This blog is intended to serve as interactive forum to spark a much needed dialogue among those of us in the field as well as ordinary American citizens.

Read my blog and share your thoughts and opinions, agreements and disagreements, and your ideas by posting your comments below.

Medical Marijuana in the New York State Legislature–Sheep’s Clothing for the Wolf of Legalization

June 21st, 2010

Joseph A. Califano, Jr.

Let’s hear it for New York City Mayor Michael Bloomberg for calling the “medical marijuana” bill before the state legislature a quintessential example of political hypocrisy.  Bloomberg is one of those extraordinary politicians that call actions as he sees them.  And he sees this one clearly.

The United States has the best system in the world for assessing the safety and efficacy of medicines in the Food and Drug Administration and I, like Mayor Bloomberg and New York City’s top narcotics prosecutor Bridget Brennan, support government study of the use of marijuana (and its active ingredient THC) for medicinal purposes.  But like them, I do not support the con game going in the dysfunctional New York State legislature.

The bill Albany is considering is legalization in drag–a loosely drafted piece of legislation that, as special narcotics prosecutor Brennan points out, would allow an unlimited number of shops to sell “medical” marijuana and does not even require a physician in good standing to meet with patients before “prescribing” pot.  Indeed a small army of non-physicians can dispense this state’s “medical” marijuana, including podiatrists, veterinarians and nurses.  The law does not even require any checks for contaminants that could harm patients with weak immune systems like HIV victims and those undergoing chemotherapy.

The two Albany legislators pushing this bill, Senator Thomas Duane, (D-Manhattan, 29th District) and Assemblyman Richard Gottfried, (D-Manhattan, 75th District) are chairs of the Health committees in the state senate and house.  They are also stealth drug pushers who, like street drug pushers who deal their stuff in dark alleys, are trying to bury their marijuana bill in the state’s budget legislation.  That way members can hide their vote on it and do not have to take any heat from their constituents for the marijuana shops that open up in their districts.  Senator Duane and Assemblyman Gottfried won’t propose their marijuana bill as a separate piece of legislation because they don‘t have the votes to pass it.  Their colleagues in the Albany legislature should demand that this three-card Monte attempt to force them to vote to legalize marijuana should be rejected.

Legislative drug pushers Duane and Gottfried are trying to escape responsibility and blame for themselves and their colleagues for the scores of marijuana shops that will open up in neighborhoods across the city and the state.  This is exactly what occurred in Los Angeles where the city council faced an onslaught of angry citizens whose neighborhoods were overrun with pot heads and just recently closed 437 of the thousand or more marijuana shops that opened up after passage of California’s medical marijuana law.  The LA city council acted in an effort to “achieve some order out of what has essentially been a very chaotic situation” where marijuana dispensaries were popping up all over the city, some near schools and churches, and were serving recreational marijuana users.

And the New York law is far looser than California’s.  As Brennan notes, the New York bill is “far too loosely drawn, and offers no safeguards to protect the health of those who use it, and the safety of the communities where marijuana dispensaries would be located.”

Politically prescribing medicine, rather than scientifically prescribing it through the Food and Drug Administration, is a dangerous and cynical game.  Searching for the therapeutic potential of any substance is appropriate, but approving “medicine” by political referendum is a slippery slope that plays fast and loose with the desperate cries of help from the sick. 

When I was Secretary of Health, Education, and Welfare in the late 1970s, more than half the states responded to frantic pleas from cancer victims by passing bills to legalize the use of laetrile, a concoction of crushed apricot pits and cyanide, which was touted as a cancer cure. At least 50,000 cancer patients took it before our scientific analysis exposed it as completely worthless.

The plight of individuals in chronic pain and with serious diseases like cancer and multiple sclerosis should not be used by politicians to make “medical” marijuana widely available to anyone with a cough or a cut and to recreational users.

So I say, hurrah for Bloomberg and Brennan.  I hope Bill O’Reilly gives them his Patriots award and slaps the two Albany legislator drug pushers with his Pinhead award.

If we do not nip this problem in the bud now it will continue to grow like a weed–making me wonder, what the next drug we’ll approve by political referendum will be?

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Comments:

  1. Harry Lynch writes:

    Bravo, Mr. Califano, thank you for telling the truth on this issue. Medical marijuana is a Trojan horse. Liberalization of penalties for pot possession is an unreported disaster in Massachusetts, as high school student use seems to have grown dramatically since a decriminalization bill passed the legislature. This is a topic of regular conversation among high school teachers and administrators, however no one is measuring the health impact of this new law on the young.

