Author: Justin Mckibben
Sometimes new policy can be good. Sometimes, not so much.
The opiate epidemic in America has hit some states with staggering rates of overdose and death. The paralyzing truth gripping the nation today is that more people are dying from drug overdose than homicides and car crashes. Heroin, fentanyl and prescription painkillers collectively decimate entire communities. People from all over are starting to push officials and lawmakers for more progressive and effective solutions.
Addiction has led to an overdose outbreak that shakes the country to the core, everywhere. Now, Florida lawmakers are pushing for new legislation to try and protect and serve those who suffer from an overdose. One of the first bills on the 2017 agenda is one that hopes to change how law enforcement treats overdose victims.
Although, another bill is trying to turn things in a very different direction.
Florida HB 61 Bill
Florida Representative Larry Lee, a Democrat from Port St. Lucie, has filed a proposal titled HB 61. If approved, this piece of reform would require several new policies for healthcare providers, starting with hospitals.
- It would require hospitals to screen overdose victims to determine the need for additional health care services
- Prohibits hospitals from discharging overdose patients to a detox or treatment facility until stabilized
- Requires attending physician to attempt contact with patients primary care physician, or other treatment providers, who prescribe controlled substances to notify them of overdose
- Requires hospital to inform medical director of treatment center (if patient is currently in treatment) of the overdose
- Hospital must inform overdose victim’s family or emergency contact of overdose
- Must inform contacts what drugs they suspect to have caused overdose
- Attending physician must provide list of drug treatment providers and information about Florida’s Marchman act and Backer act in case the family or contact wishes to seek legal action to protect the addict
The Big Change in HB 61
Lastly, what is probably the most progressive part of this legislation, is the HB 61 bill would prohibit criminal charges from police officers and prosecutors against the overdose victim for possession of any drugs found on them during the incident.
This final aspect of HB 61 this writer thinks is a big deal, because from personal experience I have seen and heard many stories of individuals not calling for help in the event of an overdose out of fear of prosecution. In some cases people actually die because of the fear of criminal punishment. Adding this kind of measure to the bill is an attempt at eliminating the loss of life due to fear of discrimination. Even if it is not a perfect system, this kind of reform takes first responders and law enforcement a step closer to dealing with addicts who are fighting a fatal illness like sick people instead of criminals.
Florida SB 150 Bill Attacks Fentanyl
From across the aisle we see another push from Republican Senator Greg Steube from Sarasota. The question is, will this push go in the right direction? On December 12, he introduced bill SB 150. This is set to be a direct attack on fentanyl.
For those who are not yet familiar, fentanyl is an incredibly powerful, and lethal, opioid painkiller. It’s medical use is to sedate surgical patients and relieve chronic pain. However, being several times more powerful than heroin, it has crept into the illicit drug trade in various parts of the country. And with its arrival also came a horrifying increase in overdose and death.
This proposal means to make 4 grams or more of fentanyl a first-degree felony through:
November 20, the Palm Beach Post released an analysis of people who died in 2015 from heroin-related overdoses. Out of the 216 individuals profiled in this report, 42% of the cases were found to involve fentanyl. So of course, with Steube coming from a district hit particularly hard by the opiate epidemic, it is logical to want to do everything you can to cut the flow of fentanyl off.
Yet, some say that this kind of strategy is too close to the concept of mandatory minimums.
Is SB 150 Too Close to Mandatory Minimums?
For those who need more clarification, mandatory minimum sentencing laws were a “one-size-fits-all” strategy implemented originally back in 1951 against marijuana, then repealed in the 1970s, and refined in 1986. In 1973, New York State enacted mandatory minimums of 15 years to life for possession of more than 4 ounces of any hard drug.
The idea is that regardless of the individual or the circumstances that a certain crime will have an inflexible punishment across the board. Ever since their introduction, criminal justice advocates have fought these laws, and they have always been surrounded by debate and controversy.
