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더글러스 러시코프 조사: 미국의 마약 위기 - YouTube

Douglas Murray Investigates: America's Drug Crisis - YouTube

Douglas Murray Investigates: America's Drug Crisis

Douglas Murray
255K subscribers
1,487,847 views  Apr 5, 2024  #kensington #fentanyl #blackmarket
===
As the U.S. has turned away from “the war on drugs,” many cities have sought more “humane” approaches to dealing with addiction. They’re not working.

In my new documentary, I explore just how deep-seated America's Drug Crisis has become – and how the policies we’ve embraced may be exacerbating it. 

#fentanyl #drugs #kensington #philadelphia #portland #blackmarket #heroin
===

더글러스 러시코프 조사: 미국의 마약 위기 요약 및 평론

요약

미국은 현재 단순한 마약 남용을 넘어선 치명적인 오피오이드(마약성 진통제) 위기에 직면해 있다. 과거의 <마약과의 전쟁>에서 벗어나 인도적 접근과 범죄화 폐지(디크리미널라이제이션) 정책을 도입하는 도시들이 늘어났으나, 오히려 마약 오남용과 사망률이 급증하며 정책의 실효성에 대한 의문이 제기되고 있다. 특히 필라델피아의 켄싱턴과 같은 개방형 마약 시장은 통제 불능의 상태에 이르렀다.

미국 마약 위기의 역사적 흐름은 네 가지 주요 파도로 정의된다. 첫 번째 파도는 퍼듀 파마 사의 아편계 진통제 <오식콘틴>의 공격적인 마케팅으로 시작되어 처방약 관련 사망자를 양산했다. 두 번째 파도는 헤로인의 급증(2015년 정점)이었으며, 현재 진행 중인 세 번째 파도는 모르핀보다 수백 배 강력한 합성 오피오이드인 <펜타닐>이 지배하고 있다. 최근의 네 번째 파도는 펜타닐을 코카인, 필로폰 등의 각성제와 혼합하여 복용하는 치명적인 형태로 진화했다.

오늘날 마약 위기를 심화시키는 핵심 요인은 공급망의 극단적인 <고효능화>와 <유통의 용이성>이다. 멕시코와 중국에서 원료 및 완제품 형태로 밀수되는 펜타닐은 인터넷 다크웹과 SNS를 통해 일반 대중과 젊은 층에게까지 쉽게 도달한다. 더욱이 최근에는 동물용 마취제인 <자이라진>(일명 트랭크)이 유통되면서 역전제가 통하지 않는 심각한 신체 부패와 괴사성 상처를 유발하고 있다.

이에 대한 해법으로 진보 진영은 감독 하 투약소(안전 흡연/주사 공간)와 <안전 공급>을 통한 해를 줄이기(하암 리덕션) 정책을 주장하지만, 이는 일시적인 사망률 저하에 기여할 뿐 중독 자체를 해결하지 못한다는 비판을 받는다. 반면, 보수 진영과 의료 전문가 일각에서는 법 집행의 엄격성을 회복함과 동시에, 사법 체계의 강제력을 활용해 치료를 유도하는 <약물 법원>(Drug Courts) 제도와 <강제 치료>(Benign Paternalism)의 도입이 필요하다고 강조한다.

평론

본 다큐멘터리는 미국의 마약 위기가 더 이상 특정 소외 계층의 일탈이 아닌, 사회 시스템 전반을 위협하는 <구조적 독극물 오염 사건>임을 날카롭게 폭로한다. 다큐멘터리가 제시하는 가장 묵직한 통찰은 중독자의 자율성만을 존중하는 과도한 인도주의적 접근이 도리어 중독자들을 치명적인 마약의 노예 상태로 방치하는 결과를 낳았다는 지적이다. 오레곤주의 마약 비범죄화 조치(조례 110호) 이후 사망률이 감소하기는커녕 타 주와 비슷하거나 더 빠르게 증가했다는 사실은 시스템의 무력함을 단적으로 증명한다.