    If marijuana is to be legalized, it should be subject to regulation similar to that applied to alcoholic beverages by the municipalities, states, and federal government. And taxed, like cigarettes, at a level commensurate with its probable health consequences to our society.

    In the name of empathy for those who suffer from debilitating illness, some people are pushing a long-deferred agenda, which holds nothing less that total legalization as its ultimate goal. We had better think very comprehensively as a society about the hidden costs of giving medical marijuana proponents what they are demanding, because this is not all they want.

    Harry Lynch
    Boston, MA

  2. John Pierce writes:

    Are you opposed to marijuana legalization, or the manner in which New York is attempting to achieve it?
    I don’t believe your laetrile analogy is applicable here, as we already know the use of marijuana is not useless.

  3. Sharon Fratepietro writes:

    The bottom line is that decades of harsh penalties have not and never will stop drug use and sales, particularly of marijuana, anymore than alcohol prohibition stopped alcohol. There is no perfect solution to this issue, but prohibition and criminalization make matters worse.

  4. Janice Hand writes:

    Your harsh words make me believe that you are against the legalization of marijuana for medicinal purposes. I hope that you are mischaracterizing your feelings on this.

    My husband, Lenny, recently passed away. During his bout with cancer, the only thing that staved off his nausea, assisted him in having an appetite, and made it possible for him to eat was marijuana that he smoked. We talked to his cancer physician about Marisol, but he was clear in saying that smoking marijuana produced a better result than Marisol, if one had access to marijuana. Lenny started out weighing 315 lbs. When he died, he weighed under 200 lbs. If he hadn’t smoked marijuana, he would have lost much more weight. He didn’t die of cancer, he died of unconsciounable medical ineptness - literally dying of sepsis and acute appendicitis after 4 days of “care” in a Florida hospital. I’m sure he lost more weight there because they virtually starved him — not giving he food he could eat and not feeding him via his vein. He could have benefited from marijuana on those last days to help him with the pain they never treated and the food he couldn’t ever tolerate.

    Please don’t be against medical marijuana — instead of launching a tirade against the bill, launch a “fix” for the bill so that it is possible for those who need medical marijuana to have access to it.

  5. Trish Preston writes:

    I agree this is a loosely written bill. However: trashing the concept and fearing our state being overrun by “pot stores” is ludicrous. No one wants a state full of potheads, but instead of scrapping the whole idea, why can’t we write a bill that limits the number of sites in a geographic region without impinging on our rights to free enterprise? Please, let us not forsake those members of our society who find themselves losing the quality of life they once knew.
    Have some compassion if you can’t muster up some empathy. I think it fair to say that those who’s symptomes can’t be treated or controlled with traditional medicine never asked for their particular ailments and would much rather have had success with more conventional forms of treatment. For many, medical marijuana has the potential to return some degree or improve the quality of life they once knew. Let’s not turn our backs on those who were and are productive members of our society. Why can’t we protect their rights by writing a credible, responsbile bill that can not be rejected in Albany and put this issue on the back burner? Why? Because they obviously have no idea what it is to be chronically ill or in pain and have run out of options.

  6. Joan Richard writes:

    I agree that medical marijuana should not be legalized without all the appropriate safeguards taken. However, to date both in the USA and here, in Canada, our punitive laws toward drug users have done absolutely nothing to impede the use of all drugs, including marijuana. For medical use, it seems to me that doctors should properly assess the patient and his/her need for that particular drug and then prescribe it, if necessary, through the proper channel. Why, if it is an appropriate drug, is it not dispensed in pharmacies, like all other medications? Clearly, the use of medical marijuana is most desired by those who already use it for recreation and there is a significant blurring of its efficacy for pain and other symptoms. If nothing else, this proposed legislation should encourage intelligent discussion of the “drug problem” which, to date, is growing worse with the current regime.

  7. Barry McMillen, MA writes:

    It is amazing to me that you center on non-medical oversight when the most dangerous drug that kills over 400,000 individuals in the US alone is the local gas station and the drug is Tobacco!

    It would seem that your diatribe against a relatively harmless drug that provides relief from a terrible treatment for cancer exemplifies the problems the AMA is facing with a dwindling membership.

    A further note on the Medical solution to Tobacco Addiction, the AMA promotes Nicotine Replacement, and addictive drug openly advertised on TV with new flavors that are attractive to American youth. Where does the nicotine come from for you Medication? tobacco is the only source for nicotine.

