Treat addicts and mentally ill patients every shift at work.
The issue is complex and unique because humans are complex and unique, but after working with these populations for over a decade there are a few things you notice.
People that abuse drugs do not tend to live long healthy lives and will appear as we say, "older than their stated age", it's fun when your young, but you destroy yourself and your cardiovascular system and brain are stressed frequently, which ages you at a much more rapid rate.
Wealthy people are able to pay for better care, so they will outwardly appear to have it together, but they rapidly will go into withdrawal, they of course, do not admit to abusing substances like a homeless guy, but the symptoms betray them.
Homelessness is way more complex than the simple and convenient fables you hear from politicians. There is in fact a significant portion of the local homeless population that is homeless purely by choice, they simply do not want to adhere to any rules or regulations, they have a hidden, but sizable group of likeminded people they are happy to live amongst, the culture has its own rules and seasons, these folks have not interest in rejoining any recognized society.
Addicts are also complex, there are people that have suffered unimaginable traumas who cannot get by without chemical support, but there are also people that simply know or fit into any other peer group, once you get into the scene it is hard to get out, you've spend years using and your entire peer group uses, your really not employable, so you just keep doing what you are doing. Addicts have to want to stop and seek treatment, most of the people I encounter that beat addiction have a reason beyond themselves to stop, usually for their kids.
Minorities suffer more because they come from a culture that does not trust the medical establishment and due to the almost epidemic level of diabetes and hypertension that exists in minority populations, especially African Americans, this is well known, but nobody talks about it, or seems to have any interest in addressing it, saw the manifestations during COVID and I talked about it then, but do not see any effort to address this issue.
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