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Implantable device detects opioid overdose and automatically administers |
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naloxone in animal trials | The device, which the researchers call |
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"iSOS", has not been tested in humans, but was able to successfully |
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revive 24 out of 25 overdosed pigs within 3.2 minutes. |
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https://www.scimex.org/newsfeed/implantable-device-detects-opioid-ove... (https://www.scimex.org) |
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|u/AutoModerator - 1 month |
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|Welcome to r/science! This is a heavily moderated subreddit in order to |
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|keep the discussion on science. However, we recognize that many people |
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|want to discuss how they feel the research relates to their own personal |
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|lives, so to give people a space to do that, **personal anecdotes are |
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|allowed as responses to this comment**. Any anecdotal comments elsewhere |
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|in the discussion will be removed and our [normal comment rules]( |
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|u/chrisdh79 Permalink: https://www.scimex.org/newsfeed/implantable- |
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|device-detects-opioid-overdose-and-automatically-administers-naloxone- |
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|u/Usual_Safety - 1 month |
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|I understand and appreciate the testing process using pigs. It’s still |
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|odd to think of getting 25 pigs loaded on opioids until they overdose. |
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|u/Here4uguys - 1 month |
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|Times are hard for everypig |
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|u/UufTheTank - 1 month |
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|I don’t think that’s an Animal Farm reference, but it FEELS like an |
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|Animal Farm Reference. |
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|u/CodyTheLearner - 1 month |
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|I was thinking maybe 1984? |
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|u/incubuster4 - 1 month |
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|I don’t think ‘odd’ is an adequate enough descriptor for that. |
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|u/swissamuknife - 1 month |
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|they probably do it under anesthesia and don’t wake them up after, |
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|like most medical experiments involving pigs |
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|u/Zelcron - 1 month |
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|OD levels of opiates is usually sufficient anesthesia. |
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|u/TheRealRanchDubois - 1 month |
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|They actually put the implants in 150 pigs and just waited until 25 |
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|started using again. |
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|u/thecelcollector - 1 month |
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|A better life than the average pig. |
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|u/Altostratus - 1 month |
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|Probably a better death than the average pig too. |
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|u/Johnny_Poppyseed - 1 month |
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|People didn't make the choice to have sex? Is herpes the #1 killer |
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|of young people in the US? |
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|u/uphucwits - 1 month |
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|Good point. opiates #1 killer is a sad commentary on the nations |
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|youth especially in a nation that lives in a state of constant and |
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|instant gratification. What’s more my point was that all the |
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|resources to address the drug epidemic would be better spent |
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|elsewhere, perhaps in systems that result in drugs not being the |
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|path folks take when they feel that’s the only choice. Choice |
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|theory. |
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|u/Appropriate_Power216 - 1 month |
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|This comment says everything we need to know about you. |
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|u/th3rmtv - 1 month |
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|Who would have this implanted? Would it be willingly? Who would pay for |
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|it? Insurance? I see many real world problems |
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|u/phoenix25 - 1 month |
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|This is exactly the problem. We have long acting opioid antagonists |
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|that stop you from getting high, that last in your system for 3 days. |
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|No one wants to take them, and no one is going to submit to have this |
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|implanted in them. |
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|u/Symbolis - 1 month |
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|>that stop you from getting high Well there's the problem. They |
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|don't want to _not_ get high. They want to get high without dying. |
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|u/egoncasteel - 1 month |
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|Am I evil if I point out that if it can detect an overdose it could |
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|just be set to detect any dose and go off. So you could just implant |
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|one in someone and the couldn't get high any more, and where that line |
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|of thinking leads. I am honestly not sure but the idea is right there. |
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|u/Bibblejw - 1 month |
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|Except that it administers a finite drug. So what you’re doing isn’t |
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|setting up a permanent immunity, it’s giving an indeterminate number |
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|of hits before it works. That would basically just guarantee that |
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|the first dose that they took after they ran out would be an OD. |
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|u/ShakaUVM - 1 month |
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|Embed Bluetooth and have it send a notification when it stops an |
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|OD |
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|u/Bibblejw - 1 month |
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|To what end? If there was the resources to provide all drug |
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|addicts personalized care, then it would be significantly less |
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|prevalent. It’s also not a personality trait that would be |
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|amenable to either keeping connections on their phone that |
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|prevent them from getting high, or for maintaining a charged |
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|phone when dosing. |
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|u/AgentTin - 1 month |
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|Yep. You'd have guys wrapping the injection site with tin foil |
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|to block the signal |
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|u/ShakaUVM - 1 month |
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|> To what end? To save lives. Nalaxone does not remove |
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|opiates from the system it just keeps them from killing you. |
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|Even with a dose administered, you are still supposed to go to |
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|the ER. Having a notification that someone is currently |
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|ODing, or that the implant is out of medicine would be |