    You seem to promote a double standard, Sir, and therefore sacrifice credibility.

    Respectfully submitted,

    Barry McMillen, MA, LADC, MAC, CTAS

  8. Mary Lynn Mathre writes:

    Your stand against medical cannabis is outdated and unfounded. Cannabis is an ancient medicine and was a widely used medicine in the US until “reefer madness” propaganda got the Marihuana Tax Act of 1937 passed and essentially got it removed from the U.S. Pharmacopoeia. New discoveries of the human endogenous cannabinboid system (ECS) help explain why cannabis is safe and effective for a wide array of indications. In fact, in the past and today cannabis has been helpful in getting persons off more dangerous drugs such as opioids, alcohol, tobacco, and cocaine. I urge you to open your mind to the fact that we have been denied a valuable medicine for more than 70 years - and this prohibition was based on lies, racism, and greed. Please go to http://www.medicalcannabis.com and learn about the research. How do you argue against an herbal medicine that has been used for centuries with therapeutic results and is safer than most medications available today, when patients are allowed the option of using very toxic chemotherapy to fight cancer? Shouldn’t patients have a choice and doesn’t it make sense to allow them this safe one?
    I agree with others that the NY bill can be improved - the legislators could look at the RI or NM laws, which are working well and continually being refined. I believe patients should be able to grow their own, but most patients are not necessarily good gardeners. Many patients will need a supply, and I agree with you that the dispensaries should be required to test their cannabis for contamination as well as content.
    Unfortunately the press picks up on all of the problems in CA, but dismisses what is working. There are many dispensaries serving the local patients that are very well respected in the community. In fact, local testing in Oakland found that indeed much of the cannabis available was high in THC (the primary psychoactive cannabinoid), but very low in CBD (a non-psychoactive cannabinoid, but with many therapeutic benefits). So this dispensary is working on developing strains higher in CBD (which by the way, helps to mitigate the “high” from the THC).
    You state a concern that allowing patients this medicine will put us on a slippery slope towards legalization. That is a separate issue, but it should be addressed. We need to stop treating cannabis as though it were a dangerous drug when you don’t have the carnage you see with other drugs such as alcohol and tobacco. The science says it is a remarkably safe drug. It is a travesty that because of the current prohibition we are willing to lock up individuals simply for growing or using this plant. Whatever happened to our freedom to life, liberty and the pursuit of happiness? Our government should only be concerned if we do harm to others in our pursuit of happiness. For those few who choose to use cannabis and develop an addiction problem, they should be able to get treatment. However, for the patients and yes, even for Joe and Jane Citizen, the social users, the decision to use cannabis should be their own decision - the world will not fall apart. Again, most of your concerns/fears are based on the unjust and unfounded reefer madness lies. It’s time to learn about the science behind this wonderful plant.

  9. Jim Miller writes:

    Mr. Califano apparently does not know how laws are enacted in New York, or anywhere else for that matter. If medical marijuana law was enacted, marijuana does not automatically become legal. That would be a seperate law that would have to go through the standard legislataive process as any other law. It’s kind of curious how he never specifically says how one would lead to the other, probably because he can’t.

    A Trojan horse would be where someone gets you to go along with one thing, and then you have something else come along with it that you can’t stop because you you let the first one happen. Kind of like when someone gets people to go along with fighting against medical marijuana, then when you do help squash a medical marijuana law you find out that all you actually did was to help sentence some very ill people to a lifetime of misery and send some others to an early grave.

    The real telltale is that he will not debate anyone about his statements. He would rather hit and run, relying on scare tactics that would be easily refuted in a public discourse. Example: Ethan Nadleman, the head of the Drug Policy Alliance would most certainly travel to wherever Califano hides out and discuss this with him…on record. What do you think? Is Califano up to it? If you support his statements you should love to see that discussion take place. Come on now. Everybody! Lets ask him to have that discussion! No? I didn’t think so. I guess the next step is to look up the definition of coward. Probably something like “someone who has public opinions but refuses to discuss them on record with any knowledgeable source that has an opposite opinion..

  10. Ken Wolski, RN, MPA writes:

    The Chairman would support medical marijuana if only it obtained Food and Drug Administration (FDA) approval. This sounds good, but it is really an impossible and unnecessary precondition, no closer to being obtained now than it was in the 1960’s.

