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A decade later, Ward, who is Black, recently posed on a blue-and-gold throne used for photo ops at his new cannabis store, Cloud 9 Cannabis. And he reflected on being one of the first beneficiaries of a Washington program to make the overwhelmingly white industry more accessible to people harmed by the war on drugs. Cloud 9 is one of the first dispensaries to open under the Washington Liquor and Cannabis Board's social equity program. A major argument for legalizing the adult use of cannabis was to stop the harm caused by disproportionate enforcement of drug laws that sent millions of Black, Latino and other minority Americans to prison and perpetuated cycles of violence and poverty. Studies have shown that minorities were incarcerated at a higher rate than white people, despite similar rates of cannabis use. But efforts to help those most affected participate in — and profit from — the legal marijuana sector have been halting. Operational lead Willie Morrow stocks shelves at Cloud 9 Cannabis as the store prepares to open for the first time Feb. Cloud 9 was one of the first dispensaries to open under the Washington Liquor and Cannabis Board's social equity program. Since , when voters in Washington and Colorado approved the first ballot measures to legalize recreational marijuana, legal adult use has spread to 24 states and the District of Columbia. Those provisions include erasing criminal records for certain pot convictions, granting cannabis business licenses and financial help to people convicted of cannabis crimes, and directing marijuana tax revenues to communities that suffered. In Washington, an applicant must own more than half the business and meet other criteria, such as having lived for at least five years between and in an area with high poverty, unemployment or cannabis arrest rates; having been arrested for a cannabis-related crime; or having a below-median household income. Last month, the libertarian-leaning Pacific Legal Foundation alleged it favors women- and minority-owned applicants in addition to those who can demonstrate harm from the drug war. Elsewhere, deep-pocketed corporations that operate in multiple states have acquired social equity licenses, possibly frustrating the intent of the laws. Arizona lawmakers this year expressed concern that licensees had been pressured by predatory businesses into ceding control. Difficulty in finding locations due to local cannabis business bans or in obtaining bank loans due to continued federal prohibition has also prevented candidates from opening stores. In some cases, the very things that qualified them for licenses — living in poor neighborhoods, criminal records and lack of assets — have made it hard to secure the money needed to open cannabis businesses. Justice Department from shutting down the market. They required background checks designed to keep criminals out. Many states that legalized more recently — including Arizona, Connecticut, Ohio, Maryland and Missouri — have had social equity initiatives from the start. Washington established its program in But only in the past several months has it issued the first social equity retail licenses. Washington Liquor and Cannabis Board Member Ollie Garrett called the progress so far disappointing, but said officials are working with applicants and urging some cities to rescind zoning bans so social equity cannabis businesses can open. He started dealing marijuana in his teens, he said. In , a customer pulled a gun on him, and Ward was shot in the hand. A single father of seven children, he continued dealing drugs to support them, he said, until he was indicted in — along with 30 other people — in an oxycodone distribution conspiracy. He served nearly three years in prison. Ward, now 39, spent that time taking classes, working out and training other inmates. He started a personal training business after he was released, got a restaurant job and joined a semipro football team, the Spokane Wolfpack. They eventually opened a medical dispensary in Cheney, a small college town southwest of Spokane, that eventually became an adult-use marijuana retailer. Fentanyl was the most promising medical advancement of its time. It's now one of the leading causes of death in the United States. The highly addictive synthetic opioid has infiltrated illicit drug supplies and left holes in families across the nation. According to a New York Times analysis of Centers for Disease Control and Prevention data, fentanyl and drugs like it caused nearly 74, overdose deaths in , surpassing other public health crises like car crash deaths and gun deaths. It's spurred public policy initiatives in an attempt to stem the flow of fentanyl from China and Mexico. It's led to more regulation of prescription opioids and increased efforts to make opioid abuse treatments more widely available. It's also reigniting debates about how to prosecute drug crimes and how to compassionately treat those who have already become victims of its addictive grip. Fentanyl is so frequently associated today with pain and suffering that it begs the question: Why was something so dangerous created in the first place? To get to the bottom of that question, Ophelia analyzed resources from academic journals, the Journal of Pain , and archived news articles to illustrate the origin of fentanyl, a drug that has become almost synonymous with America's opioid crisis. Paul Janssen was a revolutionary figure in Western medicine during the 20th century, developing dozens of medications and patenting more than medical advances over his lifetime. The son of a doctor, Janssen lost his sister when she was only 4 years old after she contracted tuberculous meningitis. His familial background and education in chemistry, in particular, inspired him to think about the potential for chemical sciences to be applied to advancements in medicine. The time in which a young Janssen found inspiration was when war was driving innovation in health care at a rapid clip, and many procedures and medicines we take for granted today were just entering the fray. Surgeons were developing techniques to safely remove flesh so that fewer soldiers had to undergo amputation. Penicillin was seeing broader use for treating bacterial infections, having been discovered over a decade prior. And Janssen, who would become known simply as Dr. Paul to colleagues, was plotting the creation of his independent