The Mafia may be keeping fentanyl out of Italy

(economist.com)

71 points | by runeks 1 hour ago

15 comments

  • gumby 13 minutes ago
    It’s CLV (customer lifetime value): the integral of the MRR. Something most companies mentioned on HN should understand though it feels like Apple is the only one that takes it seriously

    (And with Apple’s new CEO, the early signs are that commitment is headed for the ash heap as well, but it seems the Mafia may have a longer horizon)

  • bilekas 56 minutes ago
    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.
    • Someone 9 minutes ago
      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.

    • mdp2021 29 minutes ago
      And: shaking the scene in a way that will attracts too much attention, including crackdowns, is very bad for business.
      • scyzoryk_xyz 24 minutes ago
        Almost like it's not really about "business" at all and something more is going on for all the parties involved
        • joinHNtheysaid 18 minutes ago
          Yes, internal destabilizing of the oppossition is a tried and well working oractice of inter empire warfare..
    • mdp2021 47 minutes ago
      Soon after John Stewart Mill we assessed that markets are not perfect.

      Accelerations in the different directions of bounded incentives create as-if Brownian motions, - not the stability towards optimality of a perfect organic model.

      Or: what you write is rational, but people are easily not... The supply side should disappear from the market when irrational, but changes are slow..

      • UpsideDownRide 24 minutes ago
        Did we? Because while seemingly obvious nowadays it is not a settled matter in orthodox econ academia.
    • joinHNtheysaid 21 minutes ago
    • philipallstar 22 minutes ago
      When there are enough customers, individual customers do not matter.
      • whycome 10 minutes ago
        Making it up with volume
        • Mistletoe 2 minutes ago
          Maybe the mafia saw the population curves and realized how precious each customer is now and will be in the future. Something tech companies would be wise to think about...

          https://www.macrotrends.net/global-metrics/countries/ita/ita...

          And the curve is the same across almost all the world. Italy is 1.3, you need 2.1 to even tread water and keep the population you have. Who buys the stocks and fentanyl when each year you have less and less buyers?

    • arealaccount 37 minutes ago
      If its cheap enough to be worth letting a few customers churn, then profits will be positive
    • be8e9dmrro 25 minutes ago
      For big pharma it is great business! Life long debiliating condition, that requires medication to manage... acceptable risk to customers is around 5% yearly mortality rate!

      Helthy people do not contribute to big pharma!

      • oefrha 2 minutes ago
        Oxycontin was built on the idea of turning a drug (MS Contin) for the terminally ill (too small a market) to a lifelong dependency for as many people as possible, and each taking as many milligrams as possible.
    • justonceokay 39 minutes ago
      When the risk is the benefit things get weird
    • dgellow 36 minutes ago
      Might want to look at the cigarette industry
    • petesergeant 26 minutes ago
      The rest of the economics behind fentanyl are great for drug producers vs heroin though, so it probably doesn't matter?
    • retired 31 minutes ago
      You just need to keep your customers alive long enough.

      70% of food in the supermarket is ultra processed. But as long as people make it to 65 years old they are still good customers. That is still 50 years of sales.

    • dfxm12 38 minutes ago
      Tell this to junk food manufacturers...
      • SXX 31 minutes ago
        Junk food dont have a chance to kill a person on first try or high chances to kill them withih a year or so.
        • master-lincoln 4 minutes ago
          I think you are right, but doesn't that mean the consequences of fentanyl do not weigh in on society as badly as junk food? Dead people do not cause extra costs for the rest of society
    • thefz 38 minutes ago
      They still traffic heroin though, which is not stellar for customer's life expectancy.
  • qoez 27 minutes ago
    I always assumed this was an america-only drug that no one actually does or at least not to the excess that it's claimed by the publications using it for the normal fear journalism purposes.
    • NalNezumi 0 minutes ago
      The only time i saw fentanyl in my life was the last day of my mother's life, where it was administered as a pain killer after 6 weeks of terminal cancer. (and a stubborn mother that refused all form of painkillers, until it got too much for the last day)

      So it seems to be used outside America at least medically. I'm not sure if it also serve as a dual use of "letting people go peacefully, not prolonging suffering" kind of way...

    • ozlikethewizard 8 minutes ago
      Its gaining popularity in the UK and is starting to show up sporadically, but the opiod epidemic provided pretty extreme fuel to start the fire in America. No idea if itll ever take off here to the extent heroin did, depends on the economy I guess.
    • 0xbadcafebee 19 minutes ago
      2/3 of all ODs in US. More deaths per year than gun violence and car collisions combined, which are both quite high in US. Seventh most common cause of death overall. Over a quarter million people dead since 2018.
    • criley2 12 minutes ago
      No one "does" fentanyl, it's a highly addictive additive that is secretly added to other things. Even so, 50,000 - 70,000 Americans per year die to it per year (more than suicide and gun violence many other things).

      This is an "American" thing because fent primarily comes from Mexican cartels (Sinaloa and Jalisco New Generation).

      They buy precursors from China, they produce it in labs in Mexico, and then smuggle it into America where they kill 50,000 to 70,000 Americans per year.