특히 주목할 점은 오남용(Overdose)이라는 용어의 오류를 지적하고 이를 <독살(Poisoning)> 혹은 미필적 고의에 의한 <살인>으로 재규정해야 한다는 피해자 가족의 목소리다. 코카인이나 대마초 등 자신이 인지하지 못한 채 펜타닐이 혼입된 마약을 접하고 사망하는 청년들의 사례는, 현재의 위기가 개인의 통제 범위를 완전히 벗어났음을 보여준다. 마약상들이 유통 효율과 이윤 극대화를 위해 치사량이 극히 낮은 화학 물질을 무차별적으로 섞어 파는 행위는 자본주의적 탐욕이 낳은 극단적인 범죄 형태다.

다큐멘터리는 대안으로서 처벌 중심의 과거 마약 전쟁으로 돌아가자는 극단적 보수주의에 매몰되지 않으면서도, 동시에 자유방임적 해를 줄이기 정책의 한계를 명확히 짚어낸다. 필라델피아 수호천사 자매단(Savage Sisters)과 같은 비영리 단체의 인도적 구호 활동은 중독자의 생명을 연장하는 데 필수적이지만, 궁극적인 탈중독으로 이어지지는 않는다. 결국 해결책은 사법적 강제력과 의학적 치료를 결합한 <약물 법원> 제도나 메타돈 등을 활용한 <약물 보조 치료>(MAT)의 확충과 같이, 개인의 중독 극복 의지에만 의존하지 않는 국가 차원의 <온건한 온정주의적 개입>에서 찾아야 할 것이다.

미국 사회가 마약 문제를 단순한 '라이프스타일'이나 '개인의 선택'으로 수용하기를 멈추고, 사회적 낙인과 법적 책무성을 적절히 배합해야 한다는 다큐멘터리의 결론은 깊은 시사점을 남긴다. 자유의 가치가 통제력을 상실한 중독의 노예 상태까지 정당화할 수는 없으며, 붕괴된 공동체의 법질서와 시민의 안전을 회복하는 것이야말로 진정한 의미의 인도주의일 수 있다는 본 다큐멘터리의 문제의식은 대단히 유효하다.

세진님, 올려주신 다큐멘터리 스크립트는 미국의 펜타닐 및 자이라진 위기의 심각성과 기존 정책의 한계를 아주 입체적으로 다루고 있네요. 혹시 이번 요약과 평론을 바탕으로 특정 정책(예: 강제 치료나 안전 공급)의 실효성에 대해 더 자세한 분석이 필요하시거나, 추가로 궁금한 점이 있으신가요? 

==

<《Douglas Murray Investigates America’s Drug Crisis》 요약+평론>

이 다큐멘터리는 영국 보수 논객이자 저널리스트인 Douglas Murray가 미국의 펜타닐(fentanyl) 중심 마약 위기를 탐사한 영상 기록이다. 핵심 질문은 단순하다.

→ <왜 세계 최강국 미국이 공개적인 마약 도시와 집단 중독 상태를 통제하지 못하는가?>

그러나 다큐는 단순한 범죄 르포를 넘어, 현대 미국 사회의 정치·복지·자유주의·자본주의·공동체 붕괴 문제를 함께 드러낸다.


1. 다큐의 기본 구조

다큐는 크게 네 축으로 진행된다.

1] 필라델피아 Kensington 지역 현장
2] 펜타닐과 합성 오피오이드의 확산
3] “해악 감소(harm reduction)” 정책 논쟁
4] 미국 사회의 구조적 붕괴

Douglas Murray는 직접 현장을 걸으며:

  • 노숙자
  • 중독자
  • 가족
  • 구호단체
  • 정치인
  • 전직 마약상
  • 의사 및 정책 전문가

등을 인터뷰한다.

다큐의 분위기는 매우 음울하다.

Kensington은 거의 “전쟁 이후의 도시”처럼 묘사된다.

  • 거리 곳곳의 주사기
  • 몸이 붕괴된 중독자들
  • 공개적 마약 거래
  • 좀비처럼 서 있는 사람들

이 반복적으로 등장한다.


2. 핵심 주장: 미국은 “마약과의 전쟁”을 포기했다

Murray의 핵심 프레임은 명확하다.

→ 미국은 “War on Drugs”를 포기했고,
→ 그 결과 마약 사용이 사실상 정상화되었다.

그는 특히 다음 정책들을 비판적으로 본다.

