The Mafia may be keeping fentanyl out of Italy

2 days ago (economist.com)

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)

  • The Mafia may also have shorter horizon: - Fantanyl 'customers' have munch higher risk of sudden-death and then stop being customers. - Fentanyl is a much more debilitating drug than heroin and much cheaper. So Fentanyl customers are less able to gather the money for the next fix, and don't need as much (less revenue).

  • > with Apple’s new CEO, the early signs are that commitment is headed for the ash heap as well

    He’s been CEO less than a month and everything that’s happening right now has been in the works for multiple years….

  • Wait what are the signs that the new Apple CEO commitment is headed for the heap? Seriously asking

    • Ternus and Cue are full bore on increasing the number of ads shown in apps and otherwise scattered through their devices. This is explicitly the opposite of Apple’s philosophy until recently and Schiller is stepping back reputedly due to his opposition to this approach.

      The idea appears to be to sell the devices as a vehicle for showing ads (incremental ARR) over selling them for their intrinsic customer value. You expect this kind of thing from shitty industries like cars or Google or Facebook. But this used to be an explicit “no go” for Apple.

      7 replies →

    • To be a bit critical, haven’t Apple software and hardware quality been getting worse for years even before the new CEO?

      Apple Silicon was the exception, that was truly transformative. But other things, like how polished and snappy the OS feels, seems to have been getting steadily worse.

      5 replies →

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.

  • 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.

    • Fentanyl is not a better high. It's decidedly less euphoric than traditional opioids. It's just dirt cheap, ridiculously potent so it's easier to traffic, and doesn't have any agricultural footprint. The market pressure for fent is completely on the supply side.

    • Fentanyl isn’t a better high is just (much) cheaper to ship/transport given its potency

    • I guess if you’re the mafia you just murder the competitors. Can’t have stronger regulation than that!

    • "less healthy" is a bit of an understatement; they're not selling cigarettes that will kill you in the long term (or even the medium or short term). Fentanyl will kill you the first time you're exposed to it.

      Increasing the potency of some drug with fentanyl is an interesting choice, because by the time the user *knows* how strong it is, there's some likelihood they're already dead.

      20 replies →

  • There were rumors that that the "Chapitos" in Sinaloa purportedly banned the production and sale of fentanyl in their territories.

    There were signs warning of this and if I remember correctly, they murdered two major fentanyl cooks, put their bodies on the side of a road, along with a warning sign and two huge piles of the drug around the bodies.

    • Drugs are a lot more geopolitical than people realize. Who brings drugs in and why drugs are coming into your country are important questions that nations have to ask.

      2 replies →

  • And: shaking the scene in a way that will attract too much attention, including crackdowns, is very bad for business.

  • 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..

  • I think it’s what customers want though as it gets you higher and closer to that high they’re always chasing. That it can kill you is a marketing feature if anything.

  • The rest of the economics behind fentanyl are great for drug producers vs heroin though, so it probably doesn't matter?

  • 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.

    • > 70% of food in the supermarket is ultra processed.

      Yes. And 70% of Earth atmosphere is nitrogen.

      The two figures have about the same relevance to health.

  • They still traffic heroin though, which is not stellar for customer's life expectancy.

  • [dead]

    • 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.

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  • Now we have the unions, we have the gambling - and they're the best things to have - but narcotics is the thing of the future. Now if we don't get a piece of that action, we risk everything we have. I mean, not now, but ten years from now.

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.

  • I googled so y'all don't have to: "QC" means Quebec. 81 means Hell's Angels as per sister comment.

    • 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.

      5 replies →

    • Until you explained I was having so much fun thinking of a quality control department in the 80s dealing drugs on the side.

  • 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...

    • 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).

      8 replies →

Did wastewater drug monitoring for a while, and the annoying bit was fentanyl metabolites sitting near the detection limit, so absence isn't proof.

  • 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.

  • Was that because there wasn't much fentanyl use or because fentanyl metabolites are somehow harder to detect?

