Trump's Approach To The Opioid Epidemic: Neglect Treatment, Ignore The Experts

WASHINGTON – Since taking office, President Donald Trump has systematically removed or limited the power of federal officials and government offices that have the expertise to confront the nation’s opioid epidemic. Trump asked Surgeon General Vivek Murthy to resign in late April. He still has an acting director running the Centers for Disease Control and Prevention. Although he backtracked on his reported plan to essentially gut his Office of National Drug Control Policy, staffers would be wise to polish their resumes.  Trump’s new budget proposal cuts all federal drug prevention programs by roughly 11 percent. The former director of the CDC, Dr. Tom Frieden, vented on Twitter that the 1.2 billion cut to his former agency would thwart efforts at preventing the complications that come with heroin use such as HIV infections. These moves follow Trump’s recent endorsement of the House’s health care bill that would no longer require insurance companies to cover treatment for addiction. If signed into law in its current form, more than a million Americans could potentially lose their access to treatment services. That bill cuts Medicaid by $880 billion. And Trump’s proposed budget goes even further, with another $616 billion cut to Medicaid over 10 years that would effectively cripple the government’s ability to fund and expand care. We face a national opioid crisis. We need to use all the tools we have to help pe...
Source: Healthy Living - The Huffington Post - Category: Consumer Health News Source Type: news

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A police officer who is using opioids illegally is breaking the very laws that he or she has sworn to uphold. This makes it even more difficult to reach out and get help for an addiction that may be spinning out of control. No one ever said being a police officer was easy. The job alternates between crushing boredom, bizarre situations, and unimaginable danger. When you’re a cop, much of the population that you’re paid to protect is afraid of you. You’re always being judged, whether it’s in the media or when you go to the corner store. Your hours are usually pretty awful, which means you don’t...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Addiction Publishers The Fix Drugs Law Enforcement opiods Police Officers Source Type: blogs
CONCLUSIONS: A high level of willingness to wear an overdose detection device was observed in this setting and a range of factors associated with overdose were positively associated with willingness. Since some factors, such as homelessness may be a barrier, further research is needed to investigate explanations for unwillingness and to evaluate real world acceptability of a wearable overdose detection devices as this technology becomes available. PMID: 31269963 [PubMed - in process]
Source: Addiction Science and Clinical Practice - Category: Addiction Authors: Tags: Addict Sci Clin Pract Source Type: research
According to the Centers for Disease Control and Prevention (CDC; 2018), an estimated 68% of the 70,200 drug overdose deaths in the United States (US) in 2017 involved the use of an opioid. In fact, the number of drug overdose deaths that implicated opioids increased six-fold between 1999 and 2017 (CDC, 2018). In the current climate of the opioid addiction epidemic, various stakeholders are calling for tighter opioid access policies, more rigorous prescribing standards, and increasingly tailored patient and community education mechanisms (Christie et al., 2017; National Academies of Sciences [NAS], 2017; National Academy of Medicine, 2017).
Source: Nursing Outlook - Category: Nursing Authors: Source Type: research
While federal funding is helping rural communities address the opioid epidemic, drug addictions can encompass multiple substances. In 11 states, opioids were responsible for less than half of drug overdose deaths, as use of substances like methamphetamine are on the rise.
Source: News stories via the Rural Assistance Center - Category: Rural Health Source Type: news
After years of sharp increases in fatal drug overdoses in the U.S., provisional federal data provide reason for cautious optimism. The drug overdose death rate dropped slightly between 2017 and 2018, according to the new estimates, after two decades of near-constant upticks. Between 1999 and 2017 the age-adjusted overdose mortality rate increased from 6.1 to 21.7 deaths per 100,000 people, according to federal data. According to data released June 11 by the Centers for Disease Control and Prevention’s National Center for Health Statistics (NCHS), that number dropped to an estimated 20.8 deaths per 100,000 for the 12 ...
Source: TIME: Health - Category: Consumer Health News Authors: Tags: Uncategorized data visualization public health Source Type: news
Eight months ago, 35-year old Adam Smith (name changed to protect the patient’s identity) was living in his car in Houston, dealing with the fallout from opioid use disorder (i.e., addiction). Even after years of seeking help, he was struggling to pick up the pieces after spending time in jail, ruining relationships, being let go from jobs and losing homes. Adam is one of more than two million people dealing with opioid use disorder, a devastating brain disease with negative consequences to individuals, as well as their families and communities. Adam was fortunate to have been connected to HEROES, a proactive treatme...
Source: JEMS Administration and Leadership - Category: Emergency Medicine Authors: Tags: Exclusive Articles Administration and Leadership Mobile Integrated Healthcare Source Type: news
Kishore and colleagues in NEJM, including Josiah Rich from a university well known to me, discuss the harm reduction approach to injection drug use (IDU). Basically, this means using evidence to guide practice so as to minimize as much as possible the adverse public health consequences of addiction. In addition to the risk of overdose, which is getting most of the attention nowadays, IDU is a means of transmission of Hepatitis C and HIV, and contaminated needles transmit other common infectious organisms that can result in abscesses, and very serious consequences such as myocarditis.So, assuring that users have access to s...
Source: Stayin' Alive - Category: American Health Source Type: blogs
Publication date: July 2019Source: Preventive Medicine, Volume 124Author(s): Emma E. McGinty, Elizabeth M. Stone, Alene Kennedy-Hendricks, Colleen L. BarryAbstractPublic stigma toward people who use illicit drugs impedes advancement of public health solutions to the opioid epidemic and reduces willingness to seek addiction treatment. Experimental studies show that use of certain terms, such as “addict” and “substance abuser,” exacerbate stigma while alternative terms, such as “person with a substance use disorder,” are less stigmatizing. We examine the frequency with which stigmatizing t...
Source: Preventive Medicine - Category: International Medicine & Public Health Source Type: research
Source: Psychopharmacology - Category: Psychiatry Source Type: research
You're reading Options to Opioids: How to Manage Chronic Pain Without Prescribing Pain-Killers, originally posted on Pick the Brain | Motivation and Self Improvement. If you're enjoying this, please visit our site for more inspirational articles. While there is considerable debate as to how much blame doctors should be assigned for the ongoing opioid crisis, there is little doubt they can do something to curtail it -- that instead of prescribing drugs that have been found to be highly addictive they can resort to alternate forms of pain management. Doctors’ prescription of powerful painkillers like OxyContin is frequ...
Source: PickTheBrain | Motivation and Self Improvement - Category: Consumer Health News Authors: Tags: health and fitness addiction health and wellness opioids self improvement Source Type: blogs
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