‹ BackHN Continuity

Thread

The Mafia may be keeping fentanyl out of Italy

204 points · 269 comments · runeks

  1. bilekas · · focus · HN ↗
    I'm no expert, but I've always thought that adding much more risk to the lives of your customers unnecessarily is not good for business.
    1. Someone · · focus · HN ↗
      In this market, a better high for less money will attract lots of customers, even if it is less healthy than the alternative.

      So, if you’re in the business of selling the somewhat healthier product, and one supplier starts to supply the otherwise superior product, that’s not good for business, either. You will lose customers.

      Now, do you accept that, saying “I won’t sell that”, do you fight to outlaw the product (will be hard given at you’re not selling healthy products, either), do you fight the suppliers of the new product (a gang war) or do you add the product to your inventory?

      There often isn’t a clear choice; each option has its pros and cons.

      1. bigfishrunning · · focus · HN ↗
        "less healthy" is a bit of an understatement; they're not selling cigarettes that will kill you in the long term (or even the medium or short term). Fentanyl will kill you the first time you're exposed to it.

        Increasing the potency of some drug with fentanyl is an interesting choice, because by the time the user *knows* how strong it is, there's some likelihood they're already dead.

        1. Someone · · focus · HN ↗
          > Fentanyl will kill you the first time you're exposed to it.

          Its lethal dose is a lot smaller than that of heroin, but it isn’t guaranteed to kill. If it were, why is it used so much in medicine?

          <a href="https:&#x2F;&#x2F;en.wikipedia.org&#x2F;wiki&#x2F;Fentanyl" rel="nofollow">https:&#x2F;&#x2F;en.wikipedia.org&#x2F;wiki&#x2F;Fentanyl: “Fentanyl is a highly potent synthetic opioid of the piperidine family, used primarily as pain medication

          […]

          In 2015, 1,600 kilograms (3,500 pounds) were used in healthcare globally.

          It is on the World Health Organization&#x27;s List of Essential Medicines.”

          1. TeMPOraL · · focus · HN ↗
            There&#x27;s always a continuity there (&quot;the dose makes the poison&quot;), there&#x27;s no known substance that will reliably kill you if you&#x27;re exposed to a single molecule of it.

            The issue with potency is that the more potent a substance, the more precise equipment and quality control you need to stay on the safe side. With fentanyl, healthcare and pharmaceutical industry can handle the precision and QC demands (which includes guarantees and maintaining public trust). Criminal enterprises cannot.

            1. throwdown7653 · · focus · HN ↗
              prions perhaps?
              1. prmph · · focus · HN ↗
                Even with prions, there evidence that the body (and probably more so with some people than others) has some level of ability to resist, slow, or sometimes prevent a prion infection.

                See these:

                - The influence of PRNP polymorphisms on human prion disease susceptibility: an update [1]

                - A naturally occurring variant of the human prion protein completely prevents prion disease | Nature [2]

                [1] <a href="https:&#x2F;&#x2F;pubmed.ncbi.nlm.nih.gov&#x2F;26022925&#x2F;" rel="nofollow">https:&#x2F;&#x2F;pubmed.ncbi.nlm.nih.gov&#x2F;26022925&#x2F;

                [2] <a href="https:&#x2F;&#x2F;www.nature.com&#x2F;articles&#x2F;nature14510?utm_source=chatgpt.com" rel="nofollow">https:&#x2F;&#x2F;www.nature.com&#x2F;articles&#x2F;nature14510?utm_source=chatg...

Open on Hacker News to reply ↗

Unofficial Hacker News client; not affiliated with Y Combinator.