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Read the rules in the OP before posting, please.

In order to ensure that this thread continues to meet TL standards and follows the proper guidelines, we will be enforcing the rules in the OP more strictly. Be sure to give them a re-read to refresh your memory! The vast majority of you are contributing in a healthy way, keep it up!

NOTE: When providing a source, explain why you feel it is relevant and what purpose it adds to the discussion if it's not obvious.
Also take note that unsubstantiated tweets/posts meant only to rekindle old arguments can result in a mod action.
Doodsmack
Profile Blog Joined August 2010
United States7224 Posts
July 06 2017 19:51 GMT
#160441
On July 07 2017 03:57 Danglars wrote:


A bit of cultural criticism. It's pretty funny what's happened post November 2016.


Lol @ "CNNBlackmail". Guess they needed to throw some poop after the Morning Joe blackmail reveal.
Dromar
Profile Blog Joined June 2007
United States2145 Posts
July 06 2017 19:56 GMT
#160442
On July 07 2017 04:14 Mohdoo wrote:
Show nested quote +
On July 07 2017 03:37 Gahlo wrote:
On July 07 2017 03:32 Dangermousecatdog wrote:
I'm fairly suprised that Americans consider their higher education to be a scam. Aren't American Universities highly sought after by overseas students?

The value of it is well respected. The cost of it is what makes it questionable. When it comes to oversea students looking at American unis, they're looking at the better ones more often than not.


A fair critique of our education system as a whole is the fact that people are never cautioned against going to school. People are never told about "hey, you'll get a lot of debt, so make sure you are in a position and career where you can pay it off without living in a dumpster". While it is easy to blame the individuals for not realizing a women's study degree won't hit 6 figs, I would say the system as a whole does a poor job at informing people on the nuance as to when it is appropriate to go to college.


Exactly. High schoolers are inundated with the idea that a college graduate makes on average $X more per year compared to someone with just a high school diploma, it's a good investment in your future, etc. And to some degree that's all true, but the information is being misapplied.

For a generation now, students have gone to college after graduating high school because "that's what you do," as long as you're not poor and your grades are good enough. And if you don't have money, you can go into debt (don't worry, it's an investment). And if your grades aren't good, you can go to a 2 year college, or tech school (you'll get in somewhere. It's never said like this, but there will ALWAYS be a school willing to take your money).

Students very much "know" they're supposed to go to college, but very often have no idea what they want to do with their life, what they want to go to college for, or how a college education could (or could not) benefit them. Meanwhile, they are just maturing into adults, which can be very confusing on its own, and often have questionable priorities.

I often advocate for students to wait a few years after high school before deciding to go to college or not. It results in much wiser, much more results-oriented students, who much more often come out with valuable skills and connections. If not, they may not waste their time and money in the first place.
nojok
Profile Joined May 2011
France15845 Posts
Last Edited: 2017-07-06 20:31:58
July 06 2017 20:28 GMT
#160443
On July 07 2017 04:56 Dromar wrote:
Show nested quote +
On July 07 2017 04:14 Mohdoo wrote:
On July 07 2017 03:37 Gahlo wrote:
On July 07 2017 03:32 Dangermousecatdog wrote:
I'm fairly suprised that Americans consider their higher education to be a scam. Aren't American Universities highly sought after by overseas students?

The value of it is well respected. The cost of it is what makes it questionable. When it comes to oversea students looking at American unis, they're looking at the better ones more often than not.


A fair critique of our education system as a whole is the fact that people are never cautioned against going to school. People are never told about "hey, you'll get a lot of debt, so make sure you are in a position and career where you can pay it off without living in a dumpster". While it is easy to blame the individuals for not realizing a women's study degree won't hit 6 figs, I would say the system as a whole does a poor job at informing people on the nuance as to when it is appropriate to go to college.


Exactly. High schoolers are inundated with the idea that a college graduate makes on average $X more per year compared to someone with just a high school diploma, it's a good investment in your future, etc. And to some degree that's all true, but the information is being misapplied.