research laboratory. The first open-heart surgery was performed in , kicking off a period of surgical ambition that would inspire Janssen to formulate the chemical compound known today as fentanyl. Around this time, doctors began experimenting with new techniques for heart surgery, the promise of treating heart disease propelling patients to take part in risky experimental procedures. Anesthetics available at the time often caused severe hypotension low blood pressure and arrhythmias an irregular heartbeat if they didn't kill the patient. Janssen set out to formulate the 'most potent' narcotic pain reliever ever made, synthesizing fentanyl for the first time in The drug was shown to have times the potency of morphine, the primary drug used in surgical procedures at the time. Fentanyl also had fewer side effects for patients. With morphine, the amnesia effect that helps patients forget the surgery while anesthetized was sometimes incomplete. Occasionally, morphine would also cause an allergic reaction; it also had the effect of depressing the respiratory system after surgery was complete, making it difficult for the patient to get oxygen. Fentanyl carries a similar impact on the respiratory system, and deaths from overdoses typically are the result of the respiratory system effectively shutting down. Fentanyl's potency worried some physicians, and that concern led to problems getting approval for its broader use. It was resolved when Janssen suggested a combination of droperidol and fentanyl be used in procedures, thereby diluting the chance for it to be misused because droperidol was known to induce a high that was not enjoyable. The FDA ultimately approved the cocktail for use in the U. Fentanyl's FDA approval paved the way for the drug's use in surgical settings in the s, and its success in heart and vascular surgeries propelled it to widespread acceptance. The drug experienced a rare 'blockbuster' moment in the s, with medical sales growing 10 times in just its first year off patent in New drugs can be so expensive to research and develop that it's rarely profitable for a company to bring them to market unless they know sales will be immense. Fentanyl had the added effect of activating pain-relieving and anesthetic responses in the body quicker than other methods of anesthesia. It was effective not only for surgical procedures but also for patients living with chronic pain and terminal illness. But all else aside, it was also easy and cheap to produce—and clinicians were leaning in. Its popularity in the medical community drove Janssen to develop other opioid anesthetics, which spurred companies to develop new ways of getting the drug into the patient's body throughout the s and into the s. Companies introduced lozenges, lollipops, under-the-tongue sprays, and skin patches with varying use cases for patients depending on their pain relief needs. Some of these new technologies were commercial failures, but they broadened the use cases for the newly synthesized and extremely potent opioids. Since Janssen first conceived it in his lab, fentanyl has become the most widely used intravenous anesthetic for surgical procedures. At the same time, its excessive use began just years after the FDA first approved it in the s. In the s, overprescription of other opioid painkillers like OxyContin seeded the ground for the epidemic of opioid use disorder plaguing the U. From the late s through the s, opioid-related overdose deaths skyrocketed, and regulators began cracking down on overprescribing physicians. Those efforts gave way to a rise in heroin overdose deaths in the early s. And though fentanyl's potential for misuse concerned the FDA in the s, it was perhaps impossible for regulators and the medical community to foresee the bevy of market forces that would lead to the modern-day opioid crisis in which fentanyl is featured heavily. The drug's potency, synthetic origin, and ease of production—coupled with the advent of e-commerce in the s—have made it so that black market actors could flood the market with illegally synthesized pills and powders. Today, any illicitly manufactured drug could be cut with fentanyl, and the prevalence poses a risk for those in recovery from opioid use disorder for whom one relapse could result in death. This story originally appeared on Ophelia and was produced and distributed in partnership with Stacker Studio. Respond: Write a letter to the editor Write a guest opinion. Subscribe to stay connected to Tucson. A subscription helps you access more of the local stories that keep you connected to the community. Register for more free articles. Back to homepage. Subscriber Login. Keep reading with a digital access subscription. Subscribe now. Edit Close. Read Today's E-edition. Share This. The drug war devastated Black and other minority communities. Is marijuana legalization helping? Share this. Just In. Arizona linebacker Jacob Manu, tackle Rhino Tapa'toutai out for the season with leg injuries. People are also reading…. High court won't block release of Senate candidate Ruben Gallego's divorce records Delivery of , mail-in ballots in Pima County delayed Restaurants, shops to revitalize vacant Sears property on Tucson's east side Tucson man accused of trying to kill wife with honey Pima County Sheriff Chris Nanos places political opponent on paid leave 67 fun events happening in Tucson this weekend Oct. Legal challenges over the permitting process in states like New York have slowed implementation. Why does fentanyl exist? The history behind the substance driving record overdose deaths in the US Why does fentanyl exist? The history behind the substance driving record overdose deaths in the US. A doctor's son and the father of more than 80 medicines. The quest for the 'most potent' narcotic pain reliever. Hurdles at the Food and Drug Administration. Fentanyl sales boom. Lollipops and patches hit the market. The legacy of a medicine checkered with abuse. Be the first to know Get local news delivered to your inbox! Sign up! Related to this story. How Washington state is trying to address inequality in cannabis licensing. Watch Now: Related Video. Tucson's Top Stories: October Global News Weekly Recap: Oct. Local News Weekly Recap: Oct. Lindsey Wasson, Associated Press. Notifications Settings. Get up-to-the-minute news sent straight to your device. News Alerts Subscribe. Breaking News Subscribe.
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