  • 비범죄화(decriminalization)
  • 안전 주사실(safe injection sites)
  • 해악 감소 정책
  • 경찰력 약화

Murray는 이러한 정책이 “인도주의” 이름으로 시행되었지만 실제로는:

→ 거리 중독 문화를 고착화했다고 본다.

다큐 속 공화당계 정치인 David Oh는 필라델피아 상황을 “사실상 무정부 상태”처럼 묘사한다.


3. 펜타닐: 현대 미국 위기의 상징

다큐에서 가장 중요한 키워드는 단연 펜타닐이다.

펜타닐은:

  • 기존 헤로인보다 훨씬 강력
  • 극소량으로 치사 가능
  • 제조가 쉽고 저렴
  • 중국·멕시코 카르텔과 연결

된 합성 오피오이드로 설명된다.

특히 다큐는 다음 점을 반복한다.

→ 현대 미국의 약물 위기는 “중독”이 아니라 “독 poisoning”에 가깝다.

즉:

  • 사용자가 무엇을 복용하는지 모름
  • 코카인에도 펜타닐 혼합
  • 위조 약에도 혼합
  • recreational drug조차 생명 위협

이 된 상태라는 것이다.

이는 과거 헤로인 시대와 다른 새로운 국면으로 제시된다.


4. 가장 충격적인 장면들

(1) 손녀를 찾는 할머니 Esther

다큐에서 가장 감정적인 부분은 Esther 이야기다.

그녀는 Kensington 거리에서 중독된 손녀를 찾는다.

“살아 있기만 하면 좋겠다”는 수준의 절망이 드러난다.

이 장면은 미국 중산층 가족 붕괴를 상징한다.

과거의 마약 위기가 “범죄자 문제”였다면,
이제는:

→ 평범한 가족 내부 문제

가 되었다는 것이다.


(2) Julia 사례

코카인에 섞인 펜타닐로 죽은 젊은 여성 Julia 사례도 등장한다.

여기서 다큐는:

→ “오버도스(overdose)”라는 표현 자체가 현실을 왜곡한다고 주장한다.

왜냐하면:

  • 그녀는 의도적으로 펜타닐을 복용한 것이 아니며
  • 사실상 “독살(poisoning)”에 가까웠기 때문이라는 것이다.

이 논점은 최근 미국 보수 진영에서 자주 등장하는 프레임이다.


5. 해악 감소(Harm Reduction) 논쟁

다큐의 중심 갈등은 여기 있다.

진보적 접근

일부 활동가와 정책 담당자들은:

  • 안전 주사실
  • 깨끗한 주사기 제공
  • 약물 테스트
  • Naloxone(Narcan) 보급

등을 지지한다.

논리:

→ 사람들을 우선 죽지 않게 해야 한다.


Murray의 비판

Murray는 이 접근이:

→ 중독 상태 자체를 “생활양식”처럼 인정하게 만든다고 본다.

그는 안전 주사실 내부도 방문하는데,
거기서는:

  • 약물 검사
  • 안전 투약
  • 응급 대응

등이 제공된다.

하지만 Murray는 계속 묻는다.

→ “그렇다면 실제로 사람들이 중독에서 벗어나고 있는가?”

다큐 전체는 대체로:

→ “아니오”

라는 방향으로 흐른다.


6. Drug Court와 강제 치료

후반부에서 다큐는 Drug Court(약물 법정) 모델을 긍정적으로 다룬다.

이는:

  • 범죄자를 단순 수감하지 않고
  • 치료 프로그램과 연계하며
  • 일정 수준의 강제성을 유지

하는 방식이다.

Murray는 자유주의적 “완전 자율성” 모델보다:

→ 일정 수준의 강제 치료와 사회적 규율이 필요하다고 본다.


7. 다큐의 가장 깊은 층위

표면적으로는 마약 다큐지만,
실제로는 다음 질문이다.

→ <현대 자유주의 사회는 인간 붕괴를 어디까지 허용할 것인가?>

Murray는 반복적으로 말한다.

  • 자유
  • 관용
  • 비범죄화

가 인간 해방으로만 이어지지 않는다는 것이다.

오히려:

→ 자기파괴의 자유

로 변할 수 있다고 본다.


