notch898a

There's a swath of people who (would) benefit from SSRIs that don't have day to day suicidal ideation, but might have it during the intense withdrawal process. The compounding issue is these supply chain disruptions by their very nature are correlated with stressful events like moves, natural disasters, foreign travel with unexpected extensions, etc.

This mere observation is not meant to advise someone for or against taking SSRIs.

I've also noticed family members benefit greatly from SSRIs. The main skeptic point I have is I've also seen them absolutely get wrecked by what appears to them as supply chain failures (usually because they're unable to get a meeting with a physician in time for refills and no physician will grant them a "bridge" to the next appointment). Of course as we saw during COVID, supply chain failures of all sorts are possible even when society has not collapsed.

From the outside one of the biggest concerns I have is one of these supply chain failures will put them in even worse place than had they never taken them, as I've personally seen their withdrawal symptoms look far worse than their unmedicated baseline. It seems to be a "better day to day" with the added risk of extreme withdrawal and associated risks during these few in a lifetime supply failures.

I'm not interested in protecting the people that game their doctor. They decided on their own they wanted the drug and dishonestly represented themselves to obtain it. That's their own prerogative, if that causes problems then that should not result in punishment for those acting with honesty.

This is not "just. like. Oxy." in so many cases. Many of these were people in pain management with zero deceit involved on the side of the patient.

I would be curious to see what kind of studies in Svalbard have been done on this. Virtually all workers are in company housing. Has it devolved into feudalism in all but name?

Seems like something that will undoubtedly get litigated. Not to say this should dissuade justice, but this is going to be remarkably expensive for the people of New York.

It might be interesting to argue whether taking public office as the president counts towards residency requirements. I don't know if it counts for statute of limitations, but for instance military members are still considered resident of their state when on duty elsewhere.

devils advocate: Or you could say the most vindicated.... impeached twice but never convicted.

FWIW UN peacekeepers have a pretty horrible reputation for worldwide rape and sexual abuse. Not to say they do it more than others, but I wouldn't want to be associated with them.

https://www.hrw.org/news/2020/01/11/un-peacekeeping-has-sexu...

https://apnews.com/article/united-nations-pakistan-africa-se...

I love seeing politicians piss in their pants as much as the next guy. Hopefully the charges aren't politically motivated, but if they are that's where I think things get dicey. The law being applied more strongly and more rigorously if you are a political enemy is both difficult to prove and insidious, and it undermines the democratic process. I have no idea if this is the case with trump, or the prosecution is just a coincidence.

You see this applied elsewhere... for instance police may target black areas. Sure the black people they arrest may actually be committing crime and the arrests may be valid, while still achieving an insidious quality of policing.

I'm probably wrong, but google indicates statute of limitations for misdemeanors is only 2 years in New York. Curious how this ties into things, the stormy daniels fiasco is what 5+ years ago? Surely there is a felony charge in there?

And elsewhere on order. Although Portland is within 100 miles, they were sent under a post 9/11 statutory authorization that would have enabled them to perform certain (not border/customs related) federal law enforcement actions anywhere.

It says he trafficked 15kg of fentanyl. $220 is basically gas and per diem money. Allow me to present the conspiracy theory that this guy owed the cartels a favor for whatever reason, and the payment was purely enough to let him deal with the costs of performing it. This has the looks of a man who painted himself into a corner, rolled a bad dice roll, and then had no way out.

>It's sad that he didn't have the wit or the character to plead guilty and try to straighten his life out for the sake of his family.

That won't overcome the fact he now owes 15kg of goods to the cartel, and probably has no way to pay it, and he's staring down the barrel of being in prison full of people who have nothing but time to settle the debt. I think this guys death warrant was signed as soon as he got caught, and probably halfway written by the time he was even asked for the favor. Quite possible he did the best thing for his family.

Fentanyl is one of many possibles, and the test strips themselves may be bunk. The odds a 13 year old without a car is dropping off their pills at the gas chromatography machine in their STEM magnet school in the morning is pretty much nill.

Also worth noting in my state possessing kits design for testing for illegal drugs is a felony. [note: not legal advice]. No one reputable is going to risk a felony to sell drug testing kits for shitty margins.

https://www.azleg.gov/viewDocument/?docName=http://www.azleg...

I would be astonished if customs even finds it useful to appropriate any budget for seizure of Cuban cigars. It wouldn't surprise me if they let them through because it's less work than filling out the seizure paperwork. Everyone knows it's a measure that achieves nothing, and not even the rabid anti-drug people are going to give them an attaboy for finding tobacco, and the political will to do anything meaningfully further with the embargo is withering.

Few hours walking around in a border town and eating lunch from what I recall. When I crossed back there were a whole team of people working me over and HSI got involved. No idea what triggered them. When they found nothing they sent the debt collectors chasing me for the hospital bill, obviously that won't be paid so I look forward to the lawsuit.

edit: to note I don't know If I'm actually going to be sued, just will definitely find it humorous if they do so.