      Not getting political here -- but what would you think if organized crime in a neighboring country was murdering 50,000 to 70,000 of your countrymen per year?

      • ulimn 9 minutes ago
        But who buys these drugs with fentanyl and why? There might a link I'm missing, sorry! :)
        • geoduck14 4 minutes ago
          It is typically laced into other drugs. A small amount of fentanyl is highly powerful, so if you mix it into heroine, you get a different buzz. But if you (a drug dealer, not a chemist) mess up and drop too much, then your customer will accidentally OD.
        • bulletsvshumans 4 minutes ago
          It's incorporated into pills that appear to be equivalent to prescribed opioids like Oxycodone. From buyer perspective it's just a cheap opioid pill.
        • criley2 6 minutes ago
          Tiny bits of fentanyl are added to a variety of recreational drugs used extensively by all kinds of people, rich and poor. They add it to cocaine, heroin, meth and even marijuana. They imitate oxy, percocet, vicodin, xanax and adderal using fent laced pills as well.

          As much as 20% of Americans use these recreational drugs. Europeans on average use recreational drugs like half as much as Americans, maybe 10% use them.

      • master-lincoln 8 minutes ago
        It's not murder. People are not forced to take fentanyl... Wouldn't these people get into a different drug if it wasn't fentanyl?
        • geoduck14 1 minute ago
          While I agree that "murder" is the wrong word, there is an angle that you are missing.

          Drug dealers will lace "normal" drugs with fentanyl. It gives a "different buzz". The customer knows they are buying "normal" drugs, and there is no quality control, so lacing happens. If the dealer messes up how much they lace, it is easy to add too much (because a small amount t of fentanyl goes a long way), and your customer ODs.

        • foobarian 1 minute ago
          As Arturo Salazar said, "Addicts? They treat themselves... they overdose, and there is one less to worry about." Dark movie
        • javier123454321 4 minutes ago
          A lot of times people think they're getting a different drug that happens to be laced
        • criley2 4 minutes ago
          So if you bought a bottle of water, and inside of that water was a poison that kills you, intentionally added by a criminal because it makes them more profit, that's not murder?

          Those people were doing a line of coke, they had no idea they were about to overdose on an opioid.

      • xienze 7 minutes ago
        > but what would you think if organized crime in a neighboring country was murdering 50,000 to 70,000 of your countrymen per year?

        Well obviously I would think it's highly racist to take any action against them or try to secure the border in any way.

  • hnrprtlpdb 1 hour ago
    Did wastewater drug monitoring for a while, and the annoying bit was fentanyl metabolites sitting near the detection limit, so absence isn't proof.
    • vintermann 47 minutes ago
      From what I understand this uses overdose numbers. They should also not be assumed to be comparable across countries (recording practices vary widely), but if they tell the same story as wastewater monitoring there may be something to it.
    • tantalor 5 minutes ago
      If it's below the noise floor, then you didn't really detect it, did you.
    • dmos62 48 minutes ago
      Was that because there wasn't much fentanyl use or because fentanyl metabolites are somehow harder to detect?
      • vintermann 44 minutes ago
        I assume drugs that are potent in tiny quantities leave less metabolites.
    • artisinal 29 minutes ago
      Does wastewater drug monitoring account / offset for constipation caused by drug use?

      There isn't anything to measure if the poop is unable to leave the end-user.

      • rithdmc 3 minutes ago
        I believe it's urine based.

        Either way, the constipation would affect different users at different times, so I don't think it would matter to the data. In other words, your idea stinks ;)

      • astura 1 minute ago
        Drugs are detected in urine, not feces.
  • dotcoma 28 minutes ago
    And who is keeping it out of the other European countries?
    • criley2 9 minutes ago
      Fentanyl is made by Mexican cartels from Chinese precursors. I suppose there aren't many Mexico's with massive organized crime networks in Europe to pour deadly drugs into their countries.
      • master-lincoln 2 minutes ago
        what do you think where europe gets their cocaine from...
  • pluc 55 minutes ago
    This was the way it worked up here (in QC) with the 81s. If you sold shit that could draw attention to you, your organization or suppliers, you were swiftly taught not to. They had decent quality control, but as their grip slipped so did quality. Now we get fentanyl overdoses weekly.
    • skrebbel 41 minutes ago
      I googled so y'all don't have to: "QC" means Quebec. 81 means Hell's Angels as per sister comment.
      • nsavage 30 minutes ago
        I'll be honest, this was helpful for me even as someone who lives about 2km from the Quebec border. I was uncertain as you don't often see it in the Hacker News context.
        • pluc 27 minutes ago
          We gotta take back the letter Q man, it's either us or Qatar and I don't see them campaigning. There's dozens of us!
    • newsclues 44 minutes ago
      81 = Hells Angels

      Who these days are more a front org for the CCP/triads who seem to be running much of the criminal underworld in Canada with their network of smuggling and money laundering.

      My theory is that the CCP/triads leveraged drug addiction within the HA and killed anyone that objected, and everyone else got rich...