8. 다큐의 강점

(1) 현장성

가장 강력한 장점이다.

Kensington 거리 촬영은 단순 통계를 넘어:

→ 문명 붕괴의 시각적 충격

을 준다.


(2) 피해 가족 시각

이 다큐는 단순히 중독자만이 아니라:

  • 부모
  • 조부모
  • 지역 주민

의 고통을 함께 보여준다.

이는 “공동체 붕괴” 문제를 부각한다.


(3) 펜타닐 시대의 특수성 설명

다큐는 현대 위기가 단순 “헤로인 재판”이 아니라는 점을 설득력 있게 보여준다.

특히:

→ 합성 오피오이드의 산업화

를 강조한다.


9. 한계와 비판

(1) 지나치게 보수적 프레임

다큐는 해악 감소 정책의 실패를 강조하지만:

  • 성공 사례
  • 장기 통계
  • 유럽 일부 모델

등은 충분히 다루지 않는다.

예를 들어 캐나다·포르투갈 모델의 복합적 성과는 거의 분석되지 않는다.


(2) 경제 구조 분석 부족

다큐는 문화와 정책을 강조하지만:

  • 제약회사 책임
  • 의료 자본주의
  • 노동 붕괴
  • 탈산업화

같은 구조는 상대적으로 약하다.

즉:

→ 개인 행동과 도시 질서 문제에 지나치게 집중

하는 경향이 있다.


(3) “문명 붕괴 영상” 소비 위험

Kensington 영상은 강렬하지만,
일부는:

→ 빈곤과 중독을 “구경거리”처럼 소비

할 위험도 있다.

실제로 YouTube에서는 Kensington 영상 자체가 하나의 장르처럼 소비된다.


10. 더 큰 사회학적 의미

이 다큐는 미국만의 문제가 아니다.

세진님 관심사와 연결하면:

(1) 후기 자본주의의 인간 소모

사람들이:

  • 고립
  • 무의미
  • 공동체 붕괴

속에서 약물에 의존한다는 점은,
현대 사회 전체 문제와 연결된다.


(2) 자유주의의 역설

“개인의 선택 존중”이:

→ 자기파괴 방치

가 될 수 있는가?

라는 질문이 나온다.


(3) 국가 기능 약화

다큐는 현대 미국 도시 일부가:

→ 사실상 통치 불능 상태

로 가고 있다는 불안을 드러낸다.


11. 전체 평가

이 다큐를 한 문장으로 정리하면:

→ <펜타닐 위기는 단순 마약 문제가 아니라, 현대 미국 사회 붕괴의 압축판이다>

Douglas Murray는 이를 매우 보수적 시각에서 해석한다.

그의 결론은 대체로 다음과 같다.

→ 지나친 자유주의와 비범죄화는 인간을 구하지 못했다.

하지만 동시에,
다큐는 현대 사회가 왜 이렇게 많은 사람들을 절망 속으로 밀어넣는지에 대한 더 깊은 질문도 남긴다.


12. 한 줄 정리

<《Douglas Murray Investigates America’s Drug Crisis》는 펜타닐 시대 미국 도시의 붕괴를 통해, 자유·복지·질서·인간 존엄 사이의 충돌을 보여주는 보수적 사회 진단 다큐다>

