While the entire country has been impacted by this ongoing issue, more options for prevention and treatment have become paramount to changing the tides. Just this week Rick Scott, the governor of the state of Florida, proposed a strategy for fighting the opioid epidemic that has gained a lot of attention. Scott has decided to ask local lawmakers to impose a three-day limit on opioid prescriptions during the upcoming legislative session. This latest development is one new piece of recent initiatives to combat the opioid crisis.
Florida Governor Opioid Initiatives
During two press conferences on Tuesday, the Florida Governor announced a pushback on an abundance of opioid prescriptions, while also introducing other ideas for fighting addiction.
One of the initiatives Rick Scott is pushing is to require all health-care professionals who prescribe controlled substances to participate in the Florida Prescription Drug Monitoring Program, also known as the PDMP. This database involves health-care professionals to report important information on patients receiving powerful narcotic medications, including:
- Name of the doctor
- Patient name
- Prescription information after the prescription is filled
But this is not the last of Florida Governor Scott’s opioid initiatives. His office also plans to seek additional reforms such as:
- Fight unlicensed pain management clinics
- Requiring education on responsible opioid prescribing
- Creating more opportunities for federal grants
Scott apparently plans to put some more investments toward helping those already struggling. He is also pushing for more than $50 million for services including:
Part of this initiative is also boosting up the budget of the Florida Violent Crime and Drug Control Council.
At the moment the finer details of the Florida Governor’s proposals are not yet available. However, what it does tell us is that Scott is not ignoring the contribution Big Pharma makes in this current crisis. What we can tell from this outline is that Rick Scott says he is aiming to address prescription opioid pain medication, recognizing it as a key source of the growing problem.
Why 3 Days?
It has been reported time and time again that we should be paying attention to how powerful opioid medications impact rising addiction rates. Now the Centers for Disease Control and Prevention (CDC) has released a recent study showing how quickly someone could get hooked on these kinds of drugs. In this study it is shown:
- After three days of use, about 6% of patients were still using opioids a year later.
- Five days into use, about 10% of patients were still using opioids a year later.
- After 11 days of use, it jumps to 25% of patients still taking opioids a year later.
So it would seem that between 3-5 days, the chances of continued use almost doubled. Then between 5-11 days the chances of use more than doubled. This development may have helped inspire the idea to limit prescriptions to 3 days.
Back in March, Bradley Martin of the CDC, one of the study authors, told Vox magazine:
“There’s nothing magical about five days versus six days, but with each day your risk of dependency increases fairly dramatically,”
So while day 5 and day 6 may not be a dramatic leap over the edge, some may see this proposed limit as an attempt to at least slow a process down.
The Opposing Argument
The Florida Governor will probably face strong criticism, or at least skepticism, from crowds such as:
The opposition is still very real. This isn’t even the first time Florida lawmakers have seen something like this brought to the table. Just last year Florida legislatures quietly rejected an effort last year to impose a five-day cap on opioid prescriptions for acute pain.
Legislatures and doctors are the only concerns Florida Governor may have to tangle with in order to push this idea through. Other potential obstacles standing against this proposal include:
- Additional out-of-pocket co-pays that patients will incur
- The ability of patients with chronic pain and terminal illnesses to refill prescriptions
The Florida Society of Interventional Pain Physicians will discuss caps on prescriptions during a board meeting today. Dr. Sanford Silverman is a past president of the Florida Society of Interventional Pain Physicians. In regards to the 3 day limit he stated:
“We don’t think the cap is reasonable since it is a completely arbitrary number,”
“A better idea would be to mandate usage of the PDMP prior to writing an opioid for acute pain.”
Other states have created caps on prescriptions, although some may not seem as strict as the 3 day rule.
- Massachusetts limits the supply to seven days.
- New Jersey set it so that first-time prescriptions for acute pain cannot exceed a five-day supply. Also, patients being treated for cancer or under hospice care are exempt.
- Ohio caps distinguish between patients with chronic pain and those with acute pain.
