Americans consume. Whether it’s food, energy, cars, second homes or home furnishings, Americans consume most of the world’s supply. Americans waste 30 to 40 percent of our food supply. America also has an entire city dedicated to sin, so it felt wrong to leave out things Americans obviously don’t need but buy anyway, legal or otherwise. America was built on tobacco after all, and still is a leading producer of tobacco leaves, producing 766.6 million pounds in 2012.
While cigarette use is declining in the United States, e-cigarette use is way up. Disposable e-cigarette sales increased an incredible 320 percent from 2012 to 2013, according to the Centers for Disease Control and Prevention. People who would never consider smoking cigarettes smoke e-cigarettes instead. Smokeless tobacco sales were also up over the same period. Despite smoking-related illness costing the U.S. $300 billion each year, Americans were third in cigarette consumption globally (albeit a distant third to China).
The upside of using an addictive, cancer-causing product, if there is an upside, is If you’re buying cigarettes or smokeless tobacco in America, then you’re supporting an American company. It’s that easy. Virginia’s Altria, formerly known as Philip Morris and parent company of the U.S. Smokeless Tobacco Company, raised $25.43 billion of revenue in 2015. Vector Group, owner of Liggett, headquartered in Durham, N.C., raised $1.6 billion in 2014. Reynolds American, parent company of RJ Reynolds and Santa Fe Natural Tobacco, makers of American Spirit cigarettes, raised $8.236 billion in 2013.
American-made e-cigarettes, however, are harder to find. White Cloud, ProVape and Hana Modz are apparently American, but ProVape has closed. If you’re going to smoke or vape, and I nor GCN Live advises you do, smoke or vape American.
Like Scotland and Scotch whisky, and France and champagne, America has places known for alcohol -- most notably bourbon and Tennessee whiskey. While the two are grouped together for international trade reasons, producers of Tennessee whiskey don’t label their product as bourbon, which is why I drink bourbon. I also drink “sparkling wine,” which is champagne made anywhere but France using the exact same method. I can’t afford Scotch.
Like tobacco, alcohol misuse costs Americans a pretty penny -- $249 billion in 2010 according to the National Institute on Alcohol Abuse and Alcoholism. And Americans are consuming more alcohol than in the past, but aren’t in the top five as far as nations go.
It’s pretty easy to determine whether or not your alcoholic beverage is American-made. Just check the label. Thrillist ranked the top 25 American craft distilleries recently. A few of my favorites -- Jim Beam and Maker’s Mark -- are owned by Japanese company Suntory Holdings, Ltd. I know, it reminds me of Lost in Translation, too, and kind of makes me want to cry, but both are still made in Kentucky, with Maker’s Mark being the oldest operating bourbon distillery in the world.
Beer is the alcoholic beverage of choice amongst Americans, though, accounting for 85 percent of the alcoholic beverage market. If you’re into microbrews, you’re pretty much in luck if you live in America. You’re not only drinking American, but shopping locally. All that money you spend goes right back into your community’s economy. There’s over 3,000 American breweries and over 2,500 American breweries on this map. You can find one near you here.
If you drink Budweiser, Busch or Miller beer, your money goes to Belgium. Anheuser-Busch owns Miller now. If you drink Coors, your money stays in the U.S. and Canada. If you drink Sam Adams, your money goes to Boston. If you drink Old Milwaukee or Pabst Blue Ribbon, your money goes to California.
Speaking of California, the American wine industry is buoyed by California’s Napa Valley, and 90 percent of all American wine comes from the West Coast. Again, figuring out if your wine is American-made is as easy as reading the label. Wineries aren’t shy about it. Constellation Brands, the largest wine company in the world, started in the Finger Lakes region of New York. If you drink Barefoot, your money goes to California. If you drink Franzia, your money goes to California. Keep in mind that trying wines from different places is like tasting the place itself, so don’t let an American bias stop you from trying an Argentinian Malbec or Italian Chianti. That would be a shame.
Only Icelanders smoke more pot per capita than Americans. A Gallup survey in 2016 found that 13 percent of Americans were using marijuana regularly, up from seven percent in 2013. Marijuana has become a $6.7 billion industry in the United States, according to Forbes.