    It takes hundreds of millions of dollars to get a drug through the current FDA approval process. Pharmaceutical companies spend this kind of money with the expectation that they will be able to patent new drugs and charge exorbitant prices for them. But no one can patent all the different strains of marijuana—it grows wild, and is cultivated, in all 50 states. No company can expect to recoup its expenses after conducting the type of trials of marijuana that the FDA currently considers standard for newly developed drugs. Nor should this be necessary. Marijuana is not a newly developed drug. Marijuana has been used medicinally for thousands of years and was included in the U.S. Pharmacopoeia until the 1940’s.

    Even if some non-profit medical center or university was inclined to spend the millions of dollars to obtain FDA approval, the Drug Enforcement Agency (DEA) has been obstructing, and continues to obstruct, scientific research in this area. For the past nine years the University of Massachusetts at Amherst has been suing the DEA to allow it to grow its own marijuana to conduct clinical trials. The DEA refuses to allow anyone but itself to legally grow marijuana even for research or compassionate use programs. With very few exceptions, independent clinical trials of marijuana’s medical benefits simply cannot get done here in America.

    Look at New Jersey. In 1981, the New Jersey legislature unanimously passed into law the “Dangerous Substances Therapeutic Research Act.” This law was designed to protect New Jersey patients who were engaged in clinical trials of marijuana. In 29 years not a single New Jersey resident has been able to take part in a clinical trial of medical marijuana. In fact, no clinical trial of medical marijuana has ever taken place in New Jersey. The National Academy of Sciences’ 1999 Institute of Medicine report, which recommended immediate access to clinical trials of marijuana, called the DEA’s death grip on marijuana “a daunting thicket of regulations to be negotiated at the federal level.”

    There is only one federal study of medical marijuana currently being done—one, in the entire country–and it has been closed to new applicants since 1992. There are only a few patients still involved in this Investigational New Drug (IND) study. Every month, the federal government sends these patients 300 marijuana cigarettes that they smoke at the rate of ten per day. They have been doing so for over 20 years. In all that time the federal government has never once asked these patients how they are doing. It fell to a private organization, Patients Out of Time, to gather these patients together and study them. Patients Out of Time found that none of the IND patients suffered any adverse effects from marijuana, their conditions were all under control, and marijuana was the only therapeutic agent they were using. The federal government simply does not want to know how effective marijuana is—reality would clash too greatly with its preconceived notions that marijuana has no recognized medical uses and is unsafe for use even under medical supervision.

  11. Howard Josepher writes:

    We are all entitled to our opinions on sensitive issues like medical marijuana but I don’t think it’s right to disparage and ascribe venal motivation to Assemblyman Gottfried and Senator Duane. Both gentleman have witnessed a good deal of pain and suffering within their constituencies and this bill is an attempt to address some of that pain. They may be wrong, as may be their opponents, but their motivation is undoubtedly sincere and altruistic .

  12. Jerry Epstein writes:

    Your arguments in opposition to medical use of marijuana are simply at variance with the scientific evidence and expert consensus.

    From myriad examples;

    The American College of Physicians (124,000 members)
    Position paper, 2008, at http://drugsense.org/url/RTJp0V7l

    “A clear discord exists between the scientific community and federal legal and regulatory agencies over the medicinal value of marijuana … ”

    “ACP urges review of marijuana’s status as a Schedule I controlled substance and its reclassification into a more appropriate schedule … ”
    ———————————————————-
    Dr. George Lundberg, editor-in-chief of JAMA from 1982 to 1999, Medscape editorial August 2005 at http://dpft.org/marijuana.htm)

    “For many decades, marijuana has been the American poster child for how not to deal with a troubling psychoactive substance.”

    “Although far from harmless by toxicological or pathologic criteria, marijuana is much less dangerous than many other substances in less restrictive schedules, like morphine and cocaine, not to mention the unscheduled legal mass killers tobacco and alcohol.”

    “Of course, marijuana does have proven medical usefulness for some conditions,” ( citing the New England Journal of Medicine)

    “In fact, enforcement of unrealistic laws regarding marijuana has probably caused more harm than marijuana itself.

    “People obey laws they believe to be just; they do not obey the marijuana laws because they know they are unjust, even absurd.”
    ————————————————-
    Legalization is a red herring. While I favor regulation - which transfers control from cartels to us - it is a separate issue. Your argument was rejected by the Institute of Medicine in 1999. (http://www.nap.edu/openbook.php?record_id=6376) It was further noted by IOM that such speculation is not a proper ethical consideration for medical decisions. Now the data shows that the first 11 states to legalize medical use did not see a consequent increase in general use just as IOM predicted it would not; all that has happened is that less than two percent of their populations now get marijuana from a legal source rather than funding the cartels.