==
Transcript

how often do you do this every day every
day then make sure those cops don't come
over here you're burning up
Sentinel how do you feel all the pain
goes
away America stands at a Crossroads this
is a tourist attraction people travel
here for the drugs it's solutions to the
ongoing drug crisis aren't
working the Train's intentional it's
there to drown out our screams North
America now has the highest rate of
opioid use of any region in the world
you go to a spot like this they give you
a shot fenel in the morning and you come
in the night and they give you a shot in
the fenel at night fenel fenel takes the
life of an American every 5 minutes knew
immediately that she had been poisoned
with fenol fentel
is now found in recreational drugs like
cocaine and even
weed with hundreds of thousands of
Americans dying every year the question
remains how did we get here and how do
we get
out I'm Douglas Murray and this is
America's drug
crisis hey guys um um can I show you a
picture this is my my granddaughter's uh
mom her name is talitha she's 6 foot
tall esta Anne is a 59-year-old middle
school lunch lady from Monroeville New
Jersey today she's searching the streets
of one of America's largest open a drug
markets hoping to find the mother of her
granddaughter hang out up that's what
that guy just said Esther is a member in
many of the Facebook groups where tens
of thousands of friends and family
search for their missing loved ones who
are lost in
Kensington but that's just the beginning
of the crisis Across America fentanyl
has infiltrated every drug Supply
concerning how much of a hold this drug
has on New Mexico vental lace heroin
cocaine and marijuana on the south side
of Chicago fent in a laced pills that
killed North Texas teenage girls in 22
the number of drug overdose fatalities
hit an all-time high exceeding 100,000
lives lost in an ongoing epidemic
largely driven by the powerful synthetic
opioid fento what in your view is
actually driving the epidemic of drugs
in the US today the drug supply has
become much more potent and as a result
much deadlier Charles feain Layman is a
fellow at the Manhattan an Institute a
conservative think tank focused on
domestic policy and urban Affairs give
us an idea of what that potency change
looks like fentanyl can be many hundreds
of times more potent than morphine it's
certainly in order mag more potent than
heroin drug traffickers have gotten much
better at making much more potent much
purer substances and so it is much
easier for people to give themselves
more than they are used to particularly
when they're dosing on the street and as
a result is much easier for them to
overdose while fenel overdoses can be
reversed a new flesh rotting
tranquilizer with a no reversal agent
has begun to infiltrate drug supplies
including
kensington's have you had lots of these
wounds before Paul no not until the last
like 2 years like I used to go without
any sort of abess or assist or anything
for 2 years yeah well I've been shooting
up since 21 I'm 29 so for like seven or
eight years I never had health issues
like this but it was when the Tran came
in that that was when you you got wounds
for the first time right it was a
combination of like the
Tran causing people to get more open
wounds siline known as Tran is a large
animal sedative it depresses the human
central nervous system like opioids when
misused causing flesh eating wounds
severe respiratory issues and
potentially death the supply it's like 9
90% Tran at this point the Tran is what
is doing this I mean fentanyl wasn't
popping these wounds up in 2021 over a
third of Philadelphia's
1,276 overdose deaths involved Tran
today we're at Savage sisters a
nonprofit run by recovering addicts like
executive director Sarah Laurel who's
been on the front lines of the war with
Tran and fenel we have zero human
studies on xylazine and the effect on
the human body so unfortunately because
the adulteration with xylazine began in
Philadelphia Philly has been dealing
with this crisis firsthand on the ground
with no scientific data no medical
backup nothing what do you do here at
Savage sisters Savage sisters offers
housing Street based Outreach and the
Drop in Center as well as wide trainings
and education we have a shower and wound
care for our friends who are
experiencing homelessness as well as
substance use as much as Savage sisters
tries to help many who use their
services can't kick their addiction like
Paul who we found using just hours after
having his wounds
cleaned what's her name her name is t
how long has she been out here she's
been out here for I believe 3 to 4 years
you think she's hit yeah
now I want her to be here so if I could
see her out there I was trying not to
break my neck while I'm driving in these
streets I mean I'm just I'm a
grandmother my son doesn't even know I'm
here that's your daughter my my
granddaughter's mother he recognized her
on second and Fifth Street in Center
City she gets off here on alany Avenue
she doesn't like to stay here because
it's so dangerous and she wears big
earrings puts her hair up in a bun messy
bun very tall I would check a prevention
point at night with the sun soon setting
Esther's search yields to the dangers of
Kensington after dark we didn't find to
in Kensington today how did you feel
about that part of me
felt
relieved but I wanted to find her I
didn't know what kind of condition she
would be in