Essentially, some are already saying that SB 150 will ruthlessly make addicts into victims of the already overpopulated prison system. To be clear and fair- the bill does not seem to directly require a specific prison sentence like mandatory minimums, but it’s similar in that it treats every issue related to fentanyl the same.
The issue has already been argued time and time again that non-violent low-level drug offenders have spent excessive amounts of time in prison for possession of a substance. In some cases, an individual will do more time behind bars for possessing a large quantity of drugs than someone who has actually killed someone. Some have come to the conclusion that this tactic just doesn’t work.
The fear with SB 150 is not about the manufacturers or the dealers as much as it is for the consumers. Sometimes individuals purchase drugs on the street believing it to be heroin or another substance without even knowing there is fentanyl in it. So this bill would make first-degree felons out of desperate addicts?
What is Right?
The big question we all face at the end of the day is- what is the right thing to do? How is the best way to handle something that feels so utterly out of hand?
Well, it would seem like its time to finally let go of the archaic stigma. More states and law enforcement officials are turning to compassionate and supportive progress. Many places in America are starting to do everything they can to help people struggling with addiction to find help before it is too late. So why move backwards?
In my opinion, strictly based on what has been presented so far, SB 150 seems dangerous. There are countless advocates out there who say that intensifying the punishment is not how you deter the crime. Especially when it comes to addiction, because this kind of method still suggests it is a moral failing and not a psychological and physical illness.
HB 61 seems to be trying to call health care providers to action and add more accountability on the front lines in the fight against the overdose outbreak. At the same time it seems to move in the opposite direction of SB 150 by trying to limit the persecution of addicts. HB 61 makes more room to help preserve life and offer treatment and solutions. By now we should already know, the solution isn’t a War on Drugs, it is community and compassion.
These are some of the initial responses to recommendations recently made by the grand jury. Every day there are countless people suffering. And every day there are countless more recovering and fighting to help others recover. If you or someone you love is struggling, please call toll-free now. We want to help. You are not alone.
CALL NOW 1-800-951-6135
Author: Justin Mckibben
In the midst of the nation’s opiate addiction crisis, fentanyl is like a virus. It is spreading in reach and destroying the lives of thousands, and with overdose deaths climbing every day this incredibly powerful element is more present than ever. The fight has not only been on the streets with illicit dealers, but also within the pharmaceutical industry. Big Pharma executives are being brought to task now that the contribution of prescription narcotics is more obvious than ever.
The part that makes this case so unique is that federal prosecutors are bringing racketeering charges against several Insys employees. Criminal charges are almost unheard-of in cases involving pharmaceutical companies. What does this mean about the future of fighting corporate greed?
Insys Therapeutics Inc.
One company, Insys Therapeutics Inc., has been heavily under fire recently, and new light has been shed on the dirty dealings of these sales-managers and even CEOs. Six former executives and sales-managers from Insys Therapeutics Inc. were arrested this past Thursday. The charges, according to the Justice Department, are:
- Conspiring to defraud health insurers
- Conspiring to bribe doctors into needlessly prescribing Subsys, the company’s fentanyl painkiller
These Big Pharma executives may soon find out how much they hurt the people they are supposed to heal.
Setting the Stage for Subsys
Before we get too far into the details of this appalling story of corporate greed and corruption, let us explain the substance itself. This writer feels it is vital to set the stage for the conversation with a foundation of comprehension. It will help people understand the true gravity of these crimes if they understand the drug itself.
The drug Subsys, approved in 2012, was sanctioned to treat acute cancer pain. This potent opioid analgesic is to be sprayed under the tongue for quick absorption of fentanyl. Most people know now after seeing the state the country is in that the fentanyl narcotic carries an extremely high risk of dependency, abuse and addiction.
This brings us to the horrific truth of these crimes; that many agencies believe doctors and nurses were encouraged to prescribe the drug for unapproved uses, despite knowing how powerful and even lethal this drug can be.
