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Comment by toomuchtodo | Hacker News Reader

As global average quality of life trends upward, the American lower and middle class are dying quietly in the streets.

https://www.drugabuse.gov/related-topics/trends-statistics/o...

https://www.npr.org/sections/health-shots/2017/12/21/5720803...

So you're thinking that people in the future will wonder why we weren't more parochial in our sphere of concerns? More precisely, they'll be morally shocked at the notion that we were too close to treating all humans as of equal moral worth, instead of prioritizing those that are located closer to us geographically?

Don't get me wrong, I'm very aware that most moral systems have somewhat-principled reasons to prioritize those that are geographically closer to you. This is intended more to illuminate that side of the argument than as a full-fledged suggestion for how to set our priorities. But the claim being discussed here, that the future will wonder why we let people die in the streets, is still bizarre to me in the context that you're framing it in.

You act like we're putting in enormous efforts overseas to improve life, when we really aren't.

No, I'm not. You're projecting your overly simple-minded model of the economy and the world onto me.

toomuchtodo pointed out we're not doing enough about a problem that exists locally.

You argued that thinking globally is more important than thinking parochially, which is fine by itself. But it's totally unrelated to what toomuchtodo is saying unless we were taking global action in lieu of local action.

So I assumed you meant that, because it's critical to your comment being relevant.

If you didn't mean that, then your argument falls apart. toomuchtodo is not arguing for being parochial, they're arguing that we should be making it a priority to fight this problem at all.

That's a very niche problem in comparison - we're talking hundreds of millions of people leaving poverty across the globe compared to under hundreds of thousands dying of opioid overdoses. Perhaps it's because I'm not American, but I just don't find it that concerning when put into the larger picture.

Perhaps you not finding it concerning emphasizes the problem. As an American, it greatly concerns me. It’s also why populism and nationalism have taken hold in first world countries.

That some tiny portion of the deaths in your country are from opioid overdoses? People voluntarily injecting themselves with drugs and fucking up? Why exactly does this concern you so much? It's hard to see it as representative of a larger systemic problem beyond the American drug enforcement and medical systems resulting in over-prescription of opioids and fenantly entering common usage. Not much beyond that, is there? I don't see a larger trend to extrapolate from that.

The opioid epidemic is a symptom of underlying socioeconomic and societal issues. That is why it concerns me so greatly. It’s a canary in the coal mine, if you will.

I don't think so - over-prescription of opioids and more common usage of fentanyl seem to the be the key factors in the death increases. Nothing to do with underlying socioeconomic conditions nor societal problems. I don't understand how you're making that leap - care to elaborate?

The Guardian has an excellent piece far better than me rehashing it.

https://www.theguardian.com/us-news/2017/mar/28/deaths-of-de...

“Is the US facing an epidemic of 'deaths of despair'? These researchers say yes”

The whole lower and middle classes? What do you mean by this? What does "quietly" mean -- there's been a ton of activity on the opioid crisis in Washington lately?

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