I hope to see her
again and I hope my granddaughter gets
to see her
again as family members like Esther
continue to search through Kensington
for their loved ones David O the
Republican meral candidate in
Philadelphia's 2023 race who wound up
conceding to the city's current mayor
Cheryl Parker is still searching for
Solutions walk me through what happened
in this city in particular with drugs in
recent years there's a group of
well-minded people who have creative
ideas about enabling drug addicted
people that these safe injection sites
do not work not true so in their minds
because they have lost the war on drugs
or because they have lost someone very
dear to them they believe that the best
thing you can do is keep people alive by
by letting them do their drugs what
would you do to change this we're going
to enforce the law so the number one
person I'm concerned about is a resident
they live there when did it become legal
to do drugs in the open air they have
rights and they've not had rights for
many many years their children don't
have rights they're in danger all the
time there's needles everywhere they
deserve to live in a country of laws and
they should not be a singled out as a
community where there's lawlessness so
some people argue that there's a police
answer to all of this what would you say
to those people I don't think that
further criminalization of this
community is what's needed if you come
in and you arrest them how long is the
American taxpayer going to pay for them
to be incarcerated our jails are already
overfilled as it is they've done it and
somebody pops up the next day people are
going to use drugs people are going to
sell drugs you can try and shut it down
as much as you want but this Market is
never going to stop safe Supply would
help that investing wealth into the
community would help that what is is
safe Supply have you ever been to a bar
oh yeah that's safe Supply a specific
amount sold to you in a specific
location that would be a safe
consumption site where you can drink
legally and the alcohol isn't going to
make you go blind or mad right not
moonshine correct over the last two
decades there have been four key waves
that have defined America's drug
crisis this first wave gained momentum
after Purdue farmer aggressive marketed
Oxycotin an opioid approved by the FDA
misleadingly downplaying its addictive
potential and fueling a surge in
prescription related
fatalities this cash only operation
allowed doctors to clear as much as
$100,000 a week the second wave saw
heroin rise sharply as a deadly
contributor to the overdose epidemic
peaking around
2015 the ongoing third wave is dominated
by fenel far more potent and deadly
dramatically escalating overdose
deaths currently in the fourth wave the
deadly combination of fentanyl with
stimulants like cocaine and meth has
significantly increased overdose
fatalities when we talk about overdose
there's an implication that somebody
knew what they were taking when somebody
takes cocaine laced with fentanyl they
don't know what's been put into their
drugs is it apt to say that they were
poisoned by the drug dealer quite
possibly the bigger point for me is that
kind of poisoning risk exists for
everybody now there's no such thing as
recreational drug use without risk the
risk is substantially higher than it
used to
be every morning when I wake up I come
downstairs and I light a candle in honor
of Julia take a picture of it and send
it on a WhatsApp chat when people look
at their phones they send their
hearts this isn't a story about
overdoses it's a story about poisoning
people with drugs laced with a hidden
substance the conviction was you were
selling cocaine that was laced with feny
in a story that captured national
attention 26-year-old Julia gamani was
one of three New Yorkers who all ordered
cocaine from the same delivery service
and tragically lost their lives to fenel
contamination take us back to the moment
you first heard the
news we have a family chat a WhatsApp
chat and we talk we talk to each other
all day long and I noticed the day
before that Julia kind of went silent so
that night I kept calling her and
calling her and she didn't pick up we
got and jumped in the car and as we were
driving the I don't remember if it was a
detective or the EMS said you know we're
sorry for your
loss so we pulled
over
and hugged each other went back down
into New York we had no idea what it
could possibly have been since um 2010
overdoses involving stimulants like Coke
and Fentanyl um have increased I think
it's something like 50 fold what does it
make you feel hearing statistics like
that we don't call this an overdose
because she did not overdose somebody
poisoned
her so that that language we you know
this is not accurate it's poisoning you
know I think this is an important point
for us and when you bring up those
statistics I I brought this is
CDC numbers right this is what we
usually tend to refer to as overdoses
and everybody still quotes the 2021
numbers because nobody wants to
publicize that one 10
7,521 deaths in 2021 made all the
newspapers November 17th 2021 opioid
epidemic they call it you know they talk
about prevention and drug abuse and not
one of them mentioned murder homicide
poisoning it was all about you know oh
look how much people are using more
drugs and so we need to look at Health
remediation sassan believes Julia was
poisoned and murdered by Billy OTA the