The Kick-Back Scheme
According to reports, the scam put on by these Big Pharma executives was an operation in “sham speaking programs.” How did it work? Allegedly, doctors and nurses were paid to attend dinners at “high-end restaurants” that disguised as speaker programs. Typically, this kind of event is for educational activities with professionals. However, these events were described as “gathering of friends and co-workers” who had no power to prescribe medications.
The “speakers” we said to be paid fees up to several thousand dollars. The names of health care providers were falsified on sign-in sheets to ‘legitimize’ the meetings.
According to the federal court’s affidavit, one health care provider who actually did participate in these sham programs received illegal kick-backs to the tune of an estimated $83,000! The purpose of these payments; to influence these providers to prescribe Subsys, even when unnecessary.
The scheme didn’t stop at expensive dining. Prosecutors say there were other elements to this massive racketeering style operation, including:
- Insys employees being assigned to work the offices of doctors who used their drug
- The drug company hiring the relatives of health care providers
- Insys set up a system to defraud insurers. Their employees pretend to be calling from a doctor’s office to speak with insurance representatives.
In Alabama, one doctor had a sales representative from Insys assigned to attend to all of his needs. That same doctor took a job as a paid speaker for the drug, and once put on their illegal payroll went from writing two Subsys prescriptions a week… to 11 a week!
Big Bad Big Pharma Executives
According to the indictment the list of names includes:
- Michael L. Babich- Former chief executive
- Alec Burlakoff- vice president of sales
- Joseph A. Rowan- former regional sales director
So the trail of shady sales tactics and dirty money leads all the way to the tip-top of the Big Pharma executives.
You would hope that given the fact that these people made billions of dollars a year off of manipulating doctors, lying to insurers and endangering countless lives that they would face some kind of real prison sentence, right?
Nope, not really.
War on White Collar Crime
The War on Drugs doesn’t touch the corruption of the War on White Collar Crime, especially in the drug industry. Most people may not even realize that in recent years Big Pharma executives have paid billions of dollars to settle claims with state and federal prosecutors. Why? Because it’s been said the pharmaceutical companies sold drugs for uses that were not approved by the Food and Drug Administration.
But sadly, bringing criminal charges against these Big Pharma executives is still rare. Despite calls from various groups to hold top executives more accountable, most will never see a jail cell.
The irony here is that we have prison systems choking with overpopulation from people serving years behind bars for non-violent, low-level drug crimes. Many of these convicts are addicts themselves who have been trapped by a system that promotes punishment over treatment. Yet those who have made millions up millions of dollars by bribes and fraud to push drugs like fentanyl, that kill thousands of people, get a slap on the wrist and a fine.
Criminal Charges Bring a New Change
This new perspective is taking the fight to those who sit in positions of great power. Instead of singling out those who are already beaten down, it targets those who make great profit of the pain of millions. Patrick Burns, the acting executive director of Taxpayers Against Fraud, is an advocate for corporate whistle-blowers. In regards to the recent arrests of the Insys Big Pharma executives, he stated,
“It’s just like bank fraud and mortgage fraud — no one in the big companies ever seems to go to jail… If this is the start of a real change in how we deal with corporate crooks, it’s a very big deal.”
The United States attorney in Massachusetts Carmen M. Ortiz said in a statement,
“Patient safety is paramount, and prescriptions for these highly addictive drugs, especially fentanyl, which is among the most potent and addictive opioids, should be prescribed without the influence of corporate money.”
“I hope that today’s charges send a clear message that we will continue to attack the opioid epidemic from all angles, whether it is corporate greed or street-level dealing.”
After consistent outrage about the hypocrisy of Big Pharma in the War on Drugs, it seems many are sick and tired of the pharmaceutical industry taking advantage of the system to make them sicker.
Hopefully, this will change more than the penalties, but also the entire prescription drug process in some way. As drug policy changes, along with the stigma, revolutionary ideas in treatment are available to help save lives. If you or someone you love is struggling with substance abuse or addiction, please call toll-free now.