    Please reconsider.

  13. Ken Wolski, RN, MPA writes:

    It was a political decision to ban marijuana in 1937, not a medical or scientific one. Previous scientific studies like the Indian Hemp Drugs Commission Report were ignored. More recently, the Schafer Commission studied the issue for two years. In 1972, they reported that marijuana should be decriminalized for adult use in the U.S. They also said, “Marijuana has important therapeutic qualities which should be aggressively explored.” Nothing came of this report.

    Also in 1972, some groups petitioned the federal government to reschedule marijuana to make it available for doctors to prescribe. The government refused to hold hearings for 14 years. Finally in 1986, after three court orders, hearings were conducted which lasted two years. The DEA testified why marijuana should remain unavailable. Doctors, nurses, patients and researchers testified that marijuana should be available. The decision was given by the US Department of Justice, DEA Administrative Law Judge Francis L. Young on September 6, 1988. He said:
    “The evidence in this record clearly shows that marijuana has been accepted as capable of relieving the distress of great numbers of very ill people, and during so with safety under medical supervision. It would be unreasoning, arbitrary and capricious for DEA to continue to stand between these sufferers and this substance in light of the evidence in this record…Marijuana, in its natural form, is one of the safest therapeutically active substances known to man.”

    Marijuana should have been approved nationwide for medical use then and there. Unfortunately, the Administrator of the DEA overturned the judge’s decision, acting in an arbitrary, capricious and unreasoning manner.

    The whole point of any “compassionate use program” is to allow innovative therapies for seriously ill patients prior to FDA approval. This is why states pass laws like the one New York is currently considering. Patients have a right to the best possible care available. Comparing laetrile to marijuana is absurd. Laetrile is ineffective as a cancer fighting agent and it has side effects that resemble cyanide poisoning; marijuana is effective for a wide range of symptoms and conditions and its side effects are mild and transient.

    It takes a real leap from saying, “Marijuana therapy is not for me,” to saying, “Marijuana therapy is not for anyone in New York State.” It speaks of a monumental ego that is dreadfully mistaken. An ego that is so fearful of the possible evolution of social policy, that it would permit countless dreadfully ill patients to suffer needlessly just to ensure the status quo. Moreover, there is a clear scientific basis for the safety and efficacy of marijuana for some clinical conditions. There is an entirely new scientific field emerging with the recent discovery of the Endocannabinoid System. This system details the cannabinoid receptors that exist in every organ of the human body, and explain why marijuana is effective for such a wide range of conditions. Learn it, and be avant-garde, or ignore it and be derriere.

  14. Chiropractor Myrtle Beach writes:

    I have read a few other blogs related to this subject in the past few days in doing a research report for school. I have to say that what you’re saying here makes perfect sense and is helping me to get my head around this subject. Do you have any other places you could recommend to help my research?

    Thanks,

    Chiropractor

    Chiropractor Myrtle Beach

  15. Pigbitin Mad writes:

    It is not only marijuana that should be legal, but all drugs (yes, all of them). Granted, you don’t have to make heroin widely available to everyone, but at least let the addicts get hold of it without knocking off a gas station.

    Seriously, why do people think this is worse than legalizing alchohol? People are desperate for jobs and this is one product that could reboot the entire economy. I just don’t see any reason why people are so upset about recreational drug use as long as it is not done on the job. We live in such a miserable time. Really, the worst ever. Just legalize it already.

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What if Drug Addiction were as Important to the President as Oil Addiction?

June 7th, 2010

Joseph A. Califano, Jr.

Can you imagine how many children and families–and how many tax dollars–would be saved if the President, the governors and the media paid as much attention to our addiction to drugs as they are giving to our addiction to oil! 

Like most Americans, I’m appalled at the oil spill in the Gulf of Mexico that is bringing such suffering to thousands of individuals and families in Louisiana, Mississippi, Alabama and Florida and the ripple effect that threatens the environment and businesses and employees across the nation.

