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by Terretta 2833 days ago
> The basic difference seems to be in Canada

Maybe some other difference?

How is it you and the rest of Canada (not to mention Europe) aren't opioid junkies in a national "epidemic" when you can buy 100 codeine tablets for $10 in any grocery? Meanwhile, in Russia, with bans, it's an epidemic, while in Ukraine, even Russian-speaking Ukraine, this is readily available with no epidemic.

Something about personal responsibility instead of "someone made me do it" litigiousness? Or more related to healthcare as a basic right? US versus Canada suggests these, but Russia vs. Ukraine suggests may be something else. Nanny state vs. "sheeple"?

No answers, just find it interesting relaxed restriction seems to moderate so-called epidemics without catastrophic societal breakdown.

3 comments

I wouldn't blame personal responsibility, but rather better laws allowing for folks to heal added with a bit of the "healthcare is a right" sort of thing.

When I had gall bladder surgery living in the US (my home country), I was told to take 7-10 days off work then have lifting restrictions for a bit. My boss would only allow for the lesser time because it was "my weekend" to work, and I had to work that sunday for a bit.

I most definitely wasn't ready to go back. I didnt' need the opiods the couple days before as it was merely uncomfortable, but being active made things hurt. I didn't lift, but was merely active. I needed pills that night.

On the other hand, I live in Norway now. If I am feeling sick, I can stay home from work for 3 days without going to the doctor and without losing my job. I'm pretty sure I could have stayed home the time necessary after surgery. Mothers have paid time off after having a child (amount depends on how long one takes, but it can be 100%).

Policies like these mean that people can actually heal. Other policies also mean folks aren't as stressed (especially when they are poor).

That's my reasoning for the rates being lower in some places than others, anyway.

Doctors in the US were getting kickbacks for prescribing opioids. This incentivized prescribing opioids for all types of cases that wouldn't normally need it, and led to "pill mills" flooding neighborhoods with drugs. Big pharma is behind the crisis in the US.

https://www.vox.com/science-and-health/2018/5/15/17355722/op...

Education and doctors behavior? Austria where I live consumes tons of opioids but it’s not an epidemic and doctors will be relictant to give opiods to you on a permanent basis.