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|literally life saving. Would be good for addicts looking to |
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|recover as well. |
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|u/Bibblejw - 1 month |
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|But this is a notification that is from the users device. |
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|Honestly, there’s value to this if you take out the Nalaxone |
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|administration. A ping to a local phone that an OD was |
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|happening would be good. Adding that to an unattended |
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|implant that attempts to counteract it would seem to be |
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|detrimental. |
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|u/Croceyes2 - 1 month |
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|It's likely detecting you dying, not the opiates. Everyone would od |
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|at different conentrarions. |
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|u/SoulFanatic - 1 month |
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|Nevermind the fact that it would likely be easier and more cost- |
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|effective to sink all that money into options like improving mental |
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|healthcare to prevent people from developing drug addictions in the |
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|first place |
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|u/N_T_F_D - 1 month |
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|I’d have this implanted, I like dope and I like being alive I always |
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|carry Narcan and tell people I have it with me so they can use it on |
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|me, but if one day I’m alone and I fall asleep before realizing I’m |
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|too deep I’ll die |
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|u/Altostratus - 1 month |
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|I’m not sure where you live, but some places have an app for |
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|reducing harm for those using alone. If you don’t respond in x time |
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|after dosing, they will automatically call 911. |
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|https://news.gov.bc.ca/stories/new-lifeguard-app-launched-to-help- |
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|prevent-overdoses |
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|u/torturedcanadian - 1 month |
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|Don't use unsafe doses alone. Test your drugs too. |
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|u/N_T_F_D - 1 month |
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|I can’t exactly nod in front of my family, but I test my dope for |
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|fent |
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|u/torturedcanadian - 1 month |
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|Well glad you're being safe about it. Does family know? |
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|u/N_T_F_D - 1 month |
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|They know i’m on methadone, and I showed them my pre-packaged |
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|naloxone syringe kits and how to use them, but I don’t know if |
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|they’d have the presence of mind to remember it in the heat of |
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|the moment |
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|u/torturedcanadian - 1 month |
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|Could you do practice training every now and again? |
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|u/TheBadNewsIs - 1 month |
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|I could see this being useful but resulting in unintended consequences. |
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|Specifically, users will end up taking larger quantities of opioids if |
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|the know they can survive an overdose. You may actually see an I crease |
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|in overdose and exacerbation of addiction if it encourages people to |
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|push there use to the limit. |
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|u/biscovery - 1 month |
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|No addict wants to get hit with Narcan. It blows your high first off, |
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|second you go into immediate withdrawal, and not just normal |
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|withdrawal its significant more intense. It's extremely unpleasant |
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|and I promise you, not too many addicts are going to push the limit |
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|because of this though they certainly will push the limit in spite of |
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|it because well they are dope heads. |
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|u/N_T_F_D - 1 month |
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|Getting hit with precipitated withdrawals (same thing that happens |
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|with Narcan, except it lasts 48h and not 30mn) was the worst 2 days |
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|of my life, the first and last time I actually wanted to die |
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|u/puesyomero - 1 month |
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|Ehhhhh maybe? naloxone crash is incredibly harsh and completely ruins |
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|the high, so it might just remain a last line of safety instead of a |
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|tool for thrillseekers |
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|u/Usual_Safety - 1 month |
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|You make a great point. A safety net for some addicts |
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|u/NessyComeHome - 1 month |
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|No, not really. Think about it, why would someone who has a daily, |
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|or multi daily addiction use more than necessary, regardless of |
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|"safety net". Opioid addicts walk a fine line between enough and |
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|dead. Why would you use more than necessary to achieve a desired |
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|effect when that means you run out quicker, and have to come up with |
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|money sooner than anticipated to meet that need? On top of that, |
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|precipitated withdrawls suck 10x worse than normal withdrawals. Your |
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|bones will feel like they're on fire. Why would an addict willingly |
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|put themselves in that situation because of a "safety net". It's a |
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|brutal "safety net". |
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|u/Jason_Batemans_Hair - 1 month |
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|This is a strange perspective on how drug addiction works, and how |
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|it progresses. And it treats all users the same, when they aren't. |
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|The prior comment referred to "some addicts", not all addicts. |
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|u/PolyDipsoManiac - 1 month |
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|Street opioids are of unknown and often quite high potency, it’s |
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|why most of the 100,000+ annual overdose deaths involve opioids, |
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|81,000 in 2023. [Prohibition also ensures that the smuggled |
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|narcotics will be of ever-increasing potency, which is now why |
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|people are dying to fentanyl and carfentanyl (which is 100 times |
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|more potent than fentanyl) that have taken over the supply |
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|routes.](https://en.m.wikipedia.org/wiki/Iron_law_of_prohibition) |
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|The situation was much better when people could get pharmaceutical |
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|oxycodone (either from their doctor, a pill mill, or the black |