But at the same time, I can’t help thinking of what it would mean to our nation if the President went after the consequences of our drug addiction the way he is going after BP and the oil spill.  The President is “furious” at the entire situation.  He’s got a bevy of cabinet members and White House czars hustling and bustling to help curb this oil spill and to get on cable television to tell us that the federal government’s in charge.  The President and his aides repeatedly remind us that our addiction to oil adds a self-inflicted element to this tragedy.

In pressing for his energy bill, President Obama has noted that we Americans are five percent of the world’s population, but we consume 25 percent of the world’s oil.

What about this one, Mr. President: We Americans are five percent of the world’s population and we consume 66 percent of the world’s illegal drugs. This other American addiction ruins millions of individuals and families each year.
  These drugs pour across our borders–they come across many of the same beaches now polluted by BP’s oil–and our government is just as inept at keeping them out of our country.

In a sense both “invasions” are self-inflicted: one by our addiction to oil, the other by our addiction to drugs.  In the oil situation, in order to keep the fuel flowing, the government has not required BP to take precautionary steps before giving the company the go ahead to drill a mile below the Gulf waters.  In the drug situation, the government has not taken the preventive and public health steps to curb our addictive appetites.

Think of how many millions of lives and families would be saved if President Obama got “furious” about the drug situation in America–if he got his cabinet officers and White House czars to give the problem top priority; if he told his top appointees to give the same attention to reducing our demand for drugs and keeping them out of our country as they give to keeping small nuclear devices and biologic weapons off our shores; if he sat down with families who had lost children to drug overdoses to understand and bring national attention to their pain; if he told Attorney General Holder to go after drug cartels and drug lords the way Bobby Kennedy set up a task force to go after the mafia and mobsters.

Drugs kill thousands of our men, women and children every year and addict millions of our citizens.  The collateral damage–to families, friends, colleagues, and victims of violent and property crime–is enormous.  The financial cost in taxes and private expenditures–in health care, criminal justice, social services, abused and abandoned children, vandalism, lost productivity–is nudging a trillion dollars a year, an amount that by comparison makes the financial cost of the BP oil spill look like chump change.

But for some reason, these frightful human and economic costs aren’t sufficient to get our President “furious” enough to marshal his government and its resources in an all fronts (research, public health education and prevention, medical treatment, effective interdiction) attack on the drug addiction scourge.

Maybe the first step is to rouse the millions of individuals and families who have been devastated and scarred by this addiction to demand action here and now to prevent and treat this disease.

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Comments:

  1. Dave C. writes:

    Both certainly are huge problems that affect the nation and the world. Your point is well taken but not fairly planted at Obama’s feet. Why haven’t all the preceding Presidents and both political parties taken drug addictions as seriously as you say they should? It’s the same reason they all do what they do because our economic, politcal and social stucture survives by doing just enough to look like we are doing something positive about it but not enough to change the status quo and prevent all the power players from making a killing at the bank. Remember we are a capitalistic and materialtistic society and somebody will make money!

  2. Loren Buddress writes:

    I totally agree with you! For the 9 years I was Chief Probation Officer in San Mateo County (just south of San Francisco) 75% of all the juveniles and adults on probation had substance abuse problems.

    Of all the Americans in jail and prison in the U.S. a very high percentage (approximately 65%-75%) of them also have addiction problems.

  3. Robert Curry writes:

    Dear Joe,

    No disagreement with any of your posting. I come out of an addiction impacted family of origin and I work in the field of addiction recovery. What I would like to see and participate in is a well thought out strategy and tactical plan to raise public awareness, to light a fire forcing action on a national scale.

    You have been working personally and through CASA to do that since 1992. You must be as frustrated as the rest of us.

    How do we do that? What’s the next step? Is it millions of recovering addicts and their families marching on Washington?

    Robert

  4. Jennifer writes:

    I recently lost my only 22 year old son to a heroin overdose. My heart is broken and my world collapsed. He was a fine and sensitive young man who wrote poetry.

    I am in agreement to march on Washington, anything I can do, just let me know. We are totally mishandling or not handling the addiction problem in this country.

  5. Catherine writes:

    As a parent of a crystal meth addict, who thankfully is in recovery, I completely agree with all that you are saying. I attend a parent Al Anon meeting each week, and listen to story and after story about the devastation to families’ lives that drug and alcohol addiction has caused. It feels very frustrating that this is such an overwhelming problem, and yes, if the government, no matter who is in office, doesn’t make the drug problem a priority, it will only continue to grow, devastate more families and cost taxpayers more money.

