The University of Michigan is teaming up with Coursera to create Teach-Outs which are week-long MOOC lecture series which address problems currently faced in society today. Following will be notes for The Opioid Crisis.
This post is notes from an interview with Mike Smith, a Clinical Assistant Professor in the Department of Clinical Pharmacy at the University of Michigan College of Pharmacy and Clinical Pharmacist in Pain and Palliative Care at Michigan Medicine.
An opioid is a class of drug that binds an opioid receptor. Unlike pain medications of other classes, opioids can easily lead to euphoria, particularly in higher doses. Years after doctors started prescribing opioids, scientists found that opioids only work on a certain class of pain; therefore, it had been over- and mis-prescribed for years. The abundance of opioids in the community that resulted from this over-prescription led to increased recreational use and addiction. Dr. Smith feels that the best way to bring the opioid crisis to a halt is to minimize the number of pills that are being prescribed. A good second step to halting the crisis would be to identify opioid misuse earlier in patients.
The interview ends with this discussion question: What kinds of innovative steps could be taken to collect surplus opioids in communities like yours?
I admit that I know little about what steps have already been taken to encourage people to properly dispose of opioids; however, I think a government- (or insurance-) funded program where people are partially reimbursed for returning certain prescriptions to their pharmacies when they don’t need the drugs anymore would be beneficial. The problem is that many tax-payers may not approve of such a use of their money and the insurance companies would also object if they were forced by federal regulation to fund such a program.
The third set of lectures, Tools of Authoritarianism, begins with a set of lectures by Juan Cole, a Professor of History at the University of Michigan. He speaks about the Arab Spring of the 2010s. The Arab Spring took place because the post-colonial Arab world was ruled mainly by presidents-for-life. The Millennials became angry and scared because the colonial times that these presidents had saved their countries from had been long before the Millennials were born – the Millennials couldn’t remember and therefore couldn’t relate. Some of these presidents-for-life were setting up their children to take over for them, and the Millennials wanted a democratic vote. They mobilized by word-of-mouth and social media and managed to overthrow their governments. However, the presidents who were voted in during the Arab Spring also had authoritarian tendencies, such as arresting dissenters and suppressing gatherings using military force. These presidents had learned their lessons about social media and began to monitor it. Professor Cole warns against ignoring such prying into our private documents here in the US.
The third set of lectures continues with a commentary by Brian Porter-Szucs, a Profesor of History at the University of Michigan. He talks about everyday authoritarianism in today’s Poland. Poland is ruled by the party that is in control, rather than by the President or Prime Minister per se. That means the leader of the Law and Justice Party (PiS), Jaroslaw Kaczynski, is the authoritarian ruler of Poland. Porter-Szucs points out that in any political argument, someone always gets compared to Stalin or Hitler, and says that this is usually an overstatement. However, he also points out that to MOST people during Stalin or Hitler’s regimes, life went on like normal. They went to work, fell in love, hung out with their friends, dreamed their dreams. It was the minorities targeted by these regimes that mainly suffered. Porter-Szucs’ point is that it is easy to ignore what is going on around you, and to not even realize that an authoritarian regime is being built.
Pauline Jones, the Director of the University of Michigan’s International Institute and a Professor of Political Science, completes the third set of lectures by describing Putin’s Russia. He came to power through what seems to be a fair democratic vote, but soon started changing the laws so that the country became an autocracy. For instance, he increased the length of time he could be in power before another vote. He also indirectly supported assaults against, and assassinations of, journalists who disagreed with his regime. Professor Jones’ main point was how easy and often legal it is for a person in power to begin the first steps to create an autocracy.
The first lecture was by Professor Arun Agrawal, who explained how modern democracy can become authoritarian. In both older and modern authoritarianism, the leader/regime attempts to disable the basic building blocks of democracy, such as elections, free press, check and balances on their power, and rule of law. They may also unfairly enforce laws against people of certain race, ethnicity, sexual orientation, etc. For instance, the regime might promote what they call a democratic election, but undermine the election by keeping some populations from voting (like the modern ID laws, which make it difficult for very poor and homeless people to vote) and by calling the election fraudulent when they don’t agree with the outcome. They might undermine the rule of law by criticizing the judicial system when it disagrees with the regime’s own point of view. (Or by removing the Judicial Branch from the list of government branches on the White House webpage.) They can undermine free press by calling it “fake news” and handing out awards for the “fakest” news. They might claim that they are above the law (for instance, are unable to be sued). [Specific examples aimed at Donald Trump are my own insertions.]
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