Brah this has been happening since at least the Contra affair

They're really stepping up. Last year they dragged me into a hospital in cuffs and told the doctors to "inspect" inside my GI tract. That was a better part of a day affair along with a federal warrant and the works. A dog never even alerted (and even verbally told so by CBP, although the warrant lied and said otherwise). They also have a network of hospitals with staff openly hostile to tourists, who are fine acting even without a warrant or consent and a complaint to the state board results in the medical professional boards telling you that a patient has no right to deny consent even without a court order.

Yes that policy seems dumb. I'm all for everybody being able to buy it. I'm not at all for having to use public funds to pay for it. Let all the saints buy it over the counter with their own money to be the hero, and spare me the tax money.

Diverted drugs become black market drugs. I'm sure the Mexicans are getting ultra pure fentanyl or being trained to make the pure shit from precursors. Somehow most of it ends up being stomped on by the time it reaches the consumer. That is to say just because it was pure when the junky got it, doesn't mean it was accurately represented to the end user or altered along the way. Black market diversion from treatment facilities seems non-ideal.

There's also nothing illegal about a 7 year old jumping into a rushing river or buying unregulated "research" chemicals on the internet. Same thing, isn't it?

The way 7 year olds are kept out of rushing rivers, or consuming black market dope, is they have a parent, guardian, foster caretaker, someone looking after them. It's illegal to neglect a child. Sending a 7 year old to buy you cigarettes arguably isn't neglect, letting them smoke cigarettes or research chemicals probably is.

There's a segment of junkies who don't want drug treatment, just to get high at all costs. I spend almost daily talking to people that are professionals in this area (not a junky myself, just related to medical providers) and it's an everyday occurrence that people will come in, completely trick the medical providers for a daily or whatever short-term fix they're allowed with minimal privileges, and then use it to supplant their black market addiction. You can let them pursue their dream at black market prices while they bust into cars and inject god knows what of random purity. I'd much rather they just be able to buy it for $0.10 at walmart and beg for a dime outside the gas station, and know exactly what they're getting.

I'm not disagreeing about access to treatment, but just to be clear I don't see much intersectionality there with stopping the black market. For so many of them it becomes "sweet I can buy my black market shit, plus get whatever the addiction center place offers me on top of that."

That's what I would do, yes. Although I didn't mean to imply that with my previous statement. The closed border approach would be to somehow erect a barrier that lessens the ability for them to consume CBP resources between ports of entry.

"Unauthorized" border crossing (and otherwise innocent) immigrants are a key piece of the cartel smuggling apparatus. They are used as bait to overwhelm CBP resources (and asylum seekers often want to be caught, theyll be given a court date to make their asylum case and in many cases released), once the resources are overloaded the drug smugglers go through the rugged terrain to drop-off points.

What's wrong with just having the FDA ensure the purity and selling it in the locked condoms cabinet at walmart?

If someone wants to snort up a pile of rat poison, or fentanyl who am I to stop them. Let them buy Pfizer mega-OD-fentanyl-express they saw advertised on the Citybus for $0.10, and let the cartels get crushed by legal competition who have everything to lose by doing drive-bys in residential neighborhoods.

Americans prefer to breed our own gangs rather than import them.

That can be a bit precarious. For instance, a 444 visa can be revoked based on as little as a DV order. If it's anything like the US, david letterman got a DV order against him just for a woman thinking he was sending secret coded messages through the television.

http://www.ejfi.org/PDF/Nestler_Letterman_TRO.pdf

I have to admit I've had to try really hard to not get sucked into this side debate on the efficacy of transition. I've found conflicting data here, I'm willing to acknowledge it may be true that it leads to better outcomes for many individuals. In any case, as I've said, there's little I can act on there as I have no right to impose that kind of control on others.

I am intrigued by the intersectionality of transition and social acceptance. You seem to have been following some research here, what have you found regarding the social acceptance of trans persons before and after transition? Are they finding more social acceptance after treatment?

One day I'm in a coal mine and 1 canary dies, the next day 100 canaries die. I probably think the coal or some mineral in the mine just kills canaries.

Eventually a dog dies. Now I start wondering "Well dogs are only 1% of the dead animals, may as well not focus on that..." I may miss out on an important observation.

If your presumption is true, that trans are more robust against these kind of acts, now I'm wondering. Maybe unhinged poorly socialized young males are the canaries and trans are yet something new. What's wrong in the coal mine and what can I learn by focusing on the newest subjects.

I've replied above (due to rate-limiting timeout, had to capture my thoughts there earlier).

I have no interest in stopping consenting adult trans or any other person from any surgery/treatment, regardless of how efficacious or not it is. But do not make the mistake of believing because it is the only medically accepted treatment of gender dysphoria (which is curiously a treatment for something that is not even a disorder or illness), that it must be the path to least suffering and death.