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TournamentFishing


				

				

				

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joined 2023 September 07 03:50:36 UTC
				

				

				

				

				

				

					
				

				

				
				
				

				
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TournamentFishing


								

								

								
								
								

								
							
					
 
				


				

				
				
				

				

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				Culture War Roundup for the week of February 24, 2025
			
		

	

	

	

		
			

			

				

			

		

			


				

					


That said, in writing this post I did not find a study or review that gives Narcan substantial responsibility for the rise opiate use (now plateauing) and deaths




Here's one that made the rounds a few years ago: The Effects of Naloxone Access Laws on Opioid Abuse, Mortality, and Crime




In this paper, we use the staggered timing of state-level naloxone access laws as a natural
experiment to measure the effects of broadening access to this lifesaving drug.
We find that broadened access led to more opioid-related emergency room visits and more opioid-related theft, with no net measurable reduction in opioid-related mortality




Author's website has some additional commentary and appendices. Most interesting is the regional analysis where their estimates are that naloxone access led to a 14% increase in opioid-related mortality in the Midwest in particular (in the West and Northeast: insignificant decrease in mortality; South: insignificant increase). They give two explanations:


    

  • In the West, black tar heroin is more commonly used. In the Midwest, powder heroin. Black tar heroin doesn't mix easily with fentanyl which removes one avenue by which drug users could engage in riskier behavior in response to narcan access.
    • 

  • In the West and Northeast, drug treatment programs are more accessible:
    • 





We find suggestive evidence that greater availability of drug treatment may be important. That is, broadening naloxone access increases mortality more in places where less drug treatment is available. This makes sense if we think that the primary goal of naloxone is to give individuals a chance to get treatment for their addiction — if there is no treatment available, then perhaps it’s unsurprising if naloxone does more harm than good.




Their main policy recommendation is to expand drug treatment programs and find ways to ensure people get help post-overdose. Your paddy-wagon idea might have legs.


				

				

						

							

								
							

						


						
					

				
			


			

	


			
			
				

			
		

	






		

			
			
				Culture War Roundup for the week of December 9, 2024
			
		

	

	

	

		
			

			

				

			

		

			


				

					
That's a great point, but I think aesthetics and branding still matter for people's acceptance. I expect there are plenty of people who would be opposed to the "safe domestic violence site", but would enthusiastically support the presence of a "bdsm dungeon" in their town.


				

				

						

							

								
							

						


						
					

				
			


			

	


			
			
				

			
		

	






		

			
			
				Culture War Roundup for the week of September 2, 2024
			
		

	

	

	

		
			

			

				

			

		

			


				

					


It was gradual, but I do think she hit 24 or something like that and immediately developed an irresistable urge to bear children.




I experienced something similar. I mean, it's got to be mostly just changing circumstances and life experience, but more than once I've wondered if there's something biological going on. Some process that adds a second baby-making instinct just in case the first one from puberty wasn't enough.


				

				

						

							

								
							

						


						
					

				
			


			

	


			
			
				

			
		

	






		

			
			
				Culture War Roundup for the week of September 2, 2024
			
		

	

	

	

		
			

			

				

			

		

			


				

					
I don't buy into this story that social media is to blame for the drop in fertility. (In the US, most of the dip happened before the 21st century.)


But I will say that I've seen a tendency for moms I know to almost "brag" about how tough their kid is to take care of, and to make things more difficult for themselves than it needs to be.


In the hospital, they made us watch some educational videos after my first daughter was born. There was a video called something like "Don't Shake the Baby" where the real thesis of the video is that it's okay to ignore the baby for a bit. If she's being annoying and you need a break, put her somewhere safe and then walk away for a few minutes. She'll be fine. But walking away is something new mothers struggle with.


Now don't get me wrong - kids are tough. It takes a ton of work to make one. But it's the pregnancy, the birth (oof), and those first months where you have to wake up multiple times during the night to feed them that are the tough part. Beyond that, the difficulty should be about on par with taking care of a dog. And if it's a lot tougher, you have to give yourself permission to put in less effort. The kids will be fine.