  6. Barry McMillen, MA writes:

    This article is, unfortunately, not a revelation, and in fact somewhat understated if one admits that the drug tobacco kills one half a million in the USA and the President puts two tobacco executives on the FDA tobacco control panel.
    The much touted “War on Drugs” is following the same path as every other war we have participated in since World War !!, we loose!
    One might suggest the, may I say obvious, starting point by assessing what in our society is lacking that so many seek escape and or surcease through substances. I might also point out that instead of seeking answers to the problem, we just lock people up, stock pile them and brand them as, “Less than”.
    Part of the problem is money, that is another discussion, the other part is poverty and education. as A simple solution, beginning simple solution rather, parental education on how to raise a mentally healthy child? What about drug dependent adults having children, good idea and if not, how to stop it?
    A little food for thought,
    Regards,
    Barry

  7. Thomas J. Gleaton Ed.D writes:

    Dear Jo
    I have been one of your fans for many years. I am the ex-President/Co-Founder of the (Parent Resource Institute for Drug Education) PRIDE. I continue to work with schools through out the nation to assess drug use, bullying, violence and other behaviors.
    I believe we must do with drug use, especially marijuana, what you were so influencial in doing with cigarettes — “you have made smokers feel like outcast” they now have to go outside or into their special places to smoke.
    I believe drug courts which giver the drug user choices: stop, get treatment or go to jail is an outstanding program. The only problem is they are usually working only with the addicts — not the beginners which makes their efforts treatment rather than prevention.
    May you continue in good health for some wonderful years of retirement — we all owe you much.

  8. Barry McMillen, MA writes:

    An addendum please. To blame the drug problem or the lack of a solution to the drug problem at the feet of the President is pure sophistry, clean and simple. let’s keep politics on a separate page and call it like it is, please.
    Sincerely,
    Barry McMillen

  9. Karin Wood writes:

    I live in Fall River, MA and our community has labels: highest unemployment in the state, underperforming public schools, high dropout, grade retention in the middle and high school and more than 40% of the population having no high school credentials. However, we have widespread support among the community and police around prevention policies and campaigns. A group of us are working on early parental education and literacy and we have a valuable infrastructure of services, a public library and supportive community groups despite little money. What is puzzling is why our local politicians think an unemployment solution is placing a resort style gambling casino and strip club within our city borders along the state’s first bioreserve?!? The concentration of additions (smoking, drinking, gambling) into 300 acres for low-paying jobs seems to lack any logical thought. The original site was meant for a biotech park with a local university building a laboratory.
    Send HELP IMMEDIATELY!

  10. Lloyd Goodwin, Ph.D. writes:

    Nice analogy. It would be nice if our political leaders would take on the drug addiction problem with the same zeal as the oil addiction problem. I believe part of the problem lies in how to address the drug addiction problem. The moral control patrol, many of whom are legislators and religion leaders, simply want to pass laws against using psychoactive substances for anything other than health care purposes. With there zeal to prevent anybody from using psychoactive substances for recreational or pleasurable purposes, as well as health care purposes, they do not have the support from large segments of the population. Also, the government’s support of the pleasure & personal choice prohibition mentality has been the 70/30 ratio of law enforcement/interdiction vs prevention & treatment. And we’ve seen how well this prohibition/law enforcement/ criminalizing approach works since the implementation of the Harrison Act in 1914 in this country!
    Until we allow people to self-medicate and self-recreate and support a 100% government & private priority for drug prevention and treatment , which includes funding support, we will continue this murky substance abuse mess that well exceeds any oil spill mess.

  11. Pat H G writes:

    When OASIS , CASAT, and CASA etal; make a broad statement to healthcare providers We as individuals can harness the situation in our own backyards by employing folks with a heart and education to make a difference…NOT JUST WHEN IT APPEARS TO BE A PROBLEM…but at first on sight…. For a while up until lately folks were being diagnosised with diabetes…and wondering when did it all begin? Now we have better screenings for on-set of such. Preventive lifestyle changes improve the wellness of countless lives. Any Patients blessed to have viligilant health-care providers who let them know that they know that there is a potential major substance abuse problem brewing; are way ahead of disaster.
    Here is another intervention idea I have …when an indiviual is arrested for drug abuse activity and, has received substance abuse prevention treatment…the penalty should be to repay society by sharing their story. For one; most offenders of law due to drugs can not obtain employment (because of criminal record etc.) which makes them feel ‘less than’ or, ‘not worthy’ …in other words self esteem is low. This kind of emotional damage only adds coals to the fire of destructive behavior which leads to trying to find an easy way to cope…once again using becomes attractive… So, why not really give a recoverying addict a chance to be a productive member of society; giving what they know best.
    Education-Treatment & Prevention-Solutions
    Then…if this is not effective in your niegborhood…March on

  12. Pat H G writes:

    addedumn

    PLEASE DONT BLAME OBAMA FOR THE DRUG DRAMA

  13. David Macmaster writes:

    I agree there should be a continuing attention to addiction as there is to addiction to oil by our governments. I would be impressed if CASA and all the other addiction advocacy organizations included addiction to nicotine as part of our ongoing advocacy for addiction services.