For a generation now, students have gone to college after graduating high school because "that's what you do," as long as you're not poor and your grades are good enough. And if you don't have money, you can go into debt (don't worry, it's an investment). And if your grades aren't good, you can go to a 2 year college, or tech school (you'll get in somewhere. It's never said like this, but there will ALWAYS be a school willing to take your money).

Students very much "know" they're supposed to go to college, but very often have no idea what they want to do with their life, what they want to go to college for, or how a college education could (or could not) benefit them. Meanwhile, they are just maturing into adults, which can be very confusing on its own, and often have questionable priorities.

I often advocate for students to wait a few years after high school before deciding to go to college or not. It results in much wiser, much more results-oriented students, who much more often come out with valuable skills and connections. If not, they may not waste their time and money in the first place.

In France we also have a lot of courses where they take way more students than what the job market can absorb but it does not end up with them having a massive debt, just a useless diploma. It does not change that much from the society's perspective, money and energy are wasted, but people still have an easier time to come back from those near useless studies.
"Back then teams that won were credited, now it's called throw. I think it's sad." - Kuroky - Flap Flap Wings!
Mohdoo
Profile Joined August 2007
United States15689 Posts
July 06 2017 20:34 GMT
#160444
On July 07 2017 05:28 nojok wrote:
Show nested quote +
On July 07 2017 04:56 Dromar wrote:
On July 07 2017 04:14 Mohdoo wrote:
On July 07 2017 03:37 Gahlo wrote:
On July 07 2017 03:32 Dangermousecatdog wrote:
I'm fairly suprised that Americans consider their higher education to be a scam. Aren't American Universities highly sought after by overseas students?

The value of it is well respected. The cost of it is what makes it questionable. When it comes to oversea students looking at American unis, they're looking at the better ones more often than not.


A fair critique of our education system as a whole is the fact that people are never cautioned against going to school. People are never told about "hey, you'll get a lot of debt, so make sure you are in a position and career where you can pay it off without living in a dumpster". While it is easy to blame the individuals for not realizing a women's study degree won't hit 6 figs, I would say the system as a whole does a poor job at informing people on the nuance as to when it is appropriate to go to college.


Exactly. High schoolers are inundated with the idea that a college graduate makes on average $X more per year compared to someone with just a high school diploma, it's a good investment in your future, etc. And to some degree that's all true, but the information is being misapplied.

For a generation now, students have gone to college after graduating high school because "that's what you do," as long as you're not poor and your grades are good enough. And if you don't have money, you can go into debt (don't worry, it's an investment). And if your grades aren't good, you can go to a 2 year college, or tech school (you'll get in somewhere. It's never said like this, but there will ALWAYS be a school willing to take your money).

Students very much "know" they're supposed to go to college, but very often have no idea what they want to do with their life, what they want to go to college for, or how a college education could (or could not) benefit them. Meanwhile, they are just maturing into adults, which can be very confusing on its own, and often have questionable priorities.

I often advocate for students to wait a few years after high school before deciding to go to college or not. It results in much wiser, much more results-oriented students, who much more often come out with valuable skills and connections. If not, they may not waste their time and money in the first place.

In France we also have a lot of courses where they take way more students than what the job market can absorb but it does not end up with them having a massive debt, just a useless diploma. It does not change that much from the society's perspective, money and energy are wasted, but people still have an easier time to come back from those near useless studies.


There is always going to be intrinsic value in increasing total average knowledge across a population, though. The US has a lot of issues with people being educated on a farm. It is important that these people are able to get away from cattle and corn and do something more. If nothing else, for their own growth and to be less of a drag on the population as a whole.
Danglars
Profile Blog Joined August 2010
United States12133 Posts
July 06 2017 20:36 GMT
#160445
On July 07 2017 04:41 GreenHorizons wrote:
Show nested quote +
On July 07 2017 04:33 Danglars wrote:
On July 07 2017 04:26 GreenHorizons wrote:
On July 07 2017 04:21 Danglars wrote:
On July 07 2017 03:52 DeepElemBlues wrote:
On July 07 2017 03:32 Dangermousecatdog wrote:
I'm fairly suprised that Americans consider their higher education to be a scam. Aren't American Universities highly sought after by overseas students?


