ʻO nā ʻoihana lāʻau i lalo o ka hoʻokolokolo ʻia e ka Senate no ka loulou hiki i ka Opioid Epidemic
Anter
Ke noʻonoʻo ʻoe i ka "maʻi maʻi," hiki paha iā ʻoe ke noʻonoʻo i nā moʻolelo kahiko e pili ana i ka maʻi bubonic a i ʻole nā mea weliweli o kēia mau lā e like me Zika a i ʻole STI super-bug. Akā ʻo kekahi o nā maʻi wīwī nui a weliweli hoʻi a ʻAmelika e kū nei i kēia lā ʻaʻohe mea e pili ana i ka puʻe ʻana a me ka ʻū ʻana, a i ʻole ka momona. ʻO nā lāʻau. A ʻaʻole mākou e kamaʻilio e pili ana i ka ʻano kū ʻole i ke kānāwai.
Hoʻohui ʻia kahi heluna nui o ko ʻAmelika i ka-a me ka hōʻeha ʻana i ka overdosis mai-opioids. Ua manaʻo ʻia he 33,000 ka poʻe i loaʻa i ka make e pili ana i ka opioid ma 2015 i ka US Ma kahi o 15,000 o ia mau mea i hoʻopili pololei ʻia i nā mea hōʻeha ʻeha, e like me ka Centers for Disease Control and Prevention. Loaʻa kēlā helu quadrupled mai ka makahiki 1999. ʻAʻole pono e ʻōlelo, ʻaʻole maikaʻi. (He mana ka ʻike, no laila eia nā mea āpau āu e ʻike ai ma mua o ka lawe ʻana i nā painkillers i kuhikuhi ʻia.)
ʻO ia ke kumu e wehe ana kahi kōmike Senate i kahi hoʻokolokolo inā he hana a nā hui lāʻau lapaʻau ʻelima nui o U.S., nā mea a pau e hoʻopuka i nā painkillers, ua hoʻāla ʻia ka hana hoʻomāinoino opioid i ulu a make ka nui. Ke nānā nei ka Senate i Purdue Pharma, Johnson & Johnson's Janssen mahele, Insys, Mylan, a me Depomed, e noi nei i ka ʻike e pili ana i nā mea kūʻai aku a me nā mea kūʻai aku, nā noiʻi kūloko e pili ana i nā mea hoʻowahāwahā, ka mālama ʻana i nā hoʻoponopono kū kānāwai, a me nā makana i nā hui kākoʻo, e like me ka hoʻokuʻu ʻia e ke Kōmike Kenekoa ʻAmelika Hui Pū ʻIa e pili ana i ka pale home a me nā hana aupuni.Wahi a ka hōʻike epidemi opioid a ke kōmike e hoʻohana ana kēia mau ʻoihana i nā hana kūʻai aku kānalua (e like me ka hoʻohaʻahaʻa ʻana i ka makaʻu a me ka hoʻomaka ʻana o nā mea maʻi ma nā hana kiʻekiʻe loa) a hāʻawi i nā kickbacks kūpono ʻole e paipai i nā kauka a me nā kahu hānai e kuhikuhi i kā lākou huahana opioid.
"ʻO kēia maʻi ahulau ka hopena pololei o ka hoʻolālā kūʻai a me ka hoʻolālā kūʻai aku i ʻōlelo ʻia e nā mea hana opioid nui i ʻimi ʻia i nā makahiki he 20 i hala iho nei e hoʻonui i kā lākou māhele mākeke a hoʻonui i ka hilinaʻi ʻana i nā lāʻau lapaʻau ikaika a make pinepine ... ʻO nā hana ʻē aʻe, e hoʻohaʻahaʻa i ka hopena o ka hoʻohui i kā lākou huahana a paipai i nā kauka e kuhikuhi i nā opioids no nā hihia āpau o ka ʻeha a me nā kiʻekiʻe kiʻekiʻe, "i kākau ai ʻo US Senator Claire McCaskill o Missouri i kāna mau leka i nā hui.