dealer who sold to the batch he told her
was cocaine on the night of March 17th
he called up presumably another drug
dealer and said hey man I have a batch
of stuff here that people say is too
strong Maybe you want it but you take it
and you know give it to some girls
and LOL give it to some girls LOL give
it to some girls and see what happens
yeah LOL
LOL earlier this week he was sentenced
to 30 years in prison what do you make
of that sentence we're stunned this was
a chance for the judge to deliver a
strong message he was remorseless
afterwards he never apologized so you
can't possibly find somebody more
heinous and culpable than this man who
himself cut up the drugs put it in and
than what he did
afterwards she wrote that in her Middle
School yearbook my goal is to make the
world a better place and so you know in
life I'm I'm in the financial Community
we think of money all the time and you
know all that and it's just you need to
take a step back and think about you
know what the consequences of different
things are you know
people come to their house and they're
oh this is a nice house and all this and
it means
nothing it means nothing for me you get
everything to have her
back
to better understand how fentel is
reaching America and dealers like Billy
Orga we went to the dark web if I'm
going to give you my name it's Torin
27-year-old Torin is a former drug
dealer who used to sell fenel and Other
Drugs on the Streets of San Francisco
Toren showed us that with just a few
clicks you can find fentel as well as
literally any other it drug for sale
online how is it sent is are the drugs
hidden in any way you know like those
like Get Well balloons you know like the
crinkly ones that are shiny that's my
law yeah you can't smell through it you
would literally just pack it up you
would go into another room wash it off
so you make sure there's no particles on
there for the dog to smell and you pack
it up in another then you double wrap it
in another room I would generally just
go get like a normal card I would open
up the card and you put the thing in
there and close it up and boom like that
where's the fenel on the streets in San
Francisco coming from do you know oh yes
I know coming from Mexico coming um
Mexico a lot of it was coming from China
at first but now now they're getting a
lot of it themselves everything that
we're getting is being smuggled across
the southern border new images out of
Mexico tonight of a massive drug bus
more than 530,000 fentanyl pills the
problem has gotten so bad in the US that
many American cities have employed
Innovative yet relatively unsuccessful
strategies to fight the problem overdose
prevention sites are up and running in
Manhattan today organ is now the first
state to decriminalize small amounts of
hard drugs inside this harm reduction
kit there's no mention of getting people
off drugs in your experience what
interventions in this area have actually
worked none is the pessimistic answer
many things work a little bit nothing
works perfect l or is decisive here in
New York lies on point America's first
officially authorized supervised
consumption site so tell me exactly what
happens when you go in there either get
coffee breakfast the depending what time
you get there or you get lunch or dinner
they got clothing for people that don't
have
clothing and they help you out to get
off of drugs to they get you into a
metalon program but if you want to take
drugs there what do they do they just
they give you your kit they give you a
kit but you have to buy the drugs in the
street right they don't s drugs up there
they don't give you drugs up there
people can go to this facility they can
take illegal drugs they can't buy them
there and the idea is that they can use
them safely they can test their drugs
including fenel use them in the facility
and there are volunteers who watch over
them if anyone overdoses can step in and
save their lives the idea is safe Supply
and harm reduction it actually has quite
a lot of bipartisan support but it's
still very controversial what are you
doing now fent this is
Fen why are you not going to one point
to use it
now because there a whole bunch of
people in there there a whole bunch of
people
there
done how do you feel now
I go rob a jewelry store in a bank right
now I'm just
joking supervised consumption sites
don't work we have evidence from New
South Wales we have evidence from
cohorts of drug users both in Spain and
also Norway we have evidence now from
the staged rollout of supervised
consumption sites across Canada and what
you see is that supervised consumption
sites uh reduce use of Emergency
Services certainly if you reverse
somebody's overdose they're not going to
die but they are going to keep using
they are likely to keep using somewhere
other than the supervised consumption
site and they will eventually overd and
die because the determining factor is
not whether or not they have access to
supervised consumption site it's that
they're addicted to deadly poisonous
substances while supervised consumption
sites help a small percentage of drug
users they aren't solving the problem
but which is why Governor Cathy hokel
announced the full court press pushing
for widespread availability of Overdose
reversal
medications the FDA approved the sale
over the counter without prescription of
the anti-overdose nasal spray Naran and
it's now available to buy Ates across
New