At the end of the day, similar strategies may not be left up to the lawmakers. If pharmacies decide to impose their own limits on certain prescription drugs the Florida Governor might not have to push very hard to get the limits he is looking for.
CVS announced Friday that the company plans to:
- Limit the daily dosage of pain pills based on their strength
- Require the use of quick-release painkillers before extended-release opioids are dispensed
- Limit opioid prescriptions to seven days for certain conditions
This restriction will specifically apply to patients who are new to pain therapy.
Only time will tell how far Florida Governor Rick Scott’s new pitch will go, but it seems one thing people can agree on is that the opioid crisis does require some new approaches to prevention.
With more prevention we may be able to slow down the rising rates of opioid addiction. Meanwhile, the need for safe and effective treatment still means a lot for helping those already suffering. Real treatment resources matter. If you or someone you love is struggling, please call toll-free now. We want to help.
CALL NOW 1-800-951-6135
Author: Justin Mckibben
The Center for Disease Control and Prevention (CDC) announced on September 5th it would be allocating more than $28.6 million in funding to assist dozens of states, not to mention the District of Columbia, with overcoming the issues they face concerning opioid abuse, addiction, overdose and opioid related death. Many states are still struggling to make headway in the uphill battle. Thanks to the CDC fighting opioids with such a large contribution people in these areas have a better chance of gaining access to crucial resources.
It All Adds Up
The Omnibus Appropriations Bill in 2017 added funding for fighting the opioid epidemic with a $103 million dollar contribution. Combined with this new money from the CDC there will be even more support for things such as:
Addiction prevention programs
Drug monitoring programs
Improved toxicology testing for medical examiners/coroners
This isn’t the first time this year the CDC has dropped a big sum into the opioid outbreak.
Just a few months back in July the CDC fighting opioids led to a $12 million pledge to state overdose prevention efforts. This contribution was made as part of the plan from the Department of Health and Human Services’ (DHHS) in response to the nationwide opioid epidemic.
Who Gets the Money?
So which states are receiving funding through this latest pledge, and why? This money is being distributed out to various states that participate in the CDC’s Overdose Prevention in States Program (OPiS). The OPiS program includes 3 unique programs designed for prevention efforts:
Prescription Drug Overdose: Prevention for States (PfS)
This program will provide $19.3 million in funding to 27 states to expand various of their prevention programs, which also use community outreach.
Data-Driven Prevention Initiative (DDPI)
$4.6 million will go through DDPI to 12 states and Washington, D.C. for similar programs. Other states getting funds through the DDPI include:
Enhanced State Opioid Overdose Surveillance (ESOOS)
Across the country around $4.7 million will go to medical examiners and coroners in 32 states and D.C. to track and prevent overdoses. The top 5 states on the list of highest rates of overdose death will receive funding, which includes:
-as well as-
How is CDC Fighting Opioids?
Not only is the OPiS program a big portion of the plan to fight opioids from the DHHS, but there are 4 other key components to these efforts.
Naloxone expansion programs
Improving public health data related to opioid crisis
Advancing practices for pain management
Greater research and support on addiction and pain
DHHS Secretary Tom Price states that the funding expansion was made possible through legislation signed by the Trump administration earlier this year. He insists it is an important part of committing help to states combating opioid addiction and overdose.
Many are hopeful that this will be the beginning of a trend for allocating funds toward more resources for CDC fighting opioids and the damage they cause across America. Advocates are still hopeful to receive more support, but for now there is at least some hope that something is being done. As far as each individual, recovery begins with taking advantage of any opportunity in front of you to do better. 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
It is no secret that the devastating opioid epidemic in America is still tearing a path of despair across the country. In 2015 this ongoing public health crisis ravaged communities, causing over 52,000 drug overdose deaths and more than 33,000 opioid overdose deaths. The opioid problem was a major campaign issue during the election, and now is one of the most pressing problems we face here in the states. Yet, upon examining the recent budget proposal released by President Trump and his administration, it seems the means to try and bring the epidemic to an end are lacking to say the least.