  • If it's below the noise floor, then you didn't really detect it, did you.

    • Statistics can detect a lot of things below the noise floor given enough samples. However there are a lot of questions when it attempts this.

  • 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.

    • 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 ;)

      1 reply →

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..

And who is keeping it out of the other European countries?

  • 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.

    • Guinea-bissau is basically a narco state, much more so than Mexico, and has deep ties with latin-american cartels. They transport their drugs in the sahel with the help of jihadists. The same jihadists get funding from moroccans to smuggle their hash. These networks got deep networks within Europe (e.g. in Belgium and Netherlands). It might not be as bad yet but could turn worse quickly.

I've had a friend pass from an OD, when consuming what he thought was cocaine, which was actually laced with fentanyl. I wonder if the Italian mafia has a more profitable cocaine market, and don't want it contaminated, as is likely to happen with fentanyl, as the cocaine market, which I assume is recreational, would contract.

There is not that much difference between the state and a mafia. The fact that the mafia has successfully managed to keep out fentanyl shows just how much democratically elected states are failing their citizens. This outcome is not surprising.

  • It’s way easier to keep fentanyl out of drugs when you are distributing the drugs.

    The government can’t regulate a black market.

    • The government can’t regulate a black market, but they could stop the charade of illegal drugs, convert the black market into a regular market, and regulate that. Suddenly you get less fentanyl overdoses, better outcomes for addicts (they're not criminals anymore), AND you remove the power of drug cartels (they'll still exist, but will compete with each other through less murder-y means, like any other capitalist company). Plus, stabilize a lot of third world countries where illegal drug production and export is a big part of the economy, which is what allows the cartels to fight and corrupt the state.

      Or, just keep doing what they're doing. It's bound to work eventually, right? Drug cartels are definitely growing less powerful every year, the war of drugs is being won, rate of addiction is going down.

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  • Lot of democratically elected states are also good at "keeping fentanly out".

  • This is a bit of a straw man “do the ends justify the means” statement, with hints of anarchism read between the lines.

    Western democracies haven’t really prioritized “war on drugs” (for lack of a better term) over the last probably 10ish years. Yeah there’s still funding and initiatives and some lip service.

    Instead the focus has been largely infighting and major political factions fighting for political power in the next generation (“tech bros” political class for one)

    So it’s no surprise state-sponsored (and just demand driven) drug trafficking into the US hasn’t received much action.

    There is some hope though. With rare earth mineral access being a major national security priority, and many cartels controlling those areas in SA, the converging interests may produce some net positive. Background: https://youtu.be/q_n-74ifBZs?is=nw5g-mmPmKphGH2W

    • A war on drugs can only be won through heavy penalties on the users and the political classes refuse to come down hard on the users (themselves, their children) but rather come down hard on the dealers (poor people) or traffickers (foreigners). For this reason we never really had a war on drugs, just lip service towards one, hence a failure of government.

  • This is a false equivalence, which means equating two things based on surface similarities while ignoring key differences.

    The Mafia keeping fentanyl out isn't a public service. It's a cartel protecting its own drug market, which says nothing about whether democratic states ( globally ) are failing their citizens.

From what I’ve read online Ndrangheta are much more powerful than the mafia in Italy.

  • “Le Mafie” includes Cosa Nostra (Sicilian mafia) ‘Ndrangheta (Calabrian mafia), Camorra (Napolitano mafia), Sacra Corona Unita (Pugliese mafia), Banda della Magliana (Roman mafia), Mala del Brenta (Veneto mafia) and others (but I’m no expert, I’m from Milan).

  • 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.

The Singapore model is to execute all the dealers.

  • And heavily punish the users (which is the only way to actually win a war on drugs)

    • The evidence doesn't seem to bear this out. Texas has punitive laws around drug use and also plenty of drug users.

The Godfather overly romanticized the mafia and made them out to be "violent but in a principled way" people and nothing could be further from the truth.