Hoʻopili ka Opioids me nā mea loaʻa ma nā hunaola nerve i ke kino a me ka lolo e hana i ka euphoria me ka hoʻohui o ka ʻeha, ʻo ia ke kumu i hana ʻino ʻia ai lākou, e like me ka National Institute on Drug Abuse (NIDA). ʻO nā opioids i kauoha ʻia he oxycodone (ex: OxyContin), hydrocodone (ex: Vicodin), morphine, a me methadone, i hoʻohana ʻia no ka mālama ʻana i ka ʻeha haʻahaʻa a i ʻole koʻikoʻi a kuhikuhi pinepine ʻia ma hope o ke ʻoki ʻana a i ʻole ka hōʻeha, a i ʻole no nā kūlana e like me ke kanesa, e like me i ka CDC. A laila aia kahi lāʻau lapaʻau fentanyl-a synthetic opioid pain reliever ʻo 50 a 100 mau manawa ʻoi aku ka ikaika ma mua o ka morphine, a hoʻohana wale ʻia e mālama i ka ʻeha nui. ʻOiai hiki iā ʻoe ke kiʻi i ka fentanyl kuhikuhi, aia kekahi mākeke kūpono ʻole no ka lāʻau, a ʻo ka hōʻike a ka CDC ke kumu o ka make ʻana a me nā overdosis e pili ana i ka fentanyl.
Manaʻo ka CDC i ka makahiki 2014 wale nō, ʻoi aku ma mua o 2 miliona ʻAmelika i hilinaʻi i nā lāʻau hōʻeha opioid. ʻOiai ʻo ka hapalua o ka make opioid i manaʻo ʻia no nā mea ʻē aʻe ma mua o nā lāʻau hōʻeha ʻeha, hiki i kēia mau lāʻau lapaʻau ke lilo i ʻīpuka i ka hoʻohana ʻana i ka opioid (me nā kumu kīnā ʻole, e like me ka heroin). ʻO ka ʻoiaʻiʻo, ʻehā i loko o ʻelima mau mea hoʻohana heroin hou i hoʻomaka i nā lāʻau hōʻeha ʻeha, e like me ka American Society of Addiction Medicine. ʻO ka ʻoiaʻiʻo, ʻo ka lawe ʻana i nā painkillers i kuhikuhi ʻia no ka hōʻeha ʻana i ka kinipōpō ka mea e alakaʻi aku ai i ka mea heroin no kēia wahine ʻōpio.
Ua pane kekahi o nā hui i nā leka a McCaskill: Ua haʻi aku ʻo Purdue Pharma i ka CNBC, "ʻO ka pilikia opioid i waena o nā pilikia olakino koʻikoʻi o ko mākou lāhui, ʻo ia ke kumu i hoʻolaʻa ai kā mākou hui iā ia iho no nā makahiki e lilo i ʻāpana o ka hopena." A ua ʻōlelo kahi haʻi ʻōlelo ʻo J&J Janssen, "Manaʻo mākou ua hana kūpono mākou, kuleana kūpono, a no ka pono ʻoi aku o nā mea maʻi e pili ana i kā mākou mau lāʻau ʻeha opioid, i ʻae ʻia e FDA a hāpai i nā ʻōlelo aʻoaʻo kauoha a FDA e pili ana i nā pilikia i ʻike ʻia o nā lāʻau i nā huahana huahana āpau. " Ua ʻōlelo ʻo Mylan ua "hoʻokipa lākou i ka hoihoi o ka senator i kēia mea nui a kaʻana like mākou i kāna mau hopohopo e pili ana i ka hoʻohana pono ʻole ʻana o nā opioids kuhikuhi," a "ʻoiai he mea pāʻani liʻiliʻi i kēia wahi, ua paʻa mākou i ke kōkua ʻana e loaʻa nā hopena i ka pilikia o ka hōʻino opioid. a hoʻohana hewa."
ʻAʻohe mea i hōʻike ʻia e ka hoʻokolokolo, he mea koʻikoʻi ia e ʻike i kāu mea i ka wā e pili ana i ka mea ma ka Rx slip mai kāu doc. Pono ʻoe e makaʻala i nā hōʻailona maʻamau o ka hilinaʻi lāʻau a me ka hoʻomāinoino. ʻO kekahi mau nūhou maikaʻi e kōkua iā ʻoe e manaʻo a liʻiliʻi ʻoi aku ka maikaʻi e pili ana i kēia pilikia hoʻohaʻahaʻa: ʻO ka hoʻomaʻamaʻa paha ka mea maikaʻi loa e kōkua ai i ka pale ʻana i ka addiction opioid. (Ma hope o nā mea āpau, kiʻekiʻe ke kiʻekiʻe o ka mea holo e like me ka lāʻau.)