CALL NOW 1-800-951-6135
Author: Justin Mckibben
With the release of the United States Surgeon General report this month came the historical declaration that substance abuse is a public health disorder. While many have insisted upon this perspective in the past, it is the first time anyone holding the office of U.S. surgeon general has made the statement. In this groundbreaking report, Vivek Murthy described substance abuse stating,
“Not as a moral failing, but as a chronic illness that must be treated with skill, urgency and compassion. The way we address this crisis is a test for America.”
This revelation is a long-awaited victory for the countless advocates who have been hoping to change the way the world sees substance abuse and addiction.
Along with this statement, there comes a conversation about how to shift the strategies used to address addiction. Along with that comes the possibility for vast change and reform in the realm of criminal justice. How big is the impact of criminal justice on the addiction issue, and how could a change in perspective change everything?
Current View of Criminal Justice
The big thing here is that for years people have pushed for the world to see substance abuse and addiction as a health issue, both physical and mental. Changing the view from stigma and punishment to treatment ultimately means giving people struggling a better shot at recovery.
The failed War on Drugs has definitely put addiction and substance abuse in a place it doesn’t necessarily belong. Murthy’s report provides an update on drug and alcohol users in the country. According to its figures, in the last year alone:
- About 48 million Americans used or abused illegal or prescription drugs
- 28 million drove under the influence
- 21 million Americans currently suffer from addiction (substance-use disorder)
- Out of an estimated 2 million inmates in the nation, 65% “meet the criteria for substance-abuse addiction” according to a new study
- According to thePrison Policy Initiative, over 300,000 inmates currently in state and federal prisons are for convictions related to drugs.
These statistics place a severe strain on the criminal justice system far beyond federal prisons.
- Local and county jails have held thousands of these same individuals
- Tens of thousands lost driving privileges due to drunk driving
- Millions served time and were put on probation
- Millions became repeat offenders and cycled back through the system
The long and short of it is that in fact, the current system is not anything close to fixing the problem. And at $442 billion dollars spent annually on health-care and criminal justice for substance-use disorder, that is a VERY expensive failure to repeat over and over.
Reforming Criminal Justice
There are many variables that come into play when you discuss reforming criminal justice to be more effective for helping addicts. Some of these include:
- Ending the tactic of using fear of prison to keep people “in line”
- Reforming treatment programs through criminal justice system that rely on harsh penalties
- Ending unnecessarily punitive federal sentencing guidelines
A hard truth is the criminal-justice system is often the first to be in contact with struggling addicts. Thus many people only receive treatment once they are already involved in the criminal justice system, which often locks them into a cycle of failed attempts to clean up and repeated arrests.
Many would say it would be ideal to not have addicts and those battling substance abuse go through the criminal justice system at all; specifically for non-violent, drug-related offenses. They would rather individuals be directly diverted to a system that relies on medical and therapeutic rehabilitation.
The fact remains; even if state and federal governments begin addressing addiction as a health crisis, any reforms to the existing criminal-justice system will come with their own burdens. This kind of power-shift would have instantaneous economic effects due largely to institutional competition. The massive industrial prison system that has thrived for decades would of course fight to keep its funding if the government tried to divert those funds to healthcare programs.
The surgeon general’s report is a refreshing perspective and a much needed statement. But there is still money to move and the need for playing politics. Despite the fact that most believe mental health and public health institutions are better suited to treat addiction than prisons, some say they do not have the seniority or the political juice to make a claim on the resources to do so.
In the end, setting up an approach on the state or national level that would send addicts to treatment instead of jails and prisons would be an enormous task that we cannot logically expect to happen all too soon. Yet, there is hope. Many states now have more compassionate and treatment-based programs with law enforcement. Crisis-intervention training and other methods have reduced arrests and housing costs in many areas. It does make a difference.
The real difference to reforming the criminal justice system will come when more officials recognize that substance abuse and addiction are health issues and not moral ones, especially officials at the federal level.