Given the current state of affairs, it is certain that tens of thousands of people will likely die of drug overdoses under President Donald Trump’s term. Taking that into account many hoped that drug treatment would be a serious priority. However, with the first big policy document from President Trump being the 2018 budget proposal, experts believe Trump is proving that the opioid crisis is not a priority. All this after claims that Trump would “spend the money” in order to “end the opioid epidemic in America.”
If anything, some experts are saying the proposal President Trump has introduced may actually make the opioid epidemic worse. So here we will take a look at some of the pros and cons of the 2018 proposed budget.
The Pros VS the Cons
According to the Office of National Drug Control Policy (ONDCP), this new budget plan makes little effort, and in the end it may ultimately prove obsolete.
Nearly 2% increase in drug treatment spending
Pro- the ONDCP says this will amount to an estimated $200 million added to the already $10.6 billion the government already spent on treatment.
Con- the catch is this money includes the $500 million added by the 21st Century Cures Act from the Obama administration.
That essentially means without that Obama era legislation the Trump budget would have actually cut drug treatment spending. Ultimately, the cut will likely happen the year after the 2018 budget because the Cures Act money is only for 2017 and 2018.
Cuts or No Cuts?
Pros- Still, according to the ONDCP figures of the 2018 budget, technically there are no proposed cuts to overall drug treatment spending this year.
Cons- However, the proposal does suggest other cuts to public health and anti-drug programs. The ONDCP states that these other cuts in funding can completely undermine any progress.
For example, the 2018 budget proposal from President Trump does seriously cut drug prevention programs across all federal agencies by approximately 11%.
Other Big Budget Debates
Probably one of the big arguments is the potential for problems with healthcare and cuts to Medicaid, especially since President Trump repeatedly ran on the promise that he would not be cutting Medicaid.
However, reports indicate Trump also proposes a 47% cut to Medicaid over the next 10 years! People have been up in arms about the suggestion that this could potentially strip the one affordable source of health insurance from millions of Americans. Part of which is actually used for drug addiction treatments.
A 2014 study showed that Medicaid paid for ¼ of projected public and private spending for drug treatment in 2014. That equates to around 7.9 billion dollars utilized for treating drug addiction.
The new 2018 budget proposal also requests nearly $400 million worth of cuts to the Substance Abuse and Mental Health Services Administration (SAMHSA)
Mental Health Block Grants
The Trump budget requests hundreds of millions of dollars to be taken away from mental health block grants.
Beyond that, the budget calls for billions of dollars to be cut from agencies and programs that work to help address the opioid epidemic and drug addiction. Agencies with proposed cuts include:
- The National Institutes of Health (NIH)
- Centers for Disease Control and Prevention (CDC)
- Food and Drug Administration (FDA)
While these are not drug treatment providers, they are actively involved in creating opportunities and providing research in the mental health and drug treatment communities.
Too Little Too Late
Advocates for drug treatment don’t only put this on Trump. For years the federal government has taken too long to take action to fight the epidemic. Even with the Obama administration it took until 2016 to pass any major legislation. Finally the 21st Century Cures Act added $1 billion to drug treatment for 2 years, but advocates insist that the problem requires much more funding.
This makes sense, considering the overdose outbreak now kills more people than:
- Even HIV/AIDS at the peak of its outbreak
Examining the budget shows that the only significant action in the budget that would affect the epidemic is cuts in funding to important elements in the fight against the epidemic. Sadly, as far as anyone has stated, there is nothing in the budget to balance out the cuts either.
What We Know
The fundamental issue is that America needs to put a lot more resources into drug addiction prevention and drug addiction treatment. The Obama administration took some steps in 2015 and 2016 to add hundreds of millions and then another billion to fund the efforts, but experts still say that was also too little too late.
The fear now is that more needs to be done to empower the agencies that are on the front lines of the fight. More needs to be put into a compassionate response. Instead, Trump’s Attorney General Jeff Sessions is advocating for a “tough on crime” attitude and endorsing the War on Drugs that has already failed the nation time and time again.