It's complete fantasy that the mafia didn't deal hard drugs.

https://www.fbi.gov/news/stories/the-pizza-connection-35th-a...

Orson Welles said it best:

"'The Godfather' was the glorification of a bunch of bums who never existed."

  • Well, I don't buy the "principled" part either, not at scale.

    But it is organized, and there's not that much fundamental difference between corporations and criminal enterprises, not in the ways they are run. The details boil down to different trade-offs taken wrt. risk vs. reward related to staying on the good side of the law. A lot of the violence (particularly the "principled"-looking one) seems to stem from the fact that a criminal org needs to built its own layer of coordination and enforcement, since by definition it cannot rely on public services of law enforcement and the legal system.

    • There is no need to stay "on the good side of the law." They pay off cops. They pay off the judges.

      If they can kill with impunity they can certainly do the same with drugs.

      Large-scale crack cocaine gangs existed too with substantial levels of organization but they still sell crack.

      They're mostly unintelligent thugs motivated by greed. And I think the "Why would they kill their own customers?" implies they think that far ahead. Which is probably true as well for most major corps. They'll take short term profit over quite literally anything.

      2 replies →

Public healthcare is keeping illegal Fentanyl out of Italy: there's no incentive to obtain contraband painkillers, which are not considered fun drugs.

You go to the hospital, you get the medications you need (and no more) for as long as you need them, and then you stop (or you deal with chronic conditions under medical control).

"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.

  • 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.

Humanity is being poisoned from all sides. The scariest part is that people willingly go along with it.

That’s a shame. I used to love sprinkling some on my pizza and spaghetti. Buon appetito.

Totally different healthcare systems, and no sane doctor will commit the same mistake again.

> IN “The Godfather”, Don Vito Corleone refuses to engage in the heroin trade because he considers it “a dirty business”.

The movie was well-planned by Francis - but the mafia is a mass-murder organisation, without exception. Japan finally got the better of Yakuza for the most part (it is nowhere near as powerful as it was once); Italy still struggles, in particular with regards to Ndrangheta. So any article that attempts to white-wash the mafia in Italy - nope, sorry, not even good movies such as the godfather should disguise the mass-murder organisation. See how they bombed Giovanni Falcone to death, let's not forget that; and more recently how Ndrangheta executed women (2026; see https://www.bbc.com/news/articles/c39mr81j2j1o) who stopped being silent about the genocidal activities of Ndrangheta. Let's put it short: the mafia needs to be eliminated completely. It's not easy since they infiltrated so much in Italy and in parts elsewhere (just study how Capone in the USA got big, then you realise that the USA has an even bigger problem here - plus, fentanyl too), but it has to be done. There is no alternative unless you want organisations to undermine the state and continue its genocidal tendencies. You can be sure they are also involved in smuggling weapons, thus contributing to genocide outside of Italy directly as well.

Please no more white-washing articles of the mafia as glorious heroes "because they keep fentanyl out of Italy". (Besides, this is not even correct to begin with; fentanyal at the least right now, plays a very small role in Europe at best; in the USA this is different. See how Trump tries to blame Canadians for Fentanyl, smuggled via eggs, which is another one of his non-stop lies about Canadians.)

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.

  • It's very appealing to smugglers because its ultra-high potency means that a massive amount of doses is very, very tiny.

    Thus, no surprise that it shows up elsewhere.

  • 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.

  • based on documentary style interviews I've seen of drug addicts in Lithuania, there's supposedly no more old school heroin left on the streets, it's been pushed out by fent.

    • Simple supply and demand. Why risk smuggling heroin when fentanyl is 100s of times more potent, meaning its way better bang for their buck all other things being equal.

      Does lithuania not have methadone or prescribable diamorphine? They should reconsider if not, not everyone is going to make it sober, much cheaper and better outcomes to being pragmatic about it.

  • 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.

