structure to stay within legal limits. These labs export precursor chemicals to Mexico, where cartels finish the production and distribute the drug to the U.S.

How does fentanyl compare to heroin in terms of addiction and overdose risk?

Fentanyl is more addictive and dangerous than heroin because it requires users to take it multiple times a day to avoid withdrawal, leading to higher overdose risks. Heroin, while dangerous, provides a longer-lasting effect.

What is the primary cause of fentanyl addiction?

Fentanyl addiction is primarily driven by the drug's ability to provide intense pleasure, but it also creates a physical dependency that requires users to take more to avoid withdrawal symptoms.

Why are police officers overdosing from touching fentanyl?

Police officers overdosing from touching fentanyl is likely a mass psychogenic event. The belief that touching fentanyl can cause overdose leads to psychological symptoms that mimic overdose, even when no actual fentanyl is present.

What are the most dangerous drug combinations involving fentanyl?

Combining fentanyl with benzodiazepines like Xanax or alcohol is extremely dangerous. These combinations slow down breathing, increasing the risk of fatal overdose.

How does fentanyl enter the U.S. from Mexico?

Fentanyl is smuggled into the U.S. by cartel-affiliated individuals, often hidden in vehicles crossing the border. The drug is then distributed across the country from major transshipment points like Los Angeles and Phoenix.

Why is there a fentanyl shortage in some regions?

A fentanyl shortage has occurred due to pressure on the Sinaloa cartel in Mexico, which was convinced by local authorities to stop trafficking fentanyl in certain areas, leading to a temporary reduction in supply.

What is the most effective way to combat the fentanyl epidemic?

The most effective approach is to focus on helping those already addicted, using proven treatments like naltrexone, methadone, and buprenorphine, rather than trying to stop the supply of drugs at the border.

Shownotes Transcript

In 2023, 107,543 Americans died from an overdose—over 75 thousand of those overdosed from fentanyl. This is almost double the number of people who died in car accidents or from gun homicides that year.

Fentanyl has been cut into heroin for years, but now is often mixed into meth and cocaine, fueling rising death counts for those drugs, a troubling development, considering that Americans are much more likely to try meth and cocaine than heroin.

In Canada, the numbers are similarly astronomical, and fentanyl deaths have marched upward in Australia and many European countries as well. Ten years ago, fentanyl and its analogues overtook heroin to become the deadliest drug in Sweden.

“Fentanyl is the game changer,” Special Agent in Charge James Hunt of the US Drug Enforcement Administration (DEA) told Vice News. “It’s the most dangerous substance in the history of drug tracking. Heroin and cocaine pale in comparison to how dangerous fentanyl is.”

Ben Westhoff is a best-selling investigative journalist focused on drugs, culture, and poverty. His book Fentanyl, Inc.: How Rogue Chemists Created the Deadliest Wave of the Opioid Epidemic is the bombshell first book about fentanyl. Since its publication, Westhoff has advised top government officials on the fentanyl crisis, including from the White House Office of National Drug Control Policy, U.S. Senate and House of Representatives, the U.S. embassy in Beijing, and the U.S. State Department.