2020 Democratic presidential primary

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.

medium to long term pain is best managed with a combo of guided movement therapy, mechanical intervention (osteopathy, massage, etc), and lifestyle coaching around diet and other factors. These are service-oriented treatments that don’t scale and involve significant effort on the part of the patient so can be difficult to implement. ftr advocating for more of this holistic tx is a necessary corollary to restricting opioid rx imo, as are policies that enable people with limited mobility to access essential services: more and better public transportation, greater density, better designed public spaces, etc.

k3vin otm and sorry to the thread for being a whiny dick earlier.

tinkering with rules about handing out opioids to acute pain patients is basically dressed-up moralizing about how the poors go and get themselves hooked on oxy, if she cared about the opiate epidemic she'd be proposing a nationwide network of safe injection sites

Apologies accepted. sciatica and Yerac condemned to a 40-hour diet of nothing but opioids

xp. yes, basically what silby says

If I didn't have a work and financial situation that let me fly across the ocean and monitor my dad's pain pill intake (with his prior consent!!!) he'd have had, at best, someone insufficiently paid by the state come in and give him the pills according to the letter of the prescription and yeah, that might very well have ended badly. But the solution to that too-common situation isn't an artificial 7-day supply for all by legislative fiat.

is Beto having one of those televised Town Halls soon? ten shiny american dollars to anyone who asks him what his favorite song by The Cramps is

^^"Sheena's In A Goth Gang", IIRC.

i have also had two MRIs since i moved here. i'm quite healthy.

― 𝔠𝔞𝔢𝔨 (caek), Tuesday, March 19, 2019 1:47 PM (one hour ago) Bookmark Flag Post Permalink

MRIs reimburse for a ton, it's like why not order an MRI if you've got good insurance, goes the logic

Good luck USA

I am considering running in the 2020 Democratic primary. The goal will not be to win, but to bring a critique of American imperialism to the Democratic debate stage. The website (https://t.co/j5qZdJoH7S) is under construction. Official announcement will be in the coming days.

— Senator Mike Gravel (@MikeGravel) March 20, 2019

more honest about his goals that a few entrants already in play, I think

https://i.imgur.com/Yxa93Nk.gifmikegravel.orghttps://i.imgur.com/Yxa93Nk.gif

Senator, question: why is your campaign headquartered in Westchester?

— Andrew Solender (@AndrewSolender) March 20, 2019

The teenagers who convinced me to run live there.

— Senator Mike Gravel (@MikeGravel) March 20, 2019

Bernie's got competition for the 'wish I had a cool grandpa who wasn't glued to Fox News' demographic.

switching to supporting Mike Gravel for the next eight to twenty minutes based purely on that last tweet

Senator Mike Gravel is at the very least a shoo-in for the great real names thread

that whole thread is hilarious, he’s just talking with that kid and the kid accuses him of buying not followers, what a website

The 2020 Democratic field pretends to progressivism, but don't buy the lie. @KamalaHarris kept innocent men on death row. @JoeBiden voted for the Iraq War. @CoryBooker invented a drug dealer friend (and voted with Big Pharma).

— Senator Mike Gravel (@MikeGravel) March 20, 2019

[fire emojis]

I’m a #gravelguy

https://www.youtube.com/watch?v=uBcMUZAXMW4

i mean, where's the lie?