When the cost of tuition has been rising faster than the rate of inflation by some ridiculous percentage for years on end, and a lot of degrees have dim job prospects to say the least, yeah, people start to think a scam might be being run.

Perhaps Trump should run for president of Poland, they seem to really like him over there. Once he leaves the Oval Office on January 20, 2025 of course.

Dim view on Democrats getting serious on their platform, message, and candidates in these next three years, eh? Trump (and his Congress) might actually end badly enough to let Dems squeak by.


Dim? Try...dismal?



to regard with disapproval, skepticism, or dismay: Her mother takes a dim view of her choice of friends.


pitifully or disgracefully bad: He shuddered as he watched his team's dismal performance.

But whatever, Republicans are an embarrassment as well. It's pretty frustrating/pathetic we leave these idiots in charge.

I'm interested in DEB's skepticism of Dems winning 2020 since he said 2025.
Great armies come from happy zealots, and happy zealots come from California!
TL+ Member
LegalLord
Profile Blog Joined April 2013
United Kingdom13775 Posts
July 06 2017 20:36 GMT
#160446
On July 07 2017 04:26 GreenHorizons wrote:
Show nested quote +
On July 07 2017 04:21 Danglars wrote:
On July 07 2017 03:52 DeepElemBlues wrote:
On July 07 2017 03:32 Dangermousecatdog wrote:
I'm fairly suprised that Americans consider their higher education to be a scam. Aren't American Universities highly sought after by overseas students?


When the cost of tuition has been rising faster than the rate of inflation by some ridiculous percentage for years on end, and a lot of degrees have dim job prospects to say the least, yeah, people start to think a scam might be being run.

Perhaps Trump should run for president of Poland, they seem to really like him over there. Once he leaves the Oval Office on January 20, 2025 of course.

Dim view on Democrats getting serious on their platform, message, and candidates in these next three years, eh? Trump (and his Congress) might actually end badly enough to let Dems squeak by.


Dim? Try...dismal?

https://twitter.com/derekwillis/status/882669894055100416

Yes, I've seen the other guys. But I've also seen you guys so it pretty much balances out.
History will sooner or later sweep the European Union away without mercy.
{CC}StealthBlue
Profile Blog Joined January 2003
United States41117 Posts
July 06 2017 20:45 GMT
#160447
Sen. John Hoeven is the latest Republican senator to come out against party leaders' plan to repeal and replace Obamacare, sharing his reservations at a roundtable in North Dakota this week.

According to the Bismarck Tribune, Hoeven participated in a discussion at the University of North Dakota School of Medicine on Wednesday. There, he told constituents that he "doesn't support the (health care) bill as it stands," though the Tribune noted that Hoeven also expressed confidence that the bill could be improved, and cited premium costs as an area of concern.

Hoeven's reservations add him to a growing list of Republicans who are withholding their support, further imperiling legislation that already faced long odds. He is at least the tenth GOP senator to say he'll oppose the bill in its current form. With a slim majority in the Senate, Republicans can only afford to lose two of their 52 senators for the bill to pass under reconciliation.

Hoeven's office also put out a statement Wednesday further detailing his position. "Premiums and deductibles in North Dakota and across the nation continue to rise and some areas of the country will be left with little or no insurer competition next year. That is why we're working to reform our health care system. While I do not support the Senate health care bill in its current form, we continue working on the legislation with the goal of providing greater access to health care and more affordable health insurance."

Hoeven's remarks Wednesday seemed to clarify his stance on the bill -- he had issued a noncommittal statement in early June saying that he would "review this legislation," wait for a score from the Congressional Budget Office, and then determine how he would vote. That CBO score showed the Senate Republican health care bill would leave 22 million fewer Americans with health insurance by 2026 than under Obamacare.

Furthermore, Hoeven's progression -- entering the July 4 congressional recess undecided, facing pressure from constituents while home, then coming out against the bill -- is the precise scenario that Majority Leader Mitch McConnell and his lieutenants feared when they were forced to punt on a health care vote until after the break.


