Opioids are some of the best drugs ever invented. News flash! But that’s not something you’ll hear from the mainstream media anymore. No, the official message is that opioids are only problematic and even in the instances where they are prescribed by doctors, there’s this baggage, this stigma and shame attached to it. And no, recognizing the value of these drugs doesn’t make you a big pharma shill, in spite of drug companies that have exploited and yes, in some cases overprescribed these substances — but that’s a critique of capitalism, not chemicals that happen to mercifully act on our opioid receptors.

Of course, no one really outright says we need to ban all opioids. But in effect, that’s what we’re doing, banning them. Prescriptions of opioids have dropped significantly in the past decade, falling by 51.7% over 11 years, from 260.5 million in 2012 to 125.9 million in 2023. That hasn’t resulted in a significant drop in overdose deaths. Instead, the current climate, and attacks from the DEA has left many doctors now afraid to prescribe these drugs, even when necessary. And the rash of stigma against people who use opioids, licit or illicit, has not done anything to actually stop drug use. But these policies and attitudes do have an impact. Who has that harmed the most? Patients who need them.

On this episode, Narcotica co-host Troy Farah speaks with Liz Chiarello, an Associate Professor of Sociology at Saint Louis University where she conducts research at the intersection of healthcare and law. Her research centers on how cultural forces such as law, politics, and organizational policy influence decision-making in healthcare and the criminal-legal system. She is author of the recent book “Policing Patients: Treatment and Surveillance on the Frontlines of the Opioid Crisis.”

If you liked this episode, here are others you might enjoy:
Episode 84: How Drug Seizures Damage Public Health with Drs. Bradley Ray, Jennifer J. Carroll and Brandon del Pozo
Episode 65: Restoring Trust in Doctors Amidst The Overdose Crisis with Dr. Ben Cocchiaro and Dr. Ashish Thakrar
Episode 81: Harm Reduction Against the Prison-Industrial Complex

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Producers: Christopher Moraff, Troy Farah, Aaron Ferguson
Music: Glass Boy / Nomad1
Intro voice: Jenny Schaye
Image: via Flickr