So while there is potential, and many believe Trump has an amazing opportunity to do much more than his predecessor did to create resources for battling the opioid epidemic head-on, many see these recent steps as an indication that things might get worse before they get better.
Drug abuse and addiction is a devastating and deadly disease, and providing effective and compassionate treatment makes a lifelong difference. 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. Please call toll-free now.
CALL NOW 1-800-951-6135
Author: Justin Mckibben
A reality that is undeniable in this world is that somewhere on the planet, someone passes away every day. It is completely possible statistically that while you are reading this, someone is taking their last breaths. It is part of the process; the circle of life. Nobody lives forever. Yet, one tragic truth we have today is that so many are dying because of something as insidious as addiction. Right now, somewhere someone is dying from a drug overdose.
In all reality, several people just like you and I will die of a drug overdose, or a related illness or incident, today. As death rates due to opioid overdose death escalate higher than ever before, we find that drugs and alcohol are the most lethal threat facing Americans.
Last year we did an article providing overdose death rates for each state. So with that in mind, we took the time to provide some perspective by giving you the most recent data from the Centers for Disease Control and Prevention, National Center for Health Statistics, as far as an entire year’s worth of statistics for drug and alcohol induced deaths.
What do you think is your states statistic? Where does your state fall on the scale of highest to lowest?
The following information is in regards to 2015, and the population figures for year 2015 are bridged-race estimates of the July 1 resident population, from the Vintage 2015 postcensal series released by NCHS on June 28, 2016.
- Drug deaths- 5,025
- Alcohol deaths- 5,150
- Total- 10,175
- Drug deaths- 3,377
- Alcohol deaths- 2,489
- Total- 5,866
- Drug deaths- 2,732
- Alcohol deaths- 2,073
- Total- 4,805
- Drug deaths- 3,009
- Alcohol deaths- 1,479
- Total- 4,488
- Drug deaths- 3,418
- Alcohol deaths- 1,027
- Total- 4,445
- Drug deaths- 3,376
- Alcohol deaths- 879
- Total- 4,255
- Drug deaths- 2,316
- Alcohol deaths- 985
- Total- 3,301
- Drug deaths- 1,872
- Alcohol deaths- 946
- Total- 2,818
- Drug deaths- 1,351
- Alcohol deaths- 1,277
- Total- 2,628
- Drug deaths- 1,636
- Alcohol deaths- 915
- Total- 2,551
- Drug deaths- 1,851
- Alcohol deaths- 633
- Total- 2,484
- Drug deaths- 1,189
- Alcohol deaths- 1,100
- Total- 2,289
- Drug deaths- 1,546
- Alcohol deaths- 637
- Total- 2,183
- Drug deaths- 1,370
- Alcohol deaths- 726
- Total- 2,096
- Drug deaths- 1,506
- Alcohol deaths- 527
- Total- 2,033
- Drug deaths- 1,310
- Alcohol deaths- 689
- Total- 1,999
- Drug deaths- 1,331
- Alcohol deaths- 466
- Total- 1,798
- Drug deaths- 893
- Alcohol deaths- 857
- Total- 1,750
- Drug deaths- 1,070
- Alcohol deaths- 655
- Total- 1,725
- Drug deaths- 1,320
- Alcohol deaths- 301
- Total- 1,621
- Drug deaths- 1,098
- Alcohol deaths- 512
- Total- 1,610
- Drug deaths- 894
- Alcohol deaths- 638
- Total- 1,532
- Drug deaths- 609
- Alcohol deaths- 896
- Total- 1,505
- Drug deaths- 901
- Alcohol deaths- 388
- Total- 1,289
- Drug deaths- 793
- Alcohol deaths- 495
- Total- 1,288
- Drug deaths- 751
- Alcohol deaths- 530
- Total- 1,281
- Drug deaths- 653
- Alcohol deaths- 599
- Total- 1,252
- Drug deaths- 516
- Alcohol deaths- 656
- Total- 1,172
- Drug deaths- 827
- Alcohol deaths- 341
- Total- 1,168
- Drug deaths- 810
- Alcohol deaths- 316
- Total- 1,126
- Drug deaths- 629
- Alcohol deaths- 433
- Total- 1,062
