I remember writing about the young girl in grade school who thought her parents were sleeping and was worried about getting to school and getting her homework in to the teacher on time. Her parents weren’t sleeping of course.

They were dead of an opioid overdose.

How do you deal with that? How do you try and prevent the opioid crisis that is killing tens of thousands of Americans every year?

It seems you DON’T do what the government has done over the past year or so. Especially the decisions that were taken by ex-AG Jeff Sessions who basically decided that the DEA would be the best qualified agency to ensure that a severe, chronic-pain sufferer’s dosages are adequate. Here’s why the former AG and the government in general have created unintended consequences as a result of their policy prescriptions for the opioid crisis.

They believed the myth that opioid abuse – the heart of the crisis – is essentially a case of patients abusing their pain medication.

It’s not. As Henry Miller and Josh Bloom write in their article in the Washington Examiner:

“True addiction in pain patients is rare. Many scholarly reviews have concluded that the addiction rate is less than one percent even in patients who have required long-term opioid medication for severe pain due to injury or illness. The current death toll from opioid use is largely the result of abuse, not medical use, of these drugs. And yet, as of last October, 33 states had instituted laws that restrict opioid prescribing in some way.”

And this misguided belief has led to true pain sufferers to be deprived of the medication that makes their lives bearable. As Miller and Bloom write:

“Enter the law of unintended consequences. Opioids, including fentanyl, morphine, and hydromorphone, some of our most important and potent analgesics, which are commonly used in patients with advanced cancer and for pain control after surgery, are now in shortage, according to the Food and Drug Administration. All of these drugs had their manufacturing quotas reduced by the feds
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Thus, the feds’ actions have succeeded not in ameliorating the scourge of opioid abuse and overdoses, which results from drugs made in China and elsewhere abroad smuggled across our borders, but in unnecessarily causing several other problems. These include a shortage of critical drugs produced by legitimate manufacturers and expanding the market and boosting the street price for illegal, dangerous imports.”

The real problem is twofold:
• People who for a number of reasons are already substance abusers turning to illegally-made, smuggled opioids to get high, and often dying as a result.
• A flood of those illegally-produced and smuggled opioids entering America with China bearing much of the blame as well as both ports of entry in general and the southern border also being responsible for the crisis.

By having the DEA decide what the level of prescription opioids should be, the government is ignoring the complex nature of painkillers and how each individual patient reacts differently, not only based on weight and body mass index but also on other factors like their metabolism which affects how they absorb the painkiller. You can’t impose standardized dosages on patients. And because the DEA is effectively doing that, real pain sufferers are going without sufficient painkillers. Their lives are literally unbearable in many cases.

As Miller (a physician and molecular biologist) and Bloom (a PhD in organic chemistry) argue:

“The decades-long war on drugs, which has never succeeded in controlling abuse or addiction, has now mistakenly declared American drug companies and doctors to be the enemy. In the name of addressing a crisis, we are focusing on the wrong targets and sacrificing freedoms in a new, dangerous way. That’s a prescription for disaster.”

Yes Mr. ex-AG Sessions, there is a moral problem here that’s also a societal problem. Healthy, happy and reasonably fulfilled people don’t take opioids for the fun of it. They have a problem. But the blunt instruments you and the DEA put together don’t even target the real culprits (who are also the victims of this crisis of course). They go after honest patients trying to deal with unbearable pain and the doctors and pharmacists who help them – a few notorious over-prescribers excepted.

Sessions and the DEA mis-diagnosed the problem. But of course, they would. They’re lawyers, bureaucrats and cops. Not doctors. What do we call that?

Quacks, I seem to remember was the term.

As the House passes a resolution condemning a fought-over list of bigotries – including anti-Semitism, Islamophobia, and white supremacy – with reportedly 23 GOP members voting no because of the inclusion of Islamophobia and white supremacy in what was originally supposed to be a Democrat-controlled response to Representative Omar’s remarks, there is an interesting idea for a further resolution.

Supreme policy wonk Mark Jacobs (who has burrowed deep and wide into the details of healthcare policy for the GOP) suggests in The Federalist that the GOP use a Motion to Recommit (a procedure whereby the minority in the House gets a final shot at amending a bill brought forward by the majority) to force a vote on the Green New Deal. This would be the flipside of the tactic used last week when the GOP used a motion to recommit to get moderate Democrats to agree to notify immigration authorities when illegals try to purchase guns. Supposedly we all want less guns because they say that means less violence, right? What’s not to like about that?

Alexandria Ocasio-Cortez blew a gasket at a closed-door meeting, according to the Washington Post:

Ocasio-Cortez, the unquestioned media superstar of the freshman class, upped the ante, admonishing the moderates and indicating she would help liberal activists unseat them in the 2020 election. Corbin Trent, a spokesman for Ocasio-Cortez, said she told her colleagues that Democrats who side with Republicans ‘are putting themselves on a list.’

