This was published in 2013 and it has stuck with me since then. I feel like we can now draw the line further, into the opioid epidemic today.
It seems like we kicked people off welfare and their only option was disability, where they had legal access to opioids and an incentive to get and take them--to manage pain, yes, but also to embody their disabled status.
Did we cause our own crisis through bad policy choices?
But, I think there is a third part of the cycle that the article you linked mentions. Nobody grows up wanting to survive off disability and being an opiate addict - while the pain clinic/disability combo might enable people entering this state, the reason people give in to this is that they have poor life prospects. Going on disability is basically giving up. We need to figure out how to provide better job and educational prospects in the areas / for the kind of people who are incentivized to go on disability so that they actually have much better options. The average West Virginian isn't intrinsically less able than the average resident of Utah
The only solution is for the able to pay others to not work, through welfare. The improvements in technology should more than make up for this loss.
The owners of the tech is highly likely to prefer to capture fully the output (by lowering taxes for example).
I think there should be a way to align incentives - education paid for by owners of the tech, but also a contractual obligation to work for X years for their sponsors.
If the point is that those people produce no value, they shouldn't work at all. They could just dig and fill ditches, but that doesn't produce value.
Amazon also leeches from the public goods, but that is somehow socially acceptable.
The NYC school system has the "rubber room", where unflushable employees are warehoused.
One of the reasons I support UBI is because it's cheaper than welfare for keeping certain people out of the way.
> Humans are rational creatures
I think this claim needs to be backed up too. There is a lot of evidence indicating that we're incredibly irrational.
While I somewhat agree with your sentiment, and I'm not a big fan of the fact that these obese people are weighing down (no pun intended) our health care system, there really isn't a good solution that I can think of that doesn't limit these fat people's ability to make decisions about what they eat and how physically active they are day to day. I'd rather have a bunch of fatties making terrible health decisions and causing more stress on our healthcare system than having some Government representative telling people what they can or cannot do in the name of protecting them and keeping them healthy...
While I disagree with you, I disagree with the amount of down-voting you're receiving even more.
It's unfortunate that reasonably stated views that disagree with the basic frequency of the given echo chamber are so discouraged.
If these are not enough?
Many of the BBC who do you think you are series have terrible stories of peoples ancestors in workhouses.
Um, welfare, disability, social security, medicare, ... and all of the other "health and human services" related governmental programs are literally our entire country coming together as a community, to "provide for them".
God, you're so close. /r/selfawarewolves is calling you.
Why should they? Demand elasticity is empirically very low for minimum wage workers. Lowering minimum wage a small amount does not create jobs, just as raising it a small amount does not eliminate them.
See: the inverted funnel plot of Doucouliagos and Stanley
I do however think that heroin/opiates use decreases the ability to rejoin the workforce. I fortunately was making a great salary so I could afford an expensive heroin habit ($200-$300 a day). But your average blue-collar worker probably isn't making as much money, and therefore, there state is much more unstable. Oscillating between getting high, going into withdrawals, running out of money, etc etc. When you are in this state, it is very hard to plan for the future (the only thing you are thinking about is how to not go into horrible pain in 3-4 hours) and, therefore, get a job.
Heroin always seemed as for the "hardcore" or "musician" crowd.
This is in fact what makes heroin so dangerous. As long as you have the money, you can keep on chugging, while feeing chill and relaxed at the same time.
The problem is when you run out.
Heroin, provided you have the money, is much more sustainable. You can feel fine, day after day, on heroin (provided you don’t run out).
Moreover, it’s hard for people to notice. If you snorted some coke everyday, people might think you were overly enthusiastic and eventually, people would notice your disjointed and cracked out thoughts. Things like: “we need to replace all of our code because it was garbage!! Fuck that shit!! Lets get it done!! Lets fuck our competition up boyz!”
With heroin it’s more like: I can get this done, and more, I’m just going to work through it. Ans it’s okay, because I feel great while I’m doing it.
Because drugs are illegal, they are lumped to together, one guy who sells one might/probably sell the other. This is also why people call weed a "gateway" drug, because the dealer might have some MDMA or coke on them as well.
If we just made all drugs illegal, I think we would eliminate this "gateway" effect.
The can see evidence of this grouping effect in the mafia. They sell untaxed cigarettes, stolen goods, drugs, etc. What is the commonality between all of these things? The fact they are illegal of course!
Did you mean to write the opposite of this?
This is still the USA. Healthcare is attached to employment. I think it safe to say that those without jobs aren't visiting the doctor, getting prescriptions, at the same rate as those with employer-provided care.
Certainly there is a difference between I got laid off from Company A and it took be 3 months to land a job at Company B and the only major employer in my area shut down and I have no real prospects.
I may be mistaken, but isn't "lack of participation in the labor force" equivalent to long term unemployment rather than short term unemployment?
Isn't the question whether there is a causative relation between "long term unemployment" and "opioid use"? Short-term unemployment has no bearing on the issue.
According to Autor, Dorn & Hanson (2016):
"Adjustment in local labor markets is remarkably slow, with wages and labor-force participation rates remaining depressed and unemployment rates remaining elevated for at least a full decade after the China trade shock commences"
I deal daily, now that I am mid-50's, with deep bone-on-bone pain due to a badly torn ACL in high school, and have found that light-dose opioid treatment keeps my QOL at a reasonable level and let's me live a pretty normal life.
Getting access to these medications is now basically impossible without a huge financial and emotional investment thru "normal" channels.
Have any of you ever felt the shame one feels when a 26yo pharmacist looks at you with semi-disguised disgust because you asked him to fill a opioid prescription? Or even worse, tell you that they are "out" of the medication and suggests you go to the other side of town to fill it?
And let's not mention the incredible hassle and expense of trying to get said prescription nowadays...you can't even mention the word opiate during your examination without risking being kicked out of the office or something of the like.
Does taking 30mg of a crappy synthetic opioid twice a day to relieve me of chronic pain really make me an unhireable junkie piece of shit? YES! shouts back society on a daily basis.
Because that is where we are nowadays...BTW, I work my ass off while on medication because it allows me to concentrate on my software and not on the never ending aching throb in my knee.
I've tried Tramadol and many other pain relief concoctions to various degrees of success, but I just don't understand why I have to live with the trade off when what works for me works so much better then anything else.
So I choose to buy my opiates on the street...the natural type thank-you-very-much, and my life is much more pleasant, besides the fact no one will hire me due to my past, then it would otherwise be.
Maybe this is related and maybe not: I also do not drink alcohol and have never seen any reason why it would be appealing.
We don't actively work to improve people who are struggling. The jail system in the US primarily keeps people down.
Then we might develop drugs which are safe to use and non-addictive, and provide real productivity gains.
Brave New World as an example.
If all drugs are developed or sold under a veil of criminality, that will never happen. We need to expose them to market forces, litigation, consumer testing and regulation.