It’s a pretty good bet the weed you’re smoking is American if you’re smoking it within American borders. The closer you get to a border, the worse chance you have of coming across un-American marijuana, but with the public opinion of marijuana changing and legislation legalizing the drug increases, supply and demand also increase. Business Insider was nice enough to put together a list of the 25 best marijuana dispensaries in every state in which it’s legal, either medically or recreationally.
If you’re in Colorado, visit The Farm in Boulder or Doctor’s Orders in Denver. Each place has a great deal every day. If you happen to be taking a tour of wineries in the Columbia Basin of Washington, stop by Green2Go in Prosser.
Americans consume 80 percent of the world’s opiate pain pills. That’s what we call an epidemic, and Donald Trump has put Chris Christie in charge of solving America's’ addiction to pain pills. It’s personal for Christie, too. He lost a longtime friend to an opiate overdose.
That’s right, cocaine can be prescribed by a doctor. America is third in the world when it comes to cocaine consumption and second in consumption of prescribed stimulants like Adderall and Ritalin. The U.S. is fifth in consumption of amphetamine-type stimulants, so a lot of Americans are amped up.
Cocaine is expensive and hard to find in most places, but most people can easily get a prescription for ADHD medication and quickly move up the scale from the extended release capsules (which contain beads that are designed to keep people from crushing and snorting them) to the immediate release pills (which are not).
I actually suffer from adult ADHD and take 15 mg of immediate release Adderall most workdays. It has increased my production immensely. I’ve gone from working with 30 tabs open in my web browser to 10 or less, but before you schedule an appointment, check out this list to see if you actually suffer from ADHD symptoms. And when you take the test given by your doctor, take it honestly. In the words of my best friend, “It’s a tool, not a lifestyle.”
If you’re already using a generic stimulant, which most people do, it’s likely produced by New Jersey’s CorePharma.
America is ranked eighth in consumption of Ecstasy or MDMA. Unless you have a test kit, it’s almost impossible to determine whether your MDMA is pure let alone made in America. If you’re taking Ecstasy you’re likely taking meth as well, so unless you’re one of the people using the drug for PTSD in clinical studies, just steer clear of Ecstasy until it’s legal and regulated (as early as 2021).
So there are the most common vices of Americans. In order to assure your consuming American-made, though, check your labels and do some research into the companies providing the products.
Next up in our Made in America series we’ll look at American-made firearms and compare them to foreign firearms.
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After signing an executive order to limit the number of H-1B immigrants (immigrants working jobs requiring at least a Bachelor’s degree), Donald Trump signed Congress’s temporary spending bill that allows for more than double the number of H-2B immigrants (immigrants working jobs that don’t even require a high school education).
This is nothing new, as it’s the same policy passed in the last spending bill, but Trump didn’t exactly do much to alter the policy despite being in a position to do so. Why would he? Allowing even more immigrants to serve as temporary employees at cheaper wages will make his CEO friends happy, but it should infuriate Americans. It certainly assures that the 11.5 percent youth (ages 16 to 24) unemployment rate will remain mostly unchanged.
These H-2B jobs, like working at winter or summer resorts in guest services or as a housekeeper or groundskeeper, used to be filled by high school and college students looking to make a buck while going to school. Some of them are saving for a college education that has grown increasingly unaffordable. Now the money goes to temporary immigrants who will take it home with them when they’re no longer needed. They can serve up to three years on an H-2B visa, but then only have to leave the United States for three months before reapplying. From the U.S. Citizenship and Immigration Services website:
“A person who has held H-2B nonimmigrant status for a total of 3 years must depart and remain outside the United States for an uninterrupted period of 3 months before seeking readmission as an H-2B nonimmigrant. Additionally, previous time spent in other H or L classifications counts toward total H-2B time.”