‘She said that when activists ask her why she had to vote for a gun safety bill that also further empowers an agency that forcibly injects kids with psychotropic drugs, they’re going to want a list of names and she’s going to give it to them,’ Trent said, referring to U.S. Immigration and Customs Enforcement.

So now by using a Motion to Recommit which entails a vote on the Green New Deal the GOP would be appealing to radical progressives in the Democratic Party to vote for the enormously expensive and poorly thought-out plan, and force moderate Dems to decide if they would really vote for this sort of top-down ecological Maoism.

Yes, it’s theatrics and it’s meant to prod and provoke and reveal the divisions within the Democratic Party. But the fascinating question is, how would AOC react? I have an idea it might go something like this:

If you think I’m letting a bunch of old white guys get to decide when and how we save America by banning the internal combustion engine and slaughtering farting cows and selling Amtrak to the Chinese so they can build high-speed trains where our highways once stood, you have no idea who you’re dealing with! This resolution is immoral because of who you guys are. Not because of what it contains! Don’t you guys get it?

That’s the thing about intersectionality. Hypocrisy disappears because it is now irrelevant. You see you can change an idea, or a policy stance perhaps based on evidence that has convinced you to shift your position. Or on the polls and the fact that now your party has the majority. But changing who you are is much harder (and more expensive) to do. And we the identity police will decide who you are. Not you. You don’t even have control of who you are. We do. Ha. Ha.

So, as delicious as Mark Jacob’s idea is, it won’t work. The Democrats who would actually have the decency to be uncomfortable with the blatant hypocrisy of not voting for a Motion to Recommit on the Green New Deal (which will supposedly save us from destruction) are now cowed into silence. It will be AOC and her Gang of Three who will explain why hypocrisy is gone, dead, vanished, run down the curtain and joined the bleedin’ choir invisible.

When identity is everything, then hypocrisy is nothing.

Of course, AOC would vote against such a Motion to Recommit without a trace of guilt or discomfort. She’d in fact do it in a bout of righteous rage. It’s all about who she is and the crazed paradises she’s pointing towards, not what she says or how to get there.

It has been suggested that the Speaker of the House is not Nancy Pelosi, it’s Alexandria Ocasio-Cortez. And if you could measure the role of Speaker by the amount of words unleashed while actually speaking (or tweeting to be a little more accurate), then it ain’t even close. AOC is House Speaker, threatening moderate Democrats with primary opponents if they ever vote for a GOP measure or add-on to a bill, tweeting furiously and unapologetically and gathering up her cohorts Tlaib and Omar in a sort of Gang of Three who are absolutely and completely and self-righteously sure of the supreme truths of their radicalism.

And it’s working for AOC.

Look at the recent flap over Omar and her supposed tropes about Benjamins (that would be the smiling face of Franklin surrounded by the number 100 on a crisp green surface) and dual allegiances. They were going to have a House vote to condemn anti-Semitism and by extension Omar’s words on the matter, which are not figurative but quite literal in intention and effect.

What did Nancy do?
• Say that she didn’t think the comments were: intentionally anti-Semitic, AND
• Express her doubt that a vote on the resolution to condemn anti-Semitism would actually take place

Here’s what AOC did.

Equate ICE with racism with a tweet that said: If we’re so concerned about implied tropes, why aren’t we concerned about this one? Where was the concern last week when 26 Dems voted for a GOP amendment to expand ICE powers rooted in the racist + false trope that Latino immigrants are more dangerous than US born citizens?

Then she aimed her bazooka at white people in general: When you don’t address them as a system and attempt to pick them apart as though they are distinct and separable issues, eventually the thing that gets advanced is white supremacy + classism.

Come on Nancy, when are you going to get control of these kids? They’re leaving you in the dust of delayed resolutions and broad-tent coalitions that used to bend to your will. Not anymore it seems. When AOC, Omar, and Tlaib (AO²C + T?) go out on a limb and saw it off they don’t worry about what’s below, unlike your own rather timid soul.

You have been exposed Nancy. You are not the sweet assassin like your daughter claims you are. You’re an older (I’m being old-fashioned and polite here) out-of-touch leader who’s desperately trying to figure out how to contain the rabid base that so loves AO²C + T without driving moderates into the GOP camp.

Not an easy task with honorary Gang-of-Three’er Linda Sarsour calling you a typical white feminist upholding the patriarchy doing the dirty work of powerful white men.

Maybe you should consult the Southern Poverty Law Center for some advice. Because it will take a miracle to get AO²C + T to shut up for just long enough to convince voters in rural Pennsylvania or Ohio or moderates anywhere that you still value their views, so you might as well join them, right?

Maybe Pelosi is an assassin and will exact revenge on them. Or maybe Pelosi is becoming like President Paul von Hindenburg outmaneuvered by the Gang of Three’s furious and radical oratory, seeing that Nazi analogies are so useful to the left nowadays, and is about to effectively concede the rule of her party to that radical fringe.

If she hasn’t already.