Never forget that every day we all have the chance to influence change. Maybe we can’t change the criminal justice system over night, but we can make decisions that make a difference. Understanding addiction and fighting back is a victory itself. If you or someone you love is struggling with substance abuse or addiction, please call our toll-free number now to speak with an specialist. We want to help.
CALL NOW 1-800-951-6135
Author: Justin Mckibben
By now everyone who is paying any attention to politics has heard about the Republican presidential nominee Donald Trump. And if you have heard of Trump, you have heard of his infamous wall. Yes, THE WALL. The ‘life-saving, world changing, country resurrecting’ wall. Let us just call it THE GREAT WALL OF ‘MERICA! Because, it will of course be greater than that shabby wall some people in China seem to think is so great.
I digress… It appears that this wall will do more than inspire racial division. Apparently THE WALL will also solve the opioid epidemic in America.
Yes… that’s what he said…
Building a wall between the United States and Mexico, according to his recent statements, will be the best solution to this issue.
The Wall against Opiates
This astonishing revelation was made during a town hall meeting in Columbus, Ohio on Monday where Trump was doing a little Q&A with the curious citizens of the capitol city in the Buckeye State. After an audience member asked him to “cut off the source” of heroin, Trump stated:
“We’re not gonna let this crap come into our country and poison our youth and poison our people, and it comes in mostly from the southern border,”
Granted, since the 1990’s statistically the primary supplier of heroin to North America has been Latin America and Mexican cartels. So this whole concept of blocking the flow of heroin into the country isn’t entirely baseless. However, Mexico is definitely not the only way heroin gets into America. The source is also definitely not the only element to the outbreak. Let us focus on his thought process just to point out where else he speaks with a heavy stigma accent.
Heroin Problem Place?
To elaborate on his plan, Trump talked about campaigning in New Hampshire. His time there helped him realize the extent of the heroin epidemic. Voters in New Hampshire town hall meetings consistently said that their biggest concern was heroin, which surprised Trump. The next thing he had to say was unsettling in a different context.
“My first victory was New Hampshire, which is a beautiful, beautiful place … This doesn’t look like it’s a heroin like problem type place,”
So wait… he means to say that only bad parts of town or less “beautiful” places are where he expects to find heroin addiction? Since he didn’t elaborate on where he would expect to see it, does this imply that Ohio is a place not pretty enough to be off Trump’s “heroin problem place” check list?
Ok, maybe those aren’t his words either. Still, thinking only certain people in certain places have a heroin problem shows he’s out of touch with the epidemic. Not to mention how disconnected this kind of thinking is from the truth about addiction.
While Trump was explaining his plan to wall off the drug problem in America, he said,
“They say, Mr. Trump, it is flowing across our southern border.”
But maybe… just maybe the New Hampshire residents were referring to the border between New Hampshire and Massachusetts. Drugs regularly travel in bulk via interstate highways into New Hampshire and the rest of New England from this area. So perhaps Mexico is way more south than New Hampshire is saying we should be looking.
WALL is LIFE
What Trump did fail to acknowledge is that many powerful opioids that end up on the black market, like fentanyl, originate from Chinese suppliers. So even if we make a huge dent in the heroin supply from Mexico, there are still plenty of countries that have been sending it over for years.
Also, Trump should note the accessibility of prescription drugs is a major driving factor for the opioid crisis. He didn’t, but he should. To have a comprehensive plan, you absolutely have to include addressing the Big Pharma companies involved in opiate medication production.
Trump did finally acknowledge the need for treatment. This is the best thing to come out of the discussion, because he did admit,
“It’s very hard to get out of that addiction, of heroin. We’re gonna work with them, we’re gonna spend the money, we’re gonna get that habit broken.”
This claim at least notes the vital need for treatment options, but lacks any structure or outline on how to address it. Any complete idea on how to defeat the opiate epidemic should include education, intervention and innovations for addiction treatment. But it seems Mr. Trump is more concerned with the U.S.-Mexico border.