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|market), the annual death toll was about a quarter of today’s. |
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|u/PlayfulRocket - 1 month |
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|Why would addicts hurt themselves? |
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|u/torturedcanadian - 1 month |
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|Untreated trauma mostly. |
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|u/Rick_e_bobby - 1 month |
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|Exactly. Some of these users literally take the max they can to get |
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|to that level without OD, then their fellow users narcan them thinking |
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|they are and they get pissed because their high just got ruined. |
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|u/B0vice - 1 month |
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|We will do literally anything but address the systemic issues that push |
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|and keep people in addiction. Can we not just get these people the help |
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|and support they need to get clean? I get that you can lead a horse to |
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|water but can't make them drink, but there are so many people suffering |
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|who can't even access basic help, let alone have their basic needs met. |
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|u/romansparta99 - 1 month |
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|The research on this doesn’t overlap with the research on preventing |
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|addiction in the first place. I see this (if it proves helpful in |
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|humans) as a fantastic way to help people on the path to recovery from |
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|avoiding death if they relapse I completely agree we need to address |
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|systemic issues, but positive developments in peripheral areas |
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|shouldn’t be diminished because they don’t fix the whole problem |
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|u/B0vice - 1 month |
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|I think people see this as analogous to an insulin pump but diabetes |
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|and opiate addiction are two very different diseases. I see your |
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|point but I worry that this is seen as a reason not to invest in |
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|getting people proper treatment. There are many, many unknowns on |
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|all sides but this is dystopian as hell by my take. |
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|u/Jason_Batemans_Hair - 1 month |
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|*'Deaths from drug ODs went to zero, we've fixed the problem!'* |
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|u/RetiredNurseinAZ - 1 month |
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|The alternative stops people in their tracts from ever getting help. |
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|u/Defiant-Elk5206 - 1 month |
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|So many people never even get the chance to make that effort. |
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|u/Altostratus - 1 month |
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|I too think it’s important that we put more effort toward improving |
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|the root causes as well. For instance, affordable housing, access to |
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|mental health care. |
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|u/chrisdh79 - 1 month |
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|From the article: |
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|[Researchers](https://doi.org/10.1016/j.device.2024.100517) have |
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|developed an implantable device that can detect an opioid overdose and |
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|automatically administer the life-saving drug naloxone. The device, |
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|which the researchers call "iSOS", has not been tested in humans, but |
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|was able to successfully revive 24 out of 25 overdosed pigs within 3.2 |
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|minutes. Opioid overdose from both prescription and illicit drugs can |
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|cause permanent brain damage within three minutes and death within four |
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|to six minutes. Naloxone is an effective treatment for opioid |
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|overdose, but it usually requires a bystander to step in and administer |
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|it because the person with the overdose is likely to lose consciousness. |
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|The implant continuously monitors the users respiratory rate, heart |
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|rate, body temperature, and blood oxygen saturation and uses this data |
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|in an algorithm to determine if an overdose is occurring. Going forward, |
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|the researchers plan to continue to optimise and miniaturise the device, |
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|which currently measures 8mm x 12mm x 78mm. |
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|u/NovaBloom444 - 1 month |
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|What if we invest in affordable housing and treatment centers instead? |
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|I’d like to live in a world where people are enriched enough that doing |
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|hard drugs isnt the only high point in their life.. |
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|u/Nukem_extracrispy - 1 month |
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|We already have affordable housing (the projects) and treatment |
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|centers (jails). Synthetic opioids should be designated as chemical |
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|weapons of mass destruction. We should respond with Prompt Global |
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|Strike; launch Trident D5 SLBMs with low yield W76-2 warheads at the |
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|precursor chemical factories in Guangdong. This would eliminate the |
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|global supply of opioids for several years at least. |
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|u/GPQ70 - 1 month |
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|It is beyond horrifying that pigs would be abused and tested on for this |
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|reason. Just because you can doesn’t mean you should. |
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|u/Manofalltrade - 1 month |
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|I respect the good intentions but I can’t see this taking off. What |
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|junkie is going to spend drug money on this or tell their insurance that |
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|they need it? Plus, have you seen how mad some of them get when their |
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|high gets wasted? |
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|u/spletharg - 1 month |
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|Is this some kind of marketing strategy by ham producers? I didn't even |
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|know there was an opioid problem in the pig population! |
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|u/Submissive-whims - 1 month |
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|How is it reloaded or removed? Does a surgeon have the option to disable |
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|the device to do their job? How easily can someone else disable the |
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|device and can an addict use the same method a surgeon uses to get their |
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|fix? |
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|u/UEF-ACU - 1 month |
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|Quick Revive Perk-A-Cola but implantable… cool |
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|u/Blarghnog - 1 month |
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|While it will save lives the ethical challenges of putting a surgically |
