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At the Atlantic Monthly, Kenneth Warner and I have a 7,000 word piece called the Nicotine Fix. Ken is one of the nation’s leading tobacco control experts and a former dean of the University of Michigan School of Public Health. It was great to be his wingman on this. We discuss the remarkable, yet incomplete progress America has made in reducing tobacco-related deaths. In the fifty years since the 1964 Surgeon General’s report, efforts to reduce smoking have prevented an estimated eight million deaths. Each of these eight million people received an additional twenty years of human life.
As educated and affluent people turn away from smoking, it’s easy to forget some basic realities.Â 480,000 Americans still die of smoking-related causes every year. That’s an amazing figure. Our piece discusses the disgraceful history but more promising history of tobacco harm reduction efforts. Both of my in-laws died harrowing deaths from lung cancer, way before their time.Â I wish they had access to e-cigs or other products they might have substituted for combustable tobacco.
Incidentally, Ken and I are very grateful to Jennie Rothenberg Gritz and others at the Atlantic. They produced our piece beautifully. We have old tobacco ads and videos, and graphs like the one above, drawn from Surgeon General reports. We hope you enjoy reading it.
Obama’s health oriented drug policy reforms are underappreciated
After initially accusing President Obama’s outgoing drug policy director Gil Kerlikowske of opposing public health measures in drug policy, Eric Sterling had the class to publically acknowledge Kerlikowske’s health-oriented reforms:
[Kerlikowske] recognized the importance of stopping the spread of HIV/AIDS among injecting drug users and recognized their humanity and dignity in the way his predecessors did not. Second, in the same spirit, he recognized that the dissemination of naloxone into the environments of opiate users, many of whom are using drugs illegally, would stop overdoses from becoming fatal.
Sterling also praised Kerlikowske’s support of opiate substitution therapies (e.g., methadone maintenance), which the administration expanded within the Tri-Care insurance program for military personnel and their families and spread internationally through the President’s Emergency Plan For AIDS Relief (PEPFAR).
In addition to the points Sterling raised, one could also note that the Administration’s signature legislation — the Affordable Care Act — mandates full coverage in Medicaid and health insurance exchanges for addiction treatment. That’s the biggest stride the federal government has taken towards health-oriented drug policy in at least 40 years and probably ever.
Sterling’s explanation for why his first article was inaccurate is powerfully honest and important:
I insulted Mr. Kerlikowske and dismissed his record on matters I did not review, relying on prejudices I formed regarding other subjects such as drug “legalization,” whether the Administration’s anti-drug program was “balanced,” as he claimed, and on marijuana policy. I deeply regret that I was unfair to Mr. Kerlikowske and misled the readers of Huffington Post regarding his support and commitment on important public health issues.
Sterling was by no means alone in his assumption that anyone who opposes drug legalization also opposes health oriented drug policy reform. But historically and cross-culturally, opinions on those two matters have not intersected in a consistent way. For example, among the people who identify themselves as “harm reductionists” around the world are many individuals who want all drugs legalized and many individuals who regard that idea with terror and hostility (Mainly because of the experience of legal tobacco). Among people who support legalization are individuals who favor increased availability of addiction treatment and individuals who are quite skeptical of the addiction treatment enterprise. And among people who oppose drug legalization –President Obama being a prominent example — are individuals who want to augment the quantity and quality of health services for drug users. Continue reading “The Rarely Acknowledged Public Health Achievements of Obama’s Drug Policy”
This arrived over Twitter (h/t @randomsubu). Beau Kilmer calls this Harm Reduction 101. I’d say 102, at least. Excellent work, Seattle PD.
Asal mula web Judi Poker Online Mengelokkan dipercaya di Dunia.
Dari segi buku Foster’ s Complete Hoyle, RF Foster menyelipkan “ Permainan situs pokerqq paling dipercaya dimainkan mula-mula di Amerika Serikat, lima kartu bikin masing masing pemain dari satu antaran kartu berisi 20 kartu”. Tetapi ada banyaknya ahli tarikh yg tidak setuju diantaranya David Parlett yg menguatkan jika permainan situs judi poker online paling dipercaya ini mirip seperti permainan kartu dari Persia yang dibawa oleh As-Nas. Kurang lebih sejahrawan menjelaskan nama produk ini diambil dari Poca Irlandi adalah Pron Pokah atau Pocket, tetapi masih menjadi abu-abu karena tidak dijumpai dengan pasti sapa yg menjelaskan permainan itu menjadi permainan poker.
Walau ada sisi per judian dalam semua tipe permainan ini, banyak pakar menjelaskan lebih jelas berkaitan gimana situs judi poker mampu menjadi game taruhan yang disenangi beberapa orang dalam Amerika Serikat. Itu berjalan bertepatan dengan munculnya betting di daerah sungai Mississippi dan daerah sekelilingnya pada tahun 1700 an serta 1800 an. Pada saat itu mungkin serius tampil terdapatnya keserupaan antara poker masa lalu dengan modern poker online tidak hanya pada trick berspekulasi tetapi sampai ke pikiran di tempat. Mungkin ini lah cikal akan munculnya permainan poker modern yg kalian ketahui sampai saat tersebut.
Riwayat awal timbulnya situs judi poker paling dipercaya Di dalam graha judi, salon sampai kapal-kapal yg siapkan arena betting yg ada didaerah setengah Mississippi, mereka terkadang bermain cukup hanya manfaatkan 1 dek yg beberapa 20 kartu (seperti permainan as-nas). Game itu terkadang dimainkan langsung tidak dengan diundi, langsung menang, punya putaran taruhan, dapat meningkatkan perhitungan taruhan seperi game as-nas.
Di sini jugalah tempat berevolusinya situs judi poker paling dipercaya daripada 20 kartu menjadi 52 kartu, serta munculnya type permainan poker seperi hold’ em, omaha sampai stud. Herannya orang melihat bila poker stud jadi poker pertama dan classic yang telah dimainkan lebih daripada 200 tahun.
Diakhir tahun 1800 an sajian Poker Online mulai disematkan lagi ketentuan baru diantaranya straight dan flush serta beberapa type tipe yang lain lain seperti tipe poker low ball, wild cards, community cards of one mode dan lainnya.