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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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DiscussionMallinkcrodt made settlements of four legal cases since 2010, involving kickbacks to physicians, various deceptions, and anti-competitive behavior.  The settlements never involved severe enough penalties to the company to really affect its bottom line, never required admission of responsibility, or any accountability by top executives whose huge remuneration were doubtlessly based on the revenues brought in by bad behavior.  Yet US Attorney General continued the Kabuki performance by proclaiming he would " hold them accountable. "  Sessions just slapped the company on the wrist again, wit...
Source: Health Care Renewal - Category: Health Management Tags: Acthar antitrust deception executive compensation impunity kickbacks legal settlements Mallinckrodt Questcor restraint of competition Source Type: blogs
This study examines the effect of two state laws specifically designed to curtail access to prescription opioids to nonmedical users: pain management clinic and doctor shopping laws. We use administrative data on overdose deaths and admissions to specialty substance use disorder treatment coupled with a differences‐in‐differences design. Our findings suggest that both pain management clinic and doctor shopping laws have the potential to reduce prescription opioid overdose deaths. Moreover, doctor shopping laws appear to reduce prescription opioid treatment admissions. As many states have adopted these laws in recent ye...
Source: Health Economics - Category: Health Management Authors: Tags: RESEARCH ARTICLE Source Type: research
Years of sustained and coordinated efforts will be required to contain and reverse the harmful societal effects of the prescription and illicit opioid epidemics, which are intertwined and getting worse, says a new National Academies report that was requested by the U.S. Food and Drug Administration. The report says it is possible to stem the still-escalating prevalence of opioid use disorder and other opioid-related harms without foreclosing access to opioids for patients suffering from pain. Some of the report's recommended actions include promoting more judicious prescribing of opioids, expanding access to treatment for ...
Source: News from the National Academies - Category: Science Source Type: news
Nature Medicine 23, 790 (2017). doi:10.1038/nm.4374 Deaths from drug overdose are rising worldwide, in part owing to the growing epidemic of opioid addiction. Efforts to combat opioid addiction will benefit from stronger collaboration between preclinical researchers who are studying addiction and those studying chronic pain.
Source: Nature Medicine - Category: General Medicine Tags: Editorial Source Type: research
As wepreviously discussed, the fierce debate about whether to revise, or " repeal and replace Obamacare " , more formally, the Affordable Care Act, continues in the US.  The legislators in the US House of Representatives, and then the US Senate who have written " repeal and replace " bills have done so without any obvious input from health care professionals, health care policy experts, or patients, much less legislators from the opposition party, and so far have impeded any consideration of these bills by legislative committees.  Nonetheless, many of the politicians involved in the debates, a...
Source: Health Care Renewal - Category: Health Management Tags: health care reform ill-informed management logical fallacies Source Type: blogs
An estimated 16% of people in the United States have a diagnosed mental illness, yet this population receives over half of all prescribed opioids, reports a study scheduled to appear in theJuly issue of theJournal of the American Board of Family Medicine.“There exists a complex interaction of factors related to the patient, provider, and medical and social conditions that ultimately results in the decision to prescribe an opioid,” wrote study authors Matthew Davis, Ph.D., M.P.H., of the University of Michigan and colleagues.“Our findings … suggest that there may be additional patient- and provider-...
Source: Psychiatr News - Category: Psychiatry Tags: John Renner Journal of the American Board of Family Medicine Matthew Davis Medical Expenditure Panel Survey opioids Source Type: research
Under a plan by a city council member in Ohio, people who dial 911 seeking help for someone who's overdosing on opioids may start hearing something new from dispatchers: “No.” In response to the opioid epidemic that swept the nation — including the small city of Middletown, population 50,000 — council member Dan Picard has floated an idea that has been […]Related:President Trump wants you to know he actually does care about HIV/AIDSA mother’s response to the health-care debate: Her 3-year-old son’s $231,000 hospital billJohn Oliver blasts Trump as a &...
Source: Washington Post: To Your Health - Category: Consumer Health News Source Type: news
Under a plan by an city council member in Ohio, people who dial 911 seeking help for someone who's overdosing on opioids may start hearing something new from dispatchers: “No.” In response to the opioid epidemic that swept the nation — including the small city of Middletown, population 50,000 — Council member Dan Picard has floated an idea that has been […]Related:President Trump wants you to know he actually does care about HIV/AIDSA mother’s response to the health-care debate: Her 3-year-old son’s $231,000 hospital billJohn Oliver blasts Trump as a ...
Source: Washington Post: To Your Health - Category: Consumer Health News Source Type: news
Under a plan by a city council member in Ohio, people who dial 911 seeking help for someone who's overdosing on opioids may start hearing something new from dispatchers: “No.” In response to the opioid epidemic that swept the nation — including the small city of Middletown, population 50,000 — council member Dan Picard has floated an idea that has been […]Related:President Trump wants you to know he actually does care about HIV/AIDSA mother’s response to the health-care debate: Her 3-year-old son’s $231,000 hospital billJohn Oliver blasts Trump as a &...
Source: Washington Post: To Your Health - Category: Consumer Health News Source Type: news
Grant Opportunity from HHS Health Resources and Services Administration (HRSA) This announcement solicits applications for the Rural Health Opioid Program (RHOP). The purpose of RHOP is to promote rural health care services outreach by expanding the delivery of opioid related health care services to rural communities. The program will reduce the morbidity and mortality related to opioid overdoses in rural communities through the development of broad community consortiums to prepare individuals with opioid-use disorder (OUD) to start treatment, implement care coordination practices to organize patient care activities,[1] an...
Source: BHIC - Category: Databases & Libraries Authors: Tags: Opioid Abuse and Addiction Public Health Rural Scholarships and Grants Source Type: blogs
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