When you elect an American businessman to be the most powerful person in the world, you are submitting this country and others to the business practices of an American businessman. Those practices include hiring cheap, immigrant labor (Trump businesses have asked the government to grant temporary visas to 1,200 foreign workers since 2000), lowering taxes for corporations and the rich and raising them for the middle class (Trump’s tax plan cronies are considering eliminating the personal exemption and reduce the top corporate tax rate from 35 percent to 15 percent), and allowing internet service providers to monitor your online history and sell it to advertisers.
At least medical marijuana jobs won’t be affected by the spending bill, though. The Department of Justice still can’t spend funds enforcing federal marijuana law upon state’s that have legalized medical marijuana, but no protections exist for states with recreational marijuana policies.
Alaskan fisher-people should also be happy, as the spending bill has made the “brown king crab” more appealing by allowing it to be called “golden king crab.” Young Americans will also be subjected to school breakfasts and lunches featuring more sugar and fat thanks to new Agriculture Secretary Sonny Perdue freezing Michelle Obama’s plan to fight childhood obesity. Welcome to Trump's America, where under-educated Americans lose jobs to under-educated immigrants, under-paid Americans pay more taxes than over-paid Americans, and diabetes runs rampant.
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We commonly think of DUI’s, or Driving Under the Influence, a result of drinking alcohol and driving while intoxicated. However what many people fail to realize is drugs, including prescriptions, could decrease your ability to drive safely, hence putting you at risk for a DUI when alcohol wasn’t even ingested.
A report from the Governors Highway Safety Association (GHSA) and the Foundation for Advancing Alcohol Responsibility found that more fatal crashes were the result of drug use as opposed to alcohol use.
These findings showed that although alcohol was involved in 37% of fatal crashes, prescriptions and illegal drugs were responsible for 43% of driver- related deaths. Looking deeper into data available from the National Highway Transportation Safety Administration (NHTSA), they found 36.5 % of drug related fatal car crashes were the result of marijuana use.
Now what about prescription drugs? California Vehicle Code 23152(e) states, “It is unlawful for a person who is under the influence of any drug to drive a vehicle.” So what prescription drugs could impair one’s driving?
The obvious ones include the following:
Narcotics such as hydrocodone, oxycodone, morphine, codeine…to name a few
Muscle relaxants such as carisoprodol, cyclobenzaprine, methocarbamol……
Sleep aids such as zolpidem, eszopiclone….
Anti-anxiety medications such as diazepam, lorazepam, alprazolam, clonazepam…..
However surprisingly, these next groups of medications can also cause sedation:
Cholesterol medications such as statins: lovastatin, atorvastatin, etc. may cause fatigue and recent studies have found them to cause “excessive tiredness”.
Stomach acid suppressants such as proton pump inhibitors: omeprazole, lansoprazole have been reported to cause vitamin deficiencies such as B12 and magnesium which in turn can cause fatigue.
Antibiotics that treat many common infections: Amoxicillin, azithromycin, ciprofloxacin have been known to cause fatigue.
Diuretics for blood pressure and water retention: hydrochlorothiazide, furosemide cause potassium loss in the urine which may contribute to fatigue
Antihistamines: anti-allergy medications such as diphenhydramine (Benadryl) are very sedating, which is why they are used in some over the counter sleep aids. There are some reports that the younger generation of medications such as Zyrtec can cause drowsiness as well.
Blood pressure medications: these can include the ACE inhibitors such as captopril, enalapril; calcium channel blockers such as amlodipine; beta blockers such as metoprolol as well as the diuretic family mentioned previously.
Antidepressants: many antidepressants additionally help with anxiety through their sedating effects such as trazodone, paroxetine, and escitalopram to name a few.
Mood stabilizers, anti-seizure medications, and antipsychotics can cause fatigue as well.
Despite the rarity of these types of cases, the potential is still there for one to not only receive a DUI but injure himself or others if the prescription makes him less alert, i.e. decreases his “sobriety”. Discuss with your medical provider if you feel drowsy after you take your medication and if there are less sedating options.
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Daliah Wachs, MD, FAAFP is a Board Certified Family Physician. The Dr. Daliah Show , is nationally syndicated M-F from 11:00am-2:00pm and Saturday from Noon-1:00pm (Central) at GCN.