Painkiller

DoGE should make ending the opioid crisis its legacy

From our US edition

As President Donald Trump trots the globe shopping for a new Air Force One and takes long-distance phone calls in a quest to end the “bloodbath” in Ukraine, a clear and present – and costly, in more ways than one – danger persists on his own country’s soil. A new, first-of-its-kind study from Avalere Health has found the annual average cost of each opioid use disorder (OUD) case in the US “is approximately $695,000 across all stakeholders analyzed.” Per the report’s executive summary:  The costs to the federal government, state/local government, private businesses, and society are driven by lost productivity for employers ($438 billion), employees ($248 billion), and households ($73 billion).

opioid

The art of negotiating with French nurses

‘Ça va, Monsieur Clarke?’ said a nurse when he noticed I was stirring. It was an effort to speak. ‘Thirsty,’ I croaked. He handed me a graduated test tube containing exactly ten millilitres of warm water. Incredibly, the big clock on the wall said six in the evening. I’d been gone for eight hours. While I was gone, a surgeon had snipped 30 centimetres off my colon, plus a valve, and rejoined the ends. I’d never had an operation before and was surprised by the severity of the pain. I couldn’t move an inch in any direction. A porter wheeled me back to the single room with a view over north Marseille and tipped me off the trolley into bed. During the evening a succession of nurses and doctors came and fiddled with me.