Source
"Smokey, this is not 'Nam, this is bowling. There are rules."
Mohdoo
Profile Joined August 2007
United States15689 Posts
July 06 2017 20:47 GMT
#160448
On July 07 2017 04:26 GreenHorizons wrote:
Show nested quote +
On July 07 2017 04:21 Danglars wrote:
On July 07 2017 03:52 DeepElemBlues wrote:
On July 07 2017 03:32 Dangermousecatdog wrote:
I'm fairly suprised that Americans consider their higher education to be a scam. Aren't American Universities highly sought after by overseas students?


When the cost of tuition has been rising faster than the rate of inflation by some ridiculous percentage for years on end, and a lot of degrees have dim job prospects to say the least, yeah, people start to think a scam might be being run.

Perhaps Trump should run for president of Poland, they seem to really like him over there. Once he leaves the Oval Office on January 20, 2025 of course.

Dim view on Democrats getting serious on their platform, message, and candidates in these next three years, eh? Trump (and his Congress) might actually end badly enough to let Dems squeak by.


Dim? Try...dismal?

https://twitter.com/derekwillis/status/882669894055100416


god fucking damn it.

You guys who kept telling me we need experienced professionals leading the party: Here's what you get. A solid, appropriate response to a president with really low approval. But that doesn't come close to being the *actual* *modern* solution. People want vision and romance, not snide jabs.
Plansix
Profile Blog Joined April 2011
United States60190 Posts
July 06 2017 20:53 GMT
#160449
On July 07 2017 05:36 LegalLord wrote:
Show nested quote +
On July 07 2017 04:26 GreenHorizons wrote:
On July 07 2017 04:21 Danglars wrote:
On July 07 2017 03:52 DeepElemBlues wrote:
On July 07 2017 03:32 Dangermousecatdog wrote:
I'm fairly suprised that Americans consider their higher education to be a scam. Aren't American Universities highly sought after by overseas students?


When the cost of tuition has been rising faster than the rate of inflation by some ridiculous percentage for years on end, and a lot of degrees have dim job prospects to say the least, yeah, people start to think a scam might be being run.

Perhaps Trump should run for president of Poland, they seem to really like him over there. Once he leaves the Oval Office on January 20, 2025 of course.

Dim view on Democrats getting serious on their platform, message, and candidates in these next three years, eh? Trump (and his Congress) might actually end badly enough to let Dems squeak by.


Dim? Try...dismal?

https://twitter.com/derekwillis/status/882669894055100416

Yes, I've seen the other guys. But I've also seen you guys so it pretty much balances out.

I talked to one of my democrat buddies about the totally irrational belief that the country will have a “collective epiphany” about the Republicans. And how that seems to be the Democrat's master plan every year. He was pretty grumpy in the way that you have told something true about yourself and have to look back at your life. Two days later than stupid thing came out and he is fully on board that his party is full of irrational idiots.
I have the Honor to be your Obedient Servant, P.6
TL+ Member
Buckyman
Profile Joined May 2014
1364 Posts
July 06 2017 21:01 GMT
#160450
On July 07 2017 05:34 Mohdoo wrote:
There is always going to be intrinsic value in increasing total average knowledge across a population, though. The US has a lot of issues with people being educated on a farm. It is important that these people are able to get away from cattle and corn and do something more. If nothing else, for their own growth and to be less of a drag on the population as a whole.



Depends on what they learn. A 4-year degree in laziness and alcohol consumption is arguably worse than whatever they'd learn on a farm.
Gahlo
Profile Joined February 2010
United States35150 Posts
July 06 2017 21:03 GMT
#160451
On July 07 2017 05:36 Danglars wrote:
Show nested quote +
On July 07 2017 04:41 GreenHorizons wrote:
On July 07 2017 04:33 Danglars wrote:
On July 07 2017 04:26 GreenHorizons wrote:
On July 07 2017 04:21 Danglars wrote:
On July 07 2017 03:52 DeepElemBlues wrote:
On July 07 2017 03:32 Dangermousecatdog wrote:
I'm fairly suprised that Americans consider their higher education to be a scam. Aren't American Universities highly sought after by overseas students?


When the cost of tuition has been rising faster than the rate of inflation by some ridiculous percentage for years on end, and a lot of degrees have dim job prospects to say the least, yeah, people start to think a scam might be being run.