      • pluc 34 minutes ago
        There's been a criminal civil war raging between HAs and every other smaller org that wants to expand (look at Blood Family Mafia specifically, Arab Power as well). HAs have lost some feathers in pretty gruesome ways. They're all older and neglected to replenish the ranks in order to preserve prestige. Street gangs didn't. If I'm competing in that world, I'm funding the underdogs until leadership trembles, then we make a deal. I believe we're at that point now. All those groups - including the Sicilians - have all been slowly invalidated and Angels are appearing more stable/powerful these days (even though we just outlawed their colours - but even that gives them prestige).
        • newsclues 18 minutes ago
          Montreal and Quebec is only one part of the criminal world in Canada.

          Ontario is different, East Coast is different, prairies are different and the West Coast is it's own beast.

          HA uses puppet gangs, so while their power may be diminished, they are still lurking in the background, as key nodes for drugs, money and guns.

          The power lost by the HA and traditional mafia has largely been taken over by CCP/triads groups. The Indian and Iranian OC are under the Chinese, who have deep into the government and economy as major developers. Read Sam Cooper.

          • pluc 2 minutes ago
            Of course, of course. As a Quebecer, I never speak for the ROC ;)
  • silverFork 5 minutes ago
    Not in their own backyard!
  • genericacct 36 minutes ago
    I'm afraid some crime syndicates have found out they can just steal it from hospitals, some 80 vials went missing from the ospedale israelitico in Rome during the summer and there are already reports of an increase of users in the outskirts of the city..
  • lawgimenez 25 minutes ago
    From what I’ve read online Ndrangheta are much more powerful than the mafia in Italy.
    • simonh 8 minutes ago
      That’s arguably true, but nowadays Mafia or the plural “le Mafie” (the Mafias) is often used as a catch all term for such organised crime groups in Italy, with the Sicilians referred to as the Cosa Nostra.
  • pvaldes 15 minutes ago
    Totally different healthcare systems, and no sane doctor will commit the same mistake again.
  • glimshe 1 hour ago
    "For years I paid my people extra so they wouldn't do that kind of business. Somebody comes to them and says, 'I have powders; if you put up three, four thousand dollar investment, we can make fifty thousand distributing.' So they can't resist. I want to control it as a business, to keep it respectable. I don't want it near schools! I don't want it sold to children! That's an infamia."

    When AI can write screenplays like this one, then it's game over.

    • dmos62 49 minutes ago
      Expand? This is part of plot to The Godfather. Not what you'd call exotic, I'd think?
      • glimshe 18 minutes ago
        It's just considered one of the best movies and screenplays of all time. My quote is a relevant line in said movie.
    • loopydosuette 51 minutes ago
      the internet is full of let-me-tell-you-a-quick-story like this one. so AI can and nothing is over, ma dude. nothing will ever be over.
  • aswegs8 1 hour ago
    Feels like they caught up to internet archive being used to circumvent paywalls. Unfortunate.
    • Lucasoato 55 minutes ago
      Can anybody share a non-paywalled link?
  • LastTrain 1 hour ago
    [flagged]
    • schiffern 59 minutes ago
      Found the mafia. ;)

      These comments are oddly common, but I've never understood the value of simply repeating the definition of uncertainty words like "may." Who is being informed here?

      • bmacho 11 minutes ago
        > Who is being informed here?

        I am being informed about the public opinion. Which I value more than articles. (Don't come me at with AI, I'm well aware that it makes all human communication bad and pointless in theory and more and more in practice, thx.)

      • bnegreve 42 minutes ago
        Not every correlation deserves to be published in the press. If you think about it, it is weird that they even make articles out of statements that only "may" be true.
        • mdp2021 39 minutes ago
          It is a matter of thresholds, of consequential bets over provisional non-trivial assessments, and of journalistic duty (taking note - the idea is not from the analyst but from sources; journalists take note that sources made statements).

          Analysts work speculatively. And the results of the speculation are not trivial when supported by strong elements.

        • gilrain 13 minutes ago
          > If you think about it, it is weird that they even make articles out of statements that only "may" be true.

          I thought about it. And it's very stupid to imagine uncertainty should be off limits. I hope that isn't what you meant.

    • mdp2021 53 minutes ago
      There is one "access free" paragraph in the page... "Police are coming to the conclusion".
    • jrflowers 58 minutes ago
      What do you think may means

      edit: What do you think other people think that may means

      • LastTrain 45 minutes ago
        I think it means just that, which is why I used TL;DR? The article points out the correlation between mafia prevalence and lack of fentanyl overdoses and some speculation on whether those two things are connected.
        • mdp2021 25 minutes ago
          > speculation

          Not any speculation but educated guesses from knowledgeable people.

    • vr46 56 minutes ago
      TL;DR: ‘Correlation is not causation’ does not mean ‘correlation tells us nothing about causation.’
  • pbodyvstheworld 54 minutes ago
    [flagged]
  • be8e9dmrro 36 minutes ago
    Why not goverment "is keeping fentanyl out of italy"?

    If you would sell unaproved medication during covid, you would get several years in prison.

    Why someone who sells unapproved medication without prescription, gets released and can keep selling this stuff? Medication thst kills people!!!