Amidst a flurry of cannabis op-eds, Kleiman offers more common sense: David Brooks and Ruth Marcus both have anti-cannabis legalization essays up. Brooks doesn’t mention 650,000 arrests a year, 40,000 people behind bars at any one time, or $35 billion in annual illicit income. Brooks does mention the issue of personal liberty, but immediately bats it away: apparently … Continue reading debate dominated by two bad options
Category: Policy
Sentences to ponder
Mark Kleiman shares typically thoughtful and serious thoughts about legalizing cannabis. Too bad thoughtful and serious is so rare where cannabis policy is concerned. 2. Everything has advantages and disadvantages. Cannabis legalization will reduce criminal revenue, intrusive enforcement, arrest, incarceration, and disorder around illicit markets, and enhance personal liberty, consumer choice, and respect for the … Continue reading Sentences to ponder
“The only thing we heard was . . . that medication is the answer”
I recently posted on the potential harms of overtreating ADHD and its overdiagnosis. Now, the NY Times reports on problems with a study that provided the foundation for the explosion on stimulant treatment for ADHD. Twenty years ago, more than a dozen leaders in child psychiatry received $11 million from the National Institute of Mental Health … Continue reading “The only thing we heard was . . . that medication is the answer”
Why FULL recovery should ALWAYS be our goal
Yesterday, we shared Bill White's views on the dangers of under-treating addiction. Today, we have Viktor Frankl on the importance of high expectations and addressing the need for meaning and purpose in the lives of people we're helping. If we overestimate man...we promote him to what he really can be. ... We have to be … Continue reading Why FULL recovery should ALWAYS be our goal
Personal Failure or System Failure?
Bill White explaining why inadequate treatment may be worse than no treatment: What we know from primary medicine is that ineffective treatments (via placebo effects) or an inadequate dose of a potentially effective treatment (e.g., as in antibiotic treatment of bacterial infections) may temporarily suppress symptoms. Such treatments create the illusion of resumed health, but … Continue reading Personal Failure or System Failure?
The Unintended Consequences Of Medical “Maximalism”
The Health Affairs blog questions the American Heart Association's maximalist approach with the use of statins. The issues sound familiar. The policy implications of these guidelines are staggering. Estimates show that if these recommendations are fully implemented, close to a third of all Americans will be placed on a statin. But these developments beg the … Continue reading The Unintended Consequences Of Medical “Maximalism”
Some things never really change
Salon recently posted a history of cocaine. Has PHARMA changed at all? For serious cocaine consumers, other products were also available in the late nineteenth century. Large drug companies such as Parke-Davis in Detroit also got into the cocaine game. They developed processes for the mass production of easily crystallizable and soluble salts like hydrochloride, which … Continue reading Some things never really change
The Selling of Attention Deficit Disorder
The NY Times on The Selling of Attention Deficit Disorder: After more than 50 years leading the fight to legitimize attention deficit hyperactivity disorder, Keith Conners could be celebrating. Severely hyperactive and impulsive children, once shunned as bad seeds, are now recognized as having a real neurological problem. Doctors and parents have largely accepted drugs … Continue reading The Selling of Attention Deficit Disorder
Buprenorphine Overseas
“The history of the treatment of narcotic withdrawal is a long and dishonorable one. The trail is strewn with cures enthusiastically received and then quietly discarded when they turned out to be relatively ineffective or even worse, productive of greater morbidity and mortality… Any claim for a new method should be put forward modestly and … Continue reading Buprenorphine Overseas
Sentences to ponder
"If alcohol policies were a newly discovered gene, pill or vaccine, we'd be investing billions of dollars to bring them to market," - Dr. Tim Naimi
Recovery Review 