Perhaps Trump should run for president of Poland, they seem to really like him over there. Once he leaves the Oval Office on January 20, 2025 of course.

Dim view on Democrats getting serious on their platform, message, and candidates in these next three years, eh? Trump (and his Congress) might actually end badly enough to let Dems squeak by.


Dim? Try...dismal?

https://twitter.com/derekwillis/status/882669894055100416

to regard with disapproval, skepticism, or dismay: Her mother takes a dim view of her choice of friends.


pitifully or disgracefully bad: He shuddered as he watched his team's dismal performance.

But whatever, Republicans are an embarrassment as well. It's pretty frustrating/pathetic we leave these idiots in charge.

I'm interested in DEB's skepticism of Dems winning 2020 since he said 2025.

Pretty sure he's a Trumpet.
Plansix
Profile Blog Joined April 2011
United States60190 Posts
July 06 2017 21:10 GMT
#160452
On July 07 2017 06:01 Buckyman wrote:
Show nested quote +
On July 07 2017 05:34 Mohdoo wrote:
There is always going to be intrinsic value in increasing total average knowledge across a population, though. The US has a lot of issues with people being educated on a farm. It is important that these people are able to get away from cattle and corn and do something more. If nothing else, for their own growth and to be less of a drag on the population as a whole.



Depends on what they learn. A 4-year degree in laziness and alcohol consumption is arguably worse than whatever they'd learn on a farm.

I’m from a poor farm/logging town. You learn how to be lazy and drink there too, but its cost less. Its the people, not the environment. The trick is to not admit lazy people to college.
I have the Honor to be your Obedient Servant, P.6
TL+ Member
Karis Vas Ryaar
Profile Blog Joined July 2011
United States4396 Posts
July 06 2017 21:14 GMT
#160453
community colleges do a good job with technical training programs. although the one I went too got in trouble because all their welding students got their certificated year 1 then got a full time job and never finished the second year so the graduation rate was ridiculously low.
"I'm not agreeing with a lot of Virus's decisions but they are working" Tasteless. Ipl4 Losers Bracket Virus 2-1 Maru
zlefin
Profile Blog Joined October 2012
United States7689 Posts
July 06 2017 21:19 GMT
#160454
On July 07 2017 06:14 Karis Vas Ryaar wrote:
community colleges do a good job with technical training programs. although the one I went too got in trouble because all their welding students got their certificated year 1 then got a full time job and never finished the second year so the graduation rate was ridiculously low.

hehe, you know a program is good when people get hired before they even finish :D

(not necessarily but it is an amusing thought)
Great read: http://shorensteincenter.org/news-coverage-2016-general-election/ great book on democracy: http://press.princeton.edu/titles/10671.html zlefin is grumpier due to long term illness. Ignoring some users.
Mohdoo
Profile Joined August 2007
United States15689 Posts
Last Edited: 2017-07-06 21:24:47
July 06 2017 21:20 GMT
#160455
On July 07 2017 06:01 Buckyman wrote:
Show nested quote +
On July 07 2017 05:34 Mohdoo wrote:
There is always going to be intrinsic value in increasing total average knowledge across a population, though. The US has a lot of issues with people being educated on a farm. It is important that these people are able to get away from cattle and corn and do something more. If nothing else, for their own growth and to be less of a drag on the population as a whole.



Depends on what they learn. A 4-year degree in laziness and alcohol consumption is arguably worse than whatever they'd learn on a farm.