- Drug deaths- 750
- Alcohol deaths-193
- Total- 943
- Drug deaths- 667
- Alcohol deaths- 266
- Total- 933
- Drug deaths- 332
- Alcohol deaths- 344
- Total- 676
- Drug deaths- 425
- Alcohol deaths- 242
- Total- 667
- Drug deaths- 349
- Alcohol deaths- 278
- Total- 627
- Drug deaths- 433
- Alcohol deaths- 173
- Total- 606
- Drug deaths- 369
- Alcohol deaths- 175
- Total- 544
- Drug deaths- 278
- Alcohol deaths- 194
- Total- 472
- Drug deaths- 318
- Alcohol deaths- 146
- Total- 464
- Drug deaths- 224
- Alcohol deaths- 240
- Total- 464
- Drug deaths- 139
- Alcohol deaths- 199
- Total- 338
- Drug deaths- 152
- Alcohol deaths- 194
- Total- 346
- Drug deaths- 127
- Alcohol deaths- 161
- Total- 288
- Drug deaths- 208
- Alcohol deaths- 80
- Total- 288
- Drug deaths- 175
- Alcohol deaths- 95
- Total- 270
- Drug deaths- 99
- Alcohol deaths- 152
- Total- 251
- Drug deaths- 72
- Alcohol deaths- 152
- Total- 224
District of Columbia
- Drug deaths- 130
- Alcohol deaths- 80
- Total- 210
- Drug deaths- 111
- Alcohol deaths- 96
- Total- 207
- Drug deaths- 65
- Alcohol deaths- 96
- Total- 161
The total drug related deaths in America- 55,403
Total alcohol related deaths in America- 33,171
Then the total combined (Drug/Alcohol) deaths in America- 88,574
Analyzing the Data of Deaths
Again, these are the CDC’s statistics from 2015; the most recent comprehensive data they can provide. The year 2016 saw some of the most damaging spikes of overdose rates in some cities. Some reports show 2016 to have the highest rates of drug addiction in the history of America. So if we look at the numbers for 2015, it is truly heartbreaking that in all likelihood well over the 88,574 people who died in 2015 lost their lives in 2016.
Some states have seen a huge jump in drug related death. My home-state of Ohio saw 3,778 in 2014, putting them at 3rd highest rate of drug/alcohol-related deaths. That grew to 4,445 in 2015; an increase of 667 people. California held onto the 1st spot on the top highest with 9,562 in 2014, which shot up to 10,175 in 2015; an increase of 613 people.
Oklahoma actually saw a decline in drug-related deaths, bringing their total drug/alcohol-related deaths down from 1,348 in 2014 to 1,281 in 2015. But they did see an increase is alcohol-related deaths. Mississippi also saw a slight dip from 548 total to 544.
But while some were more intense shifts than others, besides Oklahoma and Mississippi, drug/alcohol-related deaths increased across the board.
What can we take from this? Well, quite simply, that we need to be aware of the true threat that substance abuse poses to our future. If we can expect based on headlines over the year that 2016 was much worse, we need to ask where we are heading. What is being done to change our direction?
We can also conclude that substance abuse an addiction is not limited to any geographic or demographic. It is a very real epidemic. For more detailed information you can visit the CDC’s site and pull up a variety of statistics.
Addiction to drugs and alcohol is stopping so many people from living out their lives and giving to the world. But true recovery is possible. We have the power to change these statistics. If you or someone you love is struggling, please call toll-free now.
CALL NOW 1-800-951-6135
Author: Shernide Delva
In an effort to curb what many consider to be the worst public health drug crisis in decades, the CDC has issued a series of guidelines and restrictions intended to reduce the abuse of prescription painkillers. On Tuesday, the federal government released these CDC standards, ending months and months of disagreements with pain doctors, and drug industry groups. However, many are still asking the same vital question: will these guidelines even work?
