A SAMPLE SET OF INSIGHTS AND FACTOIDS
[Note: This posting is a continuation of a report on the development of a civics unit of study. This unit is directing students to formulate informed positions on the opioid epidemic. Presently, this development, in real time, is to share a set of insights (generalizations or principles) and factoids that help describe and explain this epidemic.]
Before sharing insights and factoids associated with the opioid epidemic, a word on the assignment the reader was given in the last posting. That posting listed the American states according to how many opioid prescriptions, per 100 residents, were issued in 2012. The assignment was to hypothesize how the information suggest a cause and effect relationship relevant to the abuse of opioids.
Since the problem, especially early in the development of the epidemic, was over-prescribing the drug, one could hypothesize that in a conservative environment, one that shies away from regulating business activities, over-prescription would be more probable since there would be a reluctance for local government to regulate the selling of this product.
To test this hypothesis in an off-hand way, the writer checked which of the top 15 states – those that prescribed the drug most readily – voted for the conservative/Republican candidate and those that voted for the liberal/Democratic candidate in the 2016 presidential election. He also checked the same for the lowest 15 states. This at best is an informal way to test this hypothetical relationship.
While in terms of number of states voting one way or another is heavily skewed toward Republican candidates (most states are sparsely populated and agricultural – a conservative political landscape), a definite bias probably would indicate that this suggested hypothesis is true. So, is there such a definite bias?
Of the top 15 listed states, 14 voted for the conservative/Republican candidate and only one voted for the liberal/Democratic candidate. Of the bottom 15 states, 11 voted for the liberal/Democratic candidate and 4 voted for the conservative/Republican candidate. Without doing a sophisticated, statistical analysis, this seems like a definite bias.
But it should be remembered, 2012 was relatively early in the history of this epidemic and states have become more attuned to the problem including the “Trump state,” Florida, which has been noted for its clamping down on prescribing opioids with regulations and prohibiting clinics from prescribing them.
To return to the basic aim of this posting; that is to explain the function of two curricular components useful in developing a unit of study. The first is the role insights play and the second is the role factoids play. Insights are generalizations or principles; that is, they identify or highlight some relationship between or among factors.
For example, if one states hot weather causes people to be irritable, then the weather is one factor and dispositional behavior is the other. If the weather is characterized as being “hot” (say the temperature is over 90 degrees Fahrenheit), that causes or is correlated to people generally behaving in irritable (disposed to being upset) ways. In turn, such statements can generally be tested to see if they are true.
In terms of using generalizations or principles in argumentation or debate, they can be used to function as warrant statements that justify some observation with some conclusion. That is the function Stephen Toulmin[1] ascribes these terms in formulating a reasonable argument. In this simple example, one can argue that since Johnny was playing baseball out in the hot sun, therefore he was bound to get angry when he was called out on a close play.
This might not be a good argument, but it illustrates the role of generalizations and principles play in argumentation. So, if the aim of a unit of instruction is for students to build arguments, insights are useful if not necessary. Further, as just shown, factual statements are also useful for they provide statements of observation. They, in turn, serve as the “since” or “whereas” statements (“since Johnny was playing baseball”) in an argument.
As for insights, here is an initial list taken from previous postings that described some aspect of the opioid epidemic:
· The beginning stages of an opioid addiction is noted by patients continuing to consume the drug beyond what a doctor prescribes to either minimize pain or to induce euphoric feelings. This is chemically enhanced since the body builds up a tolerance – meaning the patient must consume more to induce the desired results and/or prevent withdrawal symptoms.[2]
· Several written accounts claim that among the general population there has been widespread preference for a “pill” solution for medical concerns over behavioral alterations to daily routines such as exercise, change of diet, and efforts to reduce stress.[3]
· Due to the extensive amount of reported cases of chronic pain among Americans in the late 1990s (c. 100 million), drug companies and the federal government were motivated to incentivize – to “push” – opioid drug prescriptions.[4]
· Correlated to the increase of opioid prescriptions, there has been significant more people being admitted to medical facilities for drug abuse treatments and more deaths caused by opioid overdoses. It furthers indicates that initially legitimate – usually clinical – prescribing of the drug has led to or diverted to an illegal distribution system which in turn has meant more misuse, addiction, and death.[5]
· Due to their popularity, this increase has encouraged producers to increase the strength or potency of prescribed opioids such as with oxycodone (under the brand names OxyContin or Percocet) and hydrocodone (under the brand name Vicodin).[6]
And here are several factoids that can enrich a lesson on opioids and can, therefore, be used as datum statements (i.e., “since” statements):
· A significant number of Americans reported in the late 1990s (circa 100 million or just under a third of the population) as suffering chronic pain.[7]
· In the twenty years, from 1991 to 2011, prescriptions for pain (painkillers) tripled in the US. The reported numbers were 76 million per year in 1991 and 219 million in 2011. That number increased to 289 million opioid prescriptions in 2016. [8]
· Strengthened opioids – more potent than morphine – were in 2002 only prescribed to one of every six drug users. That number jumped to one of every three drug users by 2012.[9]
The next posting will continue reporting relevant insights and factoids that can prove to be useful either in developing a unit of study over the opioid epidemic/crisis or assisting students in formulating a related argument. The topic will refocus on the demographic factors of this epidemic.
[1] Stephen Toulmin, The Uses of Argument (London, England: Cambridge University Press, 1969).
[2] Jacqueline Howard, “Why Opioid Overdose Deaths Seem to Happen in Spurts,” CNN, February 8, 2017, accessed July 2, 2018, https://www.cnn.com/2017/02/08/health/opioids-overdose-deaths-epidemic-explainer/ .
[3] Teresa Carr, Too Many Meds? America’s Love Affair with Prescription Medication, Consumer Reports, August 3, 2017, accessed July 30, 2018, https://www.consumerreports.org/prescription-drugs/too-many-meds-americas-love-affair-with-prescription-medication/ AND Jennifer Markert, “Pills for Everything: The Power of American Pharmacy,” June 2, 2018, accessed July 30, 2018, https://curiousmatic.com/pills-for-everything-the-power-of-american-pharmacy/ AND Victoria Bekiempis, April 9, 2012, accessed July 30, 2018, https://www.theguardian.com/commentisfree/2012/apr/09/america-prescription-drug-addiction .
[4] “America’s Opioid Epidemic Is Worsening,” The Economist, March 6, 2017, accessed July 19, 2018, https://www.economist.com/graphic-detail/2017/03/06/americas-opioid-epidemic-is-worsening .
[5] G. Caleb Alexander, Stefan P. Kruszewski, and Daniel W. Webster, “Rethinking Opioid Prescribing to Protect Patient Safety and Public Health,” Journal of the American Medical Association (JAMA), vol. 308, 1865-1866, see http://www.addictioneducation.co.uk/21.01.2013PsycInfo%20VCrawford[3].pdf , accessed August 3, 2018.
[6] For example, “Oxycodone Abuse,” DrugAbuse.com, n. d., accessed July 30, 2018, https://drugabuse.com/library/oxycodone-abuse/ .
[7] “America’s Opioid Epidemic Is Worsening,” The Economist.
[8] “Facing Addiction in America,” U. S. Surgeon General (SurgeonGeneral.com), 2016, site page no longer posted, see https://addiction.surgeongeneral.gov/executive-summary .
[9] “America’s Opioid Epidemic Is Worsening,” The Economist.