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|implanted opioid reversal device into addicts is intense to contemplate. |
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|I wish we could find a way to reverse the dopamine effects and make |
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|taking opioids unpleasant for addicts so they could get free. |
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|u/Warm_Iron_273 - 1 month |
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|It's all fun and games until this thing leaks in your body. But yeah, |
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|this is backwards thinking and will simply encourage harder drug abuse. |
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|u/lonepotatochip - 1 month |
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|I’d also want to know about the false positives the device has. If it |
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|often wrongly detects an overdose then no addict would ever use it |
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|because it would just make it impossible to get really high. |
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|u/MissionCreeper - 1 month |
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|I can't open the link... does this mean that the device detected only |
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|when the pigs were about to die, or do they kick in at a certain dose of |
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|opioid |
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|u/predat3d - 1 month |
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|Wouldn't pig detox therapy be more humane? |
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|u/626leaddit - 1 month |
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|Great support drug abuse. |
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|u/vibratorystorm - 1 month |
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|I’m totally all for involuntary human implants, what a great idea |
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|u/Great_Examination_16 - 1 month |
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|Why do I feel like people will overdose more often if they have them in |
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|a paradoxical effect |
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|u/Chom_Chom22 - 1 month |
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|Why would someone MAKE this ? If a tweaker is overdosing on a combo of |
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|heroin and fentanyl, surely it's much, MUCH better to just let them die |
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|and stop costing the rest of society more money over x amount of years ? |
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|u/Metafield - 1 month |
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|That is a fucked up thing to say |
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|u/IempireI - 1 month |
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|Who's going to pay for this. The tax payers. That's crazy. |
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|u/romansparta99 - 1 month |
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|I’ll happily pay a few cents a year to prevent thousands of deaths, |
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|and I’d seriously have questions for anyone who wouldn’t Why does a |
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|life saving technology immediately go to “who’s going to pay for |
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|this?” In your mind? |
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|u/IempireI - 1 month |
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|I'm not. You're going to take drugs willingly. Then continue to use |
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|it even though it will kill you. I'm not paying for that. Rehab yes. |
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|Other programs to help prevent or help innocent family members, ok. |
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|But you needing an implant to save you from continually overdosing. |
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|Nah. |
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|u/romansparta99 - 1 month |
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|And if these people relapse, they should just die? You’ll pay for |
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|them on the road to recovery, but not for if they slip? What a |
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|cruel mentality |
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|u/IempireI - 1 month |
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|A slip is different than deciding to continually use and die and |
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|be brought back then die again then back to life again, then die |
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|again, then be brought back to life again and other people have |
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|to pay for it, that's crazy. People don't understand this but |
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|the country doesn't have unlimited money. |
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|u/romansparta99 - 1 month |
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|You think every single person will just use it as a free pass |
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|to OD as much as they want? Getting naloxone is an incredibly |
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|unpleasant experience, as is ODing in the first place, they’re |
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|not gonna just do it over and over for fun And yes, like any |
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|system it has vulnerabilities that can be abused, but that |
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|doesn’t mean we should deprive well meaning people from |
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|something that could save their lives Just like food stamps, |
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|if an asshole takes advantage of the system the solution isn’t |
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|to ban everyone from food stamps, it’s to build a better |
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|system This isn’t perfect, but if it proves an effective way |
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|to reduce deaths without raising addiction rates, then why not |
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|celebrate it? And as for money, your government almost defo |
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|purely can afford it, a huge amount of money gets wasted |
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|globally, so rather than getting mad at potentially helpful |
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|things for costing money, focus your attention on the spending |
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|that does nothing but cause harm |
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|u/IempireI - 1 month |
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|Um, who do you think this would be for. Not your weekend |
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|party 20 something. I don't know where you live but I've |
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|been to SF. I've been to LA. Where I live and the |
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|experiences I've had, I've lived through this time of life. |
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|Yes I see people repeatedly overdose. That's the whole |
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|reason for a product like this, no? |
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|u/SpreadEagle48 - 1 month |
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|Helping junkies be more effective at being drug addicts is not a |
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|solution. |
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|u/theoutlander523 - 1 month |
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|So what the hell is the end game for this? Are they thinking druggies |
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|are going to just sign up for this willingly? If they do then they know |
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|they can take as much as they want without risk of death. Alternatively, |
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|they don't want to get it because they won't be able to get high. The |
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|only use case I can imagine is someone forcibly made to get it, like |
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|from a judge order or something like that. |
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|u/ordinaryretreat - 1 month |
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|Implant this in my body? When pigs fly! Wait.... |
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|u/ayleidanthropologist - 1 month |
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|Calling them pigs is a little dramatic, but I get it |
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