Addiction treatment, education and prevention should not be cliff-notes to a drug policy centered on a grandiose design for this wall that is prophesized to “make America great again” by keeping the “bad people” out. It should be centered on the concept of compassion and awareness- two things that, like I pointed out earlier, Trump seems to be in short supply of concerning addiction.
I’ve said it before… the future of our nation should have no room for stigma, we need leaders who are willing to serve the interest of every American. Drug abuse and addiction is a devastating and deadly disease, and more needs to be done to help people besides blaming someone. If you or someone you love is struggling with substance abuse or addiction, think about who you want to be working with to find a real solution. If you are looking for a way to get your life back, please call toll-free 1-800-951-6135
Author: Shernide Delva
Whether it is antibiotics or narcotics, many people do not throw away their leftover pills when they are finished using them. However, when those leftovers are addictive painkiller prescription, that simple act of carelessness contributes to the opioid epidemic. Leftover pain medication increases the potential for abuse.
When it comes to prescription painkillers, a few leftover pills can cause a host of problems. Since 1999, more than 165,000 people have died due to opioid-related overdoses according to the CDC. The problem was a result of doctors over prescribing drugs like methadone, oxycodone, and hydrocodone. These patients not only are prescribed these drugs too liberally, but they are also getting way more medication than they actually need. Those leftovers increase the potential for abuse, according to a recent study.
The study was published in the journal JAMA Internal Medicine. The study revealed that six out of 10 patients admitted to receiving way more medication than they actually needed. The research surveyed 1,032 American adults who had used prescription painkillers in the past year. Half the participants were no longer taking the meds, but 60% still had the pills leftovers! When asked why they did not dispose of the pills, 61.3% admitted they were holding on to them for the future. These responses suggest a possibility of later misuse and/or abuse.
“These painkillers are much riskier than has been understood and the volume of prescribing and use has contributed to an opioid epidemic in this country,” said study lead Alene Kennedy-Hendricks, an assistant scientist in the Department of Health Policy and Management at the Johns Hopkins Bloomberg School of Public Health. “It’s not clear why so many of our survey respondents reported having leftover medication, but it could be that they were prescribed more medication than they needed.”
The study also found that half of those surveyed did not know how to store away safely their medications at home, out of reach to children, family members, and visitors. Most did not know how to dispose safely of the medications either. Less than 7% knew about “take back” programs across the country, that allow patients to return leftover pills to pharmacies and law enforcement.
The biggest danger is when patients pass their leftovers to friends and family, which increases the risk for abuse. One in five participants surveyed said they had let someone else use their medication. Researchers say their needs to be a new approach to how doctors prescribe prescription painkillers to help curb abuse and addiction. Some solutions are to cut back on over prescribing as well as educate patients on how to properly dispose of their leftovers.
“We’re at a watershed moment,” said senior author Colleen Barry, co-director of the Center for Mental Health and Addiction Policy Research at the Bloomberg School. “Until recently, we have treated these medications like they’re not dangerous. But the public, the medical community, and policymakers are now beginning to understand that these are dangerous medications and need to be treated as such. If we don’t change our approach, we are going to continue to see the epidemic grow.”
One of the changes that has been proposed is lower-dose prescribing. Lower-dose prescribing is a way of minimizing the potential for abuse. In Maine, governor Paul R. Lepage signed a new bill titled “An Act To Prevent Opiate Abuse by Strengthening the Controlled Substances Prescription Monitoring Program.” The bill would mandate all prescribers participate in the Prescription Monitoring Program (PMP) and would set limits on the strength and duration of opioid prescriptions. The bill would require that opioid prescribers undergo addiction training every two years. Short-term opioid use has been considered to have a lower risk of abuse when compared to longer term use.
Many other states in the country are considering bills to limit the amount of prescriptions available. But, will these bills be effective now that the damage has been done? Over all, these laws work as a way of preventing more people from becoming addicted to these drugs. If you are struggling with drugs or alcohol, understand that you need to seek treatment immediately. If you or someone you love is struggling with substance abuse or addiction, please call toll-free 1-800-951-6135.