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This article has severe methodological errors. It fails to consider the Oregon stats in the context of other states. Oregon's change in OD rates have not been exceptional, and have more or less followed the trend of other states, while being greatly better compared to states like W. Virginia.

As always, states that are "tough on drugs" get a free pass regardless of how bad their outcomes are, and states that legalize it are scrutinized even when their outcomes are no worse.



The article seems to hit that straight on:

"The consequences of Measure 110’s shortcomings have fallen most heavily on Oregon’s drug users. In the two years after the law took effect, the number of annual overdoses in the state rose by 61 percent, compared with a 13 percent increase nationwide, according to the Centers for Disease Control and Prevention. In neighboring Idaho and California, where drug possession remains subject to prosecution, the rate of increase was significantly lower than Oregon’s. (The spike in Washington State was similar to Oregon’s, but that comparison is more complicated because Washington’s drug policy has fluctuated since 2021.) Other states once notorious for drug deaths, including West Virginia, Indiana, and Arkansas, are now experiencing declines in overdose rates."


That is a highly misleading discussion though. The existing rate in WV is quadruple that in Oregon. Oregon was up a bit on a low denominator. WV was down slightly on a ludicrous prior rate. Fails to mention that other states with similar trends compared to Oregon are Wyoming, Maine, and Texas. https://www.cdc.gov/nchs/nvss/vsrr/drug-overdose-data.htm


WV is a half continent away, has massively different demographics, poverty rates, culture, history etc. Comparisons like that are extremely difficult to do properly. What we can easily compare is Oregon a few years ago vs Oregon now and deduce the impact of it's policies with nearby similar states as a reference.


misleading it what sense? The article is about the impact of a recent policy change.


> while being greatly better compared to states like W. Virginia.

Typical Oregon response comparing Oregon, a fairly rich state, with West Virginia, one of the poorest states. If you can't do better than a poor state with your high taxes and high median incomes... that's not a good reflection on the state. Yet, most Oregonians seem to get some satisfaction that they do better than Mississippi, Alabama, and West Virginia, even if they're #49 in the ranking. It's gross.

I mean, Oregon has Intel, Nike, Adidas, a well-developed tech sector, etc, and West Virginia has coal mining, yet we're actually comparing ourselves to them.

I really wish people in this state would strive for something actually better.


But see that is exactly what I am talking about. You cannot — cannot — attribute a change in overdose rate to state policy without examining and controlling for the factors that we know influence overdoses: personal income, homelessness, etc. This article completely fails to examine whether Oregon's changes can be due to a shift in the income among its population.


I'm pretty sure being on the streets as a drug addict also causes loss of income, so you really can't take that into account without taking in cyclic effects.


And yet you have for some reason assigned causality in the case of WV.




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