The Opioid Crisis Is Dire. Why We Need a National Conversation About It Separate From Obamacare.
Seth
Leibsohn / @SethLeibsohn / Sean
Noble / @SeanNobleAZDC / June
26, 2017 / Daily Signal
Whatever the merits or demerits of the
recently released Senate version of the GOP health care bill, some
have suggested that it should put more funding into treating opioid
addiction.
Let’s be honest—the opioid crisis in America
is huge, it is severe, and it is devastating. But this
partisan-fought legislation just isn’t the place to put that
funding. And it would likely do little to help stem and reverse the
opioid crisis.
First, it’s not as though funding for opioid
treatment and recovery has been absent from the federal budget. As
recently as last month, Sen.
Susan Collins, R-Maine, was touting signed
legislation that spent more than $1 billion to fund recovery
programs.
This money was authorized separately from the
debate over Obamacare in two pieces of legislation known as the
Comprehensive Addiction and Recovery Act and the 21st Century Cures
Act.
To highlight the importance of the opioid
problem, and provide needed money to combat it, more and separate
attention should be put on it as those two pieces of legislation
began to do—it should not be caught up and tucked into the partisan
debate over the repeal of Obamacare.
Reversing the opioid epidemic should not and
cannot be a partisan political issue, and the debate over Obamacare
is more partisan than almost any legislation in Congress.
Second, as the opioid crisis begins attracting
more and more national attention—late as it may be—we need to
give thorough consideration to how treatment money is being spent and
what kinds of outcomes we should expect and demand from recovery
treatment programs.
As things stand, the dropout rate for those in
recovery programs is well over 50 percent, even after a great deal of
time and money has been invested in the programs.
This is not a new problem. Relapse is high among
those recovering from substance abuse in almost every program.
In part, that is the nature of addiction and
drug abuse and, in part, it is the nature of some programs that work
better than others.
But throwing good money after bad only to see
high rates of relapse and worsening overdose events by those who do
relapse is a waste of money and, in too many cases, life.
Finally, if we plan to get serious about the
opioid crisis, we must devote at least half as much—if not
more—attention to prevention as we do to treatment and recovery.
Treatment and recovery—while important—are
last ditch efforts, after-the-fact solutions, addressing the issues
too late. We need to focus on stopping these problems before they
start, especially knowing how high the rates of relapse are.
We know that prevention programs have worked in
the past, whether they pertain to forest fires or drunk driving or,
for that matter, the massive reduction in drug use we witnessed in
the late 1980s and early 1990s.
Such a prevention program for the opioid crisis
must start with leadership from the White House in leading these
conversations and highlighting the devastation of substance abuse
initiation.
It requires detailing what is driving the opioid
epidemic—namely, illegal fentanyl, heroin, and other illegal drug
use and diversion. It requires more law enforcement—from border and
customs policies and cracking down on cartels to international
initiatives. And it requires messaging to our youth.
Yes, we need better physician training and pain
management protocols. That has begun to take place—mostly out of
the light of public view, which is fine and necessary.
But the national conversations and public
messaging we’ve seen work so well in the past on a range of
issues—especially on drug initiation and abuse—have been too
muted.
If we want to get serious about the opioid
crisis—and we must—partisan politics in repeal and replace
debates are not the place to do so.
This crisis deserves its own conversation and,
indeed, a new mindset that has, to date, been sorely absent.
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My comments: We are witnessing a Nation that has Abandoned God and His Word, and when this happens Satan has a clear path to wreak Destruction on that Nation. A Nation that has Abandoned God and His Word finds that their Problems Multiply.
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