Fentanyl: Actually As Dangerous As They Say

This episode explores the rise of fentanyl as the deadliest street drug in the United States, examining its origins, impact, and potential solutions. The discussion begins with the introduction of fentanyl as a synthetic opioid, highlighting its potency compared to morphine and heroin, and its initial development as an intravenous anesthetic. Against the backdrop of its medical use, the conversation shifts to the three waves of the opioid addiction crisis in the U.S., with the third wave being driven by illicitly produced fentanyl, vastly outstripping the death rate of the first two waves. More significantly, the hosts discuss the "iron law of prohibition" and how it applies to fentanyl, making it easier to smuggle and more profitable for dealers. The conversation pivots to harm reduction techniques, such as distributing test strips and the use of Narcan to reverse overdoses, as well as the importance of medication-assisted treatment. The episode concludes with a discussion of myths surrounding fentanyl and a hopeful note on the recent decline in opioid deaths, reflecting emerging patterns of increased awareness, international cooperation, and potential shifts in drug use among younger generations.