Someone working hard at a university will always yield a greater net benefit to society than someone working hard at a farm. Unless of course they are in some form of engineering or science involving farming. In which case, you would be improving farming as a whole rather than manual labor. But just in terms of the whole "working class" perspective, it is just grunt work. The kind of work that is on its way to being automated (or already has) is not something we should be patting people on the back for dedicating their lives too. It will put them in a bad position and cost society as a whole in the same way we have all these useless coal workers now. They were well trained for what they did, but now they work at walmart. Future employment and net benefit to society should always be considered. My point is that holding someone's overall quality constant, there is a net benefit when this person dedicates themselves to increasing their capabilities and knowledge in a university. Well, assuming this person would ever do well in a university. For someone capable of university studies, they should always do that instead of grunt labor.
LegalLord
Profile Blog Joined April 2013
United Kingdom13775 Posts
Last Edited: 2017-07-06 21:30:00
July 06 2017 21:27 GMT
#160456
On July 07 2017 05:53 Plansix wrote:
Show nested quote +
On July 07 2017 05:36 LegalLord wrote:
On July 07 2017 04:26 GreenHorizons wrote:
On July 07 2017 04:21 Danglars wrote:
On July 07 2017 03:52 DeepElemBlues wrote:
On July 07 2017 03:32 Dangermousecatdog wrote:
I'm fairly suprised that Americans consider their higher education to be a scam. Aren't American Universities highly sought after by overseas students?


When the cost of tuition has been rising faster than the rate of inflation by some ridiculous percentage for years on end, and a lot of degrees have dim job prospects to say the least, yeah, people start to think a scam might be being run.

Perhaps Trump should run for president of Poland, they seem to really like him over there. Once he leaves the Oval Office on January 20, 2025 of course.

Dim view on Democrats getting serious on their platform, message, and candidates in these next three years, eh? Trump (and his Congress) might actually end badly enough to let Dems squeak by.


Dim? Try...dismal?

https://twitter.com/derekwillis/status/882669894055100416

Yes, I've seen the other guys. But I've also seen you guys so it pretty much balances out.

I talked to one of my democrat buddies about the totally irrational belief that the country will have a “collective epiphany” about the Republicans. And how that seems to be the Democrat's master plan every year. He was pretty grumpy in the way that you have told something true about yourself and have to look back at your life. Two days later than stupid thing came out and he is fully on board that his party is full of irrational idiots.

I only regret that it took me until this election cycle to understand how bad the party is. Obama had a reality distortion field all his own.
History will sooner or later sweep the European Union away without mercy.
Karis Vas Ryaar
Profile Blog Joined July 2011
United States4396 Posts
Last Edited: 2017-07-06 21:30:51
July 06 2017 21:28 GMT
#160457
On July 07 2017 06:19 zlefin wrote:
Show nested quote +
On July 07 2017 06:14 Karis Vas Ryaar wrote:
community colleges do a good job with technical training programs. although the one I went too got in trouble because all their welding students got their certificated year 1 then got a full time job and never finished the second year so the graduation rate was ridiculously low.

hehe, you know a program is good when people get hired before they even finish :D

(not necessarily but it is an amusing thought)


I don't think it's so much the program as the need in the job market for anyone with the certificates. If you go into the right fields theres plenty of jobs. the issue is that there's not a ton of demand for more general majors like psyh, philosophy, english outside of a few specific things that you can pursue.

Pharmacists, Occupational therapists, some environmental science jobs (water testing etc) are insanely in demand. There's a ton of 2 year cert programs you can do and get hired immediately out of.
"I'm not agreeing with a lot of Virus's decisions but they are working" Tasteless. Ipl4 Losers Bracket Virus 2-1 Maru
Plansix
Profile Blog Joined April 2011
United States60190 Posts
July 06 2017 21:29 GMT
#160458
On July 07 2017 06:20 Mohdoo wrote:
Show nested quote +
On July 07 2017 06:01 Buckyman wrote:
On July 07 2017 05:34 Mohdoo wrote:
There is always going to be intrinsic value in increasing total average knowledge across a population, though. The US has a lot of issues with people being educated on a farm. It is important that these people are able to get away from cattle and corn and do something more. If nothing else, for their own growth and to be less of a drag on the population as a whole.



Depends on what they learn. A 4-year degree in laziness and alcohol consumption is arguably worse than whatever they'd learn on a farm.


Someone working hard at a university will always yield a greater net benefit to society than someone working hard at a farm. Unless of course they are in some form of engineering or science involving farming. In which case, you would be improving farming as a whole rather than manual labor. But just in terms of the whole "working class" perspective, it is just grunt work. The kind of work that is on its way to being automated (or already has) is not something we should be patting people on the back for dedicating their lives too. It will put them in a bad position and cost society as a whole in the same way we have all these useless coal workers now. They were well trained for what they did, but now they work at walmart. Future employment and net benefit to society should always be considered. My point is that holding someone's overall quality constant, there is a net benefit when this person dedicates themselves to increasing their capabilities and knowledge in a university.