  • it’s an issue in that not everyone using it even knows they are using it. maybe you think your plug is a great hookup for grey market pharmaceuticals. or are they?

    selling “oxycodone”? maybe don’t bother acquiring oxycodone at all—press fentanyl into a convincing little blue pill and sell that instead.

    selling “adderall”? methamphetamine is cheaper. counterfeit xanax? who knows what benzo is actually in it.

    customer might not find out. customer might not even live.

    mafia seems delightfully old school about this. they know business. this is bad business.

  • If it can happen to Americans, then why do you think it can't happen to you? What's the differentiating factor?

    • Unpredictable market forces the black market is subjected to. Europe doesn't have as much fentanyl for the same sorts of reasons America doesn't have as much ketamine.

      1 reply →

  • 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 (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?

    • Some things to correct here:

      - While drugs laced with fentanyl are also a problem, lots of people _do_ knowingly consume fentanyl. In fact, it has replaced Heroin in the US 'market', for example. It is also a contaminant in other drugs (cocaine, meth), due to how easy it is for fentanyl to stay in crevices, etc. It is also 'snuck in' to counterfeit pills, which is the only aspect you mention.

      - The traffickers physically moving fentanyl into the country are overwhelmingly Americans. Pre 2019 traffickers used to get this straight from China, but stricter controls in China have shifted things to be staged in Mexico instead.

      - The demand and traffickers are still largely American, and it is a "symbiotic" problem. US drug demand is empowering Mexican cartels and making everyday Mexicans less safe (the cartels also get most of their guns from the US). At the same time, powerful Mexican cartels mean it is much easier to "stage" fentanyl in Mexico then import it into the US than the older model of importing it directly from China.

    • I would argue that fent became an issue only after the oxycontin et al. peddling was slowly curtailed; together with fent precursors becoming absurdly cheap to procure and process, compared to other opiates. Users originally hooked on the pills needed a replacement, and as suddenly the chemistry got much cheaper, everyone switched to fent. The physical volume of illicit substance you need to smuggle is also lower with fentanyl, so I'm sure that would have played into this trend as well.

      If you want to find where to point the finger to, the systems that let prescription opiates be prescribed with such reckless abandon is a good superficial target. Getting political here - if you want to find the very root cause of all this, I would present the institutions that prevent the implementation or otherwise erode preexisting social safety-nets as the culpable party.

      1 reply →

    • They’re not coming here and forcibly injecting people. Maybe we should be asking ourselves why so many are choosing the oblivion offered by drugs similar to and including fentanyl.

      The only reason they’re selling it is because people are buying it.

      It’s an American problem.

    • > 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?

      I'd blame myself for giving them that market, and then I'd start pushing hard for a drug policy that actually makes sense, as opposed trying to continue a policy of drug prohibition which has spent the last 100+ years [0] completely failing to do anything but give money to criminals whilst having almost no effect on actual drug consumption.

      The government's job is to protect its taxpayers. If the taxpayers have a demand for drugs, which is clearly the case with the US, then the government should stop cosplaying a pearl-clutching 19th-century Victorian housewife and start regulating the drug trade properly, the way it does with alcohol and cigarettes.

      Will this solve all problems? No. So long there is misery in the world, there will be people trying to escape that misery.

      But at least American opiate addicts will have fewer overdoses, and therefore hopefully contribute more to tax revenue.

      [0] https://en.wikipedia.org/wiki/Prohibition_in_the_United_Stat...

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  • 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?

    • > 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.)

    • 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.

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  • There is one "access free" paragraph in the page... "Police are coming to the conclusion".

  • What do you think may means

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

    • 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.

      2 replies →

That I've heard, on the street, the Mafia is a credible alternative state power in a fair fraction of Italy. Just one not claiming Democratic ideals, nor much desire to become a nation state or adopt a political agenda.

Wielding power to benefit the ordinary people, long-term, is an age-old sign that those wielding the power have and/or aspire to some level of long-term legitimacy and popular support. Doesn't matter if you're looking at early Chinese dynasties, Old Testament kings, or modern authoritarian states banning non-government organizations.