2020 Democratic presidential primary

Oh fuck that

Kirsten Gillibrand is lame

problem solved. good work.

unperson why do you care about this

People who make bad staffing decisions make other kinds of bad decisions. And since I am anti-Bernie generally, I will present evidence of his badness as a candidate as it crops up.

what's wrong with that opiod rx proposal?

I think Gray has written some good stuff for Current Affairs iirc but she really does suck on Twitter, I refollowed her maybe a couple of weeks ago and then unfollowed her again like yesterday I think. at least now she's getting paid to stan for Bernie, there is more honesty in that (note: I'm NOT anti-Bernie).

People who make bad staffing decisions make other kinds of bad decisions

so because she's "airheaded" acc to your shining perceptions and voted for Stein in New York, she will be a bad press secretary. got it.

She's a bad journalist, why do you think she'd be a good press secretary (someone who deals with journalists all day and night)?

Voting for Jill Stein anywhere if you're over 18 is a sign of decay.

xps it seems pretty arbitrary and lumping the needs of patients in longer recovery (who need pain management of more than 7 days out of the gate) w/ "wisdom tooth" dig is unnecessarily belittling

She's a bad journalist, why do you think she'd be a good press secretary (someone who deals with journalists all day and night)?

you didn't like her in a youtube interview and now she's a bad journalist

as someone who works in the medical field and also has a parent addicted to Rx opioids I’m entirely in favor of the Gillibrand/Booker proposal and have been advocating for similar restrictions for years. Opioids have limited effectiveness against both acute and recurring pain anyway. There are other solutions.

legislation should not be introduced via tweets, unless there is bigger documentation linked to it. That tweet is just weird.

I assume she made of point of saying acute pain rather than all pain or chronic pain.

also, what do you know about the senior staff of the other candidates? many of them are probably DC lifers with way fucking darker skeletons to dig up.than anything Gray's got xxp

agreed that the wisdom teeth dig is awful.

i don't know what their definition of acute (vs chronic) pain is.

do you think it should be a bigger number than 7 or do you object to the limit in principle?

xpost military hospitals were giving my dad like 500 ct bottles of hydrocodone probably because he was bitchy enough about getting it. It was absurd.

Voting for Jill Stein anywhere if you're over 18 is a sign of decay.

i may have said this about reading the National Review Online

i was given a 7 day rx w for an opiod when i had a wisdom tooth out. i didn't mention pain, much less ask for an rx. i have also had two MRIs since i moved here. i'm quite healthy. the US health system is so unbelievably weird.

Yerac correct here, per her website

This seven-day prescription limit would not apply to the treatment of chronic pain; pain being treated as part of cancer care, hospice care, or other end-of-life care; or pain treated as part of palliative care.

i just want M4A, cuz the Obamacare cancer co-pays are killin' me

Basically, the tweet is just bad. Don't talk about the root cause of a major problem and then follow with a very niche solution that places the focus on one random scenario.

When I had all my impacted wisdom teeth out I didn't even bother filling the prescription. My biggest pain was that I wanted to eat a calzone really badly.

The wisdom teeth dig is great, no one needs opioids for after that surgery ffs

I don’t understand what people are complaining about, that she made a tweet that didn’t spell out the entire policy? There’s other, worse ways to use twitter, as you al, are familiar with

*y’all

Don't read the comments on that tweet. People really like their pain meds.

do you think it should be a bigger number than 7 or do you object to the limit in principle?

― 𝔠𝔞𝔢𝔨 (caek), Tuesday, March 19, 2019

I object to arbitrary-ass grandstanding around standards of care.

The wisdom teeth dig is great, no one needs opioids for after that surgery ffs

― sciatica, Tuesday, March 19, 2019

imma go out on a limb here and speculate that some people do. not that i really gaf about this particular procedure but trivializing post-op pain is nagl.

"acute" doesn't mean "less than 7 days". if i'm checking out of hospital with a broken leg, that's going to be more than 7 days of acute pain management, and i'd be impacted by this. refilling is going to be tricky if i live alone.

that said, i don't know a ton about opiod addiction and 7 day limit seems like a ball park reasonable compromise in the context of news like this:

in a way, America really is quite exceptional. you don't see this kind of thing in peer nations https://t.co/HLvKX0vZSI

— ryan cooper (@ryanlcooper) March 19, 2019

but is overgenerous prescription actually the problem here? isn't it imported fentanyl in the US mail at this point?

The Snowden/Manning opinion isn't controversial. Or at least I see it enough from very progressive people that they knowingly broke the law, it doesn't matter for whose greater good it was.