Educated elitism in a nutshell Any value future generated by the educated person is done on the back of the farmer providing the university with food. The university does not function without the logger to provide material to house the books.
I have the Honor to be your Obedient Servant, P.6
TL+ Member
Belisarius
Profile Joined November 2010
Australia6230 Posts
July 06 2017 21:30 GMT
#160459
"Working hard at University" is oxymoronic for the vast majority of students, at least over here.
{CC}StealthBlue
Profile Blog Joined January 2003
United States41117 Posts
July 06 2017 21:33 GMT
#160460
The U.S. is in the midst of an opioid crisis. Millions of Americans are addicted to the powerful prescription painkillers, and tens of thousands are dying each year from overdoses.

A new report out Thursday offers a bit of hope: Doctors are prescribing opioids less often, and the average dose they're giving patients has dropped, according to the Centers for Disease Control and Prevention.

However, the number of patients getting opioids is still too high, and doctors are giving their patients prescriptions that last longer, according to the report in the CDC's Morbidity and Mortality Weekly Report.

"The bottom line is that too many [people] are still getting too much for too long," says Anne Schuchat, the CDC's acting director. "And that is driving our problem with drug overdoses and drug overdose deaths in the country."

"We're in the midst of the worst drug addiction epidemic in United States history, but we are still massively overprescribing," says Andrew Kolodny, an addiction specialist at Brandeis University in Waltham, Mass.

For the new report, CDC researchers analyzed opioid prescribing patterns in the U.S. from 2006 to 2015, including county-level prescribing from 2010 through 2015.

Here's the good news:

The annual prescribing rate by doctors dropped 13 percent, from 81 prescriptions per 100 people to 71 prescriptions per 100 people, according to the report.

Doctors are also prescribing high doses of opioids less often. High-dose prescribing fell 41 percent, from 11.4 per 100 people to 6.7 per 100 people, the CDC says.

The overall amount of opioids prescribed in the U.S. dropped 18 percent, from a peak of 782 MMEs — morphine milligram equivalents — per capita in 2010 to 640 MMEs per capita in 2015, the researchers found.

Now, here's the bad news:

The length of prescriptions increased from an average of 13 days in 2006 to 18 days in 2015. That's concerning because the longer a person has access to the drugs, the greater their chances of becoming addicted, Schuchat says.

Moreover, U.S. doctors are still prescribing three times as many opioids as they were in 1999 and three times more than their European counterparts, according to the CDC.

Schuchat says it's enough for "every American [to] be medicated around the clock for three weeks."

"That's a lot of opioid use," she says.

The latest data show that there are significant variations in how doctors prescribe opioids around the country.

The counties where opioids are prescribed the most are scattered around the country, but tend to be places that have high numbers of white, unemployed people with lower levels of education, the CDC found.

"There [were] six times more opioids being prescribed in the highest-prescribing counties compared to the lowest-prescribing counties," Schuchat says. "And that amount can lead to a much higher risk for opioid addiction, overdose and death."

The latest data precede guidelines the CDC issued in 2016 aimed at reducing unnecessary opioid prescriptions.

"It's too soon for us to gauge whether guidelines have had an impact on prescribing nationally, but we've seen 25,000 downloads of our checklist," says Schuchat.

Kolodny and Schuchat hope that more doctors will start prescribing opioids much more carefully. They should try harder to use safer drugs, physical therapy and other ways to alleviate their patients' pain whenever possible, they say.

"We do see some improvement," Schuchat says. "But we know we have much more to do. We think we are starting to correct the course. But turning a ship of this size will take time."

In another development, the drug company Endo Pharmaceuticals announced Thursday that it would comply with a Food and Drug Administration request to stop selling Opana ER — the extended-release version of its opioid painkiller Opana. The FDA asked the company to pull Opana ER after finding evidence that an increasing number of people are crushing, dissolving and injecting the drug, leading to the spread of HIV, hepatitis C and a serious blood disorder.


Source
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