‘It’s all fentanyl’: opioid crisis takes shape in Philadelphia as overdoses surge
Nationally, over the past three years, fentanyl-related deaths have increased by 540%, and the epidemic is felt acutely in Philadelphia’s Kensington area
It’s the variability of the dose that kills:
Heroin itself rarely kills. Pharmaceutically pure that is, in measured doses. The two most common, by far, causes of overdoses are those coming back to it after a layoff, dosing as before and having lost much of their tolerance, and variable doses in the material itself.
Modern chemistry has made this very much worse with synthetics like fentanyl. It’s hugely cheaper and also very much stronger. More, the gap between a dose that produces a high and one that kills is very much smaller. Some to much “heroin” is now cut with such synthetics, making a dose even more of a lottery than it has traditionally been.
As we say, this is now enough of a problem that something really must be done. We’ve tried half a century of prosecuting, persecuting, those who simply wish to get high and as we can see that doesn’t work. Legalisation – no, not decriminalisation, full legalisation – is the only viable answer.
For it is the variability of the dose that is killing people. Only when brands appear with controlled and known dosages will the deaths stop. Thus we want to have such legal brands.