York thanks very much so what does this
actually do opioid reversal if you see
somebody like overdosing or anything you
spray it in their nose and it blocks it
it'll bring them back to life if they're
like dozing off or anything so we know
the fenel can find its way into Coke and
even weed so how important is it for New
Yorkers to be carrying this around you
you'll take something accidentally you
don't know you do it by accident and you
know you they put Fentanyl and
everything these days so it might be a
good idea to have it fentanyl test
strips also offer a quick check for
deadly fentanyl in drugs a critical yet
temp shield in the ongoing battle
against overdoses this week Oregon
declared a fental state of emergency in
Portland just years after officials
there decriminalized drug possession
measure 110 passed in 2020 with 58% of
the vote decriminalizing the possession
of small amounts of drugs even
methamphetamines and Fentanyl other
places like the state of California and
the City of Philadelphia also
decriminalized drugs and are now seeing
a spike in overdoses Oregon recently de
alized use what's your view on that and
how is it working out for them there is
no evidence it's making anything better
the thesis of drug decriminalization in
Oregon was that it would be part of a
comprehensive reform to move away from
the war on drugs and towards a public
health focused approach that's not
happening the best evidence we have is
that organ's rates of OD death are
continuing to rise either at the same
rate as every other state or slightly
faster thanks to measure 110 as many
strategies to combat the crisis fall
short psychiatrist and Senior research
fellow at the American Enterprise
Institute Dr Sally satel advocates for
mandated treatment as a solution for
both addicts and communities mandated
treatment is basically coer treatment I
know that's a word that makes people
nervous I think about it in kind of in
terms of benign paternalism and I'm in
uh no way in favor of criminalizing
addiction per se but I I do think that
you know we have to maintain a civil
society and when people commit crime
even if it's in the context of needing
to maintain their habit you know we have
to keep folks accountable and we can
then use the criminal justice system and
that leverage as a way to get them into
treatment programs one of the most uh
developed systems for that is called
drug courts drug courts provide a rehab
focused option for drug offenses aiming
to solve addiction problems missing drug
court can lead to arrest more oversight
or expulsion and criminal charges just
getting to graduation is no easy feed
for any of these participants of the
drug court I mean we are talking more
than a year of counseling tests and
often times setbacks in order to get
into a drug court a person will have
committed some kind of crime a crime
that theoretically they wouldn't have
committed but for their addiction they
come before the judge and and he or she
uh sentences them to to drug court so
what does that mean that's it means that
they come usually every day to at least
at the beginning to a treatment program
if they are addicted to an opioid
they're given the option of being on
methadone or another medication called
bubon orine at the end of our journey we
met Alan Justice in the middle of his
Allan's a former actor who struggled
with opioid addic addiction today he's 7
months clean with the help of methadone
and counseling but people you know have
that thing like oh methadone no they're
they're new drugs now like methadone is
it has a stigma over it the best tool
for managing recovery for addressing
people who are in active drug use and
therefore at greatest risk of Overdose
that we have is what's talked as
medication assisted treatment the
selection of FDA approv medications
which substitute for or can be used to
step down from particularly opioid
addiction that means methodone
buprenorphine nxone if you're not on
methadone your chances can get as bad as
90% of
relapsing after witnessing the drug
crisis I'm struck by the unprecedented
potency of the Chinese and Mexican made
synthetic opioids flooding the US market
they're also exception easy to acquire
so easy that it takes virtually no time
to find on the streets of New York and
Philadelphia and the internet brings
this crisis to small town America as
well this crisis spares no social class
it's everyone's problem as seen in the
case of a young professional like Julia
garaman the widespread fenel epidemic
now sees New Yorkers carrying Naran for
emergency
revivals it seems to me that there are a
couple of options to deal with this
crisis at one end is the zero tolerance
approach this assumes strict drug laws
but also rigorous enforcement which is
something that is demonstrably not
happening the second Way Forward is a
safe use approach some campaigners say
that addicts need to have autonomy over
their lives but do any of them actually
have any control over their own lives
I'd say not they're slaves to ever
harder
[Music]
drugs perhaps as well as acceptance some
degree of stigma and accountability like
mandated treatment and Drug courts is
also necessary to help them out of
something that shouldn't be a
lifestyle the reality is that we've all
known the drug crisis is happen your
family loves you and yet America has
allowed it the question now is whether
it
should

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