The CDC guidelines will be the first national standard for prescription painkillers. The guidelines are intended to provide a more sensible approach to prescribing highly addictive medicines. In the past, drugs like OxyContin and Vicodin were easily prescribed to patients. Although efforts have been made to reduce the amount of prescriptions prescribed in the medical community, these guidelines will further limit how opioid medications are distributed.
“This is the first time the federal government is communicating clearly to the medical community that the risks outweigh the potential benefits of these drugs,” said Dr. Andrew Kolodny, head of Physicians for Responsible Opioid Prescribing, which supports the guidelines. “It’s one of the most significant interventions by the federal government.”
These guidelines recommend what many addiction experts have long called for which is pushing doctors to recommend other pain management options. The CDC guidelines also limit the amount of prescriptions a doctor can prescribed at one time.While these new guidelines are non-binding, they are likely to have a huge influence in the medical community.
New CDC Painkiller Prescription Guidelines
Just to give a brief overview, here are some of the main specific guidelines that will be implemented in the next coming months.
- Doctors should first try ibuprofen and aspirin to treat pain prior to prescribing more high-risk drugs such as opioid medications.
- Opioid treatment for short-term pain should last only three days, at the longest seven days. This will be a significant change. Currently, doctors prescribe for anywhere from two weeks to a month of opioid medications for short-term pain management.
- Doctors should have patients undergo urine tests prior to getting prescriptions.
- Doctors are to participate in a drug tracking system to ensure patients are not getting medicine from somewhere else. Currently, 49 states have these systems yet only 16 are required to use them.
- These guidelines will not apply to patients receiving cancer treatment or end-of life treatment.
The new guidelines are a dramatic shift from the ideology of the 1990s. Back then, an initiative to fight for pain management resulted in opioid prescription painkillers soaring in popularity in the medical field. Pharmaceutical companies and medical experts pushed to have these drugs readily available because at the time, they were thought to be effective solutions to treat back pain and arthritis without the fear of addiction. Boy, were they wrong back then.
Now, as overdoses continue to mount, and addiction claims more and more lives each year, the country is desperate for an answer. While these guidelines may have good intentions, other professionals argue that more rules can cause more harm than good. Recent tighter restrictions on painkillers have resulted in the drugs soaring in cost on the black market. As a result, a significant number of addicts turn to heroin to satisfy cravings.
For nearly two years, these standards have been bitterly opposed by Big Pharma and pain doctors who feel that these guidelines will only post unfair hurdles for patients who really do suffer from chronic pain. They argue that drug addicts will simply find another way to get their fix, like heroin. Opponents of the new guidelines also believe that these rules are an incursion into the role of doctors.
Dr. Thomas R. Frieden, director of the disease centers, responded,
“It’s become increasingly clear that opioids carry substantial risk but only uncertain benefits — especially compared with other treatments for chronic pain.”
He continues to support the guidelines, stating they are meant to be “a tool for doctors and for patients to chart a safer course,” describing them as a benchmark for medical practice, not an unbending dictate. The idea, he said, is to balance the risks of addiction with the needs of patients.
“For the vast majority of patients with chronic pain,” Frieden said, “the known, serious and far too often fatal risks far outweigh the transient benefits. We lose sight of the fact that the prescription opioids are just as addictive as heroin. Prescribing opioids really is a momentous decision, and I think that has been lost.”
Essentially, Frieden is saying these new guidelines are meant to help with the addiction crisis and certainly are not meant to prevent those with chronic pain from receiving medications they need. Furthermore, it is uncertain the effects opioid medications have on chronic pain in the long run, so we can not assume that restricting these drugs cause any harm to those patients.
Considering how urgent the addiction epidemic is, something has to be done, and at least these new guidelines encourage conversation. Education and prevention is the key. Each year, the data is increasingly more frightening. There clearly is not a one-stop solution to all of this. Do you think these guidelines will be effective? If your or someone you love is struggling with substance abuse or addiction, please call toll-free 1-800-951-6135.