― Yerac, Tuesday, March 19, 2019 7:55 PM (fifty-eight minutes ago) Bookmark Flag Post Permalink

yeah, but buttigieg said specifically that he was "troubled" by obama's decision to commute manning's sentence, not just that he was bothered by what manning and snowden did. even if you are critical of manning, i'm a little surprised that any "very progressive" person thinks that she deserved to spend 35 years in prison.

I was in plenty of pain after getting one wisdom tooth out. Idea that I shouldn't be able to get painkillers because addicts exist is bizarre to me.

As is the bizarre notion that you can combat addiction via supply.there will always be opiates you can acquire if you want them

They just need to make marijuana federally legal for recreational and medical purposes and take all of the Sackler family's money.

My 86-year-old dad just got his knee replaced and I spent the month being his caregiver (full disclosure: my partner is a big pharma bigwig) -- we were both far more cautious about opiates than the treating doctor was, gave him less than the (ridiculously high) recommended doses and got him off of them well ahead of schedule. And that 7 days thing is still a ridiculous one-size-fits-none populist suggestion that would have had him hurting too much to do the very necessary physical therapy much as taking the actual recommended dose would have had him too looped to do the PT well.

it’s a standard procedure with predictable outcomes. an extremely limited supply of opioid medication can be prescribed if there’s no history of substance abuse. this is not how the current system works however.

roger I work in pain management. I only engaged here to bring a bit of both personal and professional perspective to what is typically armchair debate. I’ve said what I need to, everyone have fun

xp

xpost I am biased because I think Manning and Snowden and Assange are unbearably irritating. But Buttigieg was also an intelligence officer? so it makes sense for him to be troubled by all of it.

ah, that is why your name is sciatica xpost.

do you understand what Chelsea Manning actually exposed and the risks she knowingly took to do so

So it turns out Sirota has been working for the Bernie campaign for months undisclosed while shitposting about every other candidate and last night, knowing the announcement of his hire was coming today, deleted 20,000 of his own tweets.

Every campaign hires some assholes, it's not just Bernie Sanders, but I know who I'm gonna be looking at first when the atmosphere turns toxic.

I was in plenty of pain after getting one wisdom tooth out. Idea that I shouldn't be able to get painkillers because addicts exist is bizarre to me.

i mean it's a bad tweet, sure, but that's ... not what it says.

I was in plenty of pain after getting one wisdom tooth out. Idea that I shouldn't be able to get painkillers because addicts exist is bizarre to me.

As is the bizarre notion that you can combat addiction via supply.there will always be opiates you can acquire if you want them

― ( ͡☉ ͜ʖ ͡☉) (jim in vancouver), Tuesday, March 19, 2019 5:02 PM (one minute ago) Bookmark Flag Post Permalink

to be fair under this law you would be able to get a 7-day rx for this indication, which is certainly enough

also, diversion is a major source of misused/abused pills, and many people *become* addicts with the injectible stuff because their pain is intitially treated inappropriately with opioid pills

that said I do oppose the proposal on principle.

Yeah, I do. She's still completely irritating. xpost

generally agree with sciatica

Her biggest crime is over-emoji'ing.

She should definitely have died in jail for that, yeah.

yerac I hope you’ve got something a little more substantive than that, or else what you’re saying is pretty gross, considering what chelsea has been through

No, I really don't. Not everyone likes her nor needs to on the internet. Her emoji'ing is well documented.

I don't really have much of an opinion on the commutation besides what Buttigieg having said not being really controversial in my opinion.

Although I feel like when it happened, I was happy about it. Who knows.

I was in plenty of pain after getting one wisdom tooth out. Idea that I shouldn't be able to get painkillers because addicts exist is bizarre to me.

As is the bizarre notion that you can combat addiction via supply.there will always be opiates you can acquire if you want them

― ( ͡☉ ͜ʖ ͡☉) (jim in vancouver), Tuesday, March 19, 2019 5:02 PM (one minute ago) Bookmark Flag Post Permalink

to be fair under this law you would be able to get a 7-day rx for this indication, which is certainly enough

also, diversion is a major source of misused/abused pills, and many people *become* addicts with the injectible stuff because their pain is intitially treated inappropriately with opioid pills

that said I do oppose the proposal on principle.

― k3vin k., Tuesday, March 19, 2019 2:16 PM (twelve minutes ago) Bookmark Flag Post Permalink

sorry i am being a bit reductive and dumb. i just hate the political class' total inability to advance radical drug policy that would actually help to save lives and not these silly sort of tinkering half-measures that at best might mean a few people don't discover their addictive personality through over-subscription.

It is p clearly controversial, as evidenced by the controversy here.xp

emojis are a sensitive topic.

I apologize for an in poor taste joke, especially since she is in jail again.