    I wish we had a “death clock from addiction” that differentiated the deaths this day, week, month and year from tobacco, alcohol and drugs. If we put faces and voices to these addiction deaths that would be even more powerful way to keep focus on this issue.

    Tobacco deaths of course are far more numerous than alcohol and drug deaths. Until we include tobacco actively as part of our addiction challenges we are condemning those with nicotine dependence to the second class treatment they are getting now compared to the other substance use disorders.

    When we can find a way to organize those family members losing loved ones to tobacco caused diseases this year and in past years and the years to come our addiction issues will remain incomplete.

    It is time for CASA and NCADD and the other organizations to follow the lead of Join Together and include addiction to nicotine as an equal drug of concern as alcohol and the other drugs. Our failure to do so is an abandonment of leadership and ignorance of the complete addiction challenge.

  14. George Davis Jr. writes:

    We live in a society that makes decisions and forms beliefs around things that give pleasure. Whether it is watching athletes making multi-millions to play games, shopping for a suit or new shoes to supplement our wardrobe, sipping coffee that is produced at the expense of depleting lands of impoverished countries or using a mood altering substance that releases chemicals in the brain to make us feel good instead of engaging in healthy behaviors that will give the same effect…it all amounts to the same things…skewed and misplaced values. Without values we will continue to pursue life, libertiy and happiness without thinking about the consequences of our behaviors and looking at the long term effects on our families, our ecology and our world. We have a long way to go before we get to where we can thrive and survive as a civilized people, but I am an eternal optimist and believe that I can make a difference one person at a time. The president and other people like yourself can point out the discrepancies, but it is up to me as an idividual to beginning making changes.

  15. Kenneth Anderson writes:

    The War on Drugs, abstinence-only drug education, and abstinence-only drug and alcohol treatment have not only failed to stem the drug problem in the United states, they have backfired and led the United States to have one of the worst drug problems in the world. The answer is not to throw more money at solutions which we already know make things worse instead of better. The answer is to implement solutions which have already proven themselves to be effective. This means harm reduction. A tiny handful of needle exchangers–sometimes working illegally out of the trunks of cars–managed to solve a problem which the multi-billion dollar abstinence-only treatment industry was unable to touch. They reversed the spread of HIV among injection drug users. The effective solutions to America’s drug problems would only cost a fraction of the money it takes to fund the War on Drugs. Make hard drugs like heroin and cocaine available by prescription to regular drug users and pay for it with Medicaid. Legalize, tax, and regulate cannabis the same as alcohol. This would not only lead to a decrease in drug addiction in America, it would put both the drug cartels and the DEA out of business. And I cannot think of a brighter future for America than that.

  16. Judy Haas writes:

    Respectfully, sir, it’s not going to happen — at least not in my lifetime or yours. Americans are too busy either stigmatizing or glamourizing addiction to put stopping it in the forefront of public policy. Too many Americans are addicted to the so-called “legal” drugs of nicotine, alcohol and xanax, who will never admit it, or consider their use inappropriate.
    Cigarettes need to be illegal — period. Primary care physicians need to be banned from prescribing xanax and other benzodiazepines for longer than their intended use — and then prosecuted if they do. Bars and other alcohol providers need to be more strictly policed to control under-age and other inappropriate alcohol use.
    “NIMBY-ism” is rife in upper and middle-class America today. Addicted persons who want to get help often can’t because of a lack of clean, well-run treatment and sober living facilities.
    You want to talk about “chump change?” Respectfully, sir, many of the people at the policy level earn much, much more than those of us on the “front lines” of treatment. Do any of you have any idea of how much the average public sector substance abuse worker is paid? Nurses and teacher finally got the respect and pay they so justly deserve. Why not accord the same pay and respect to substance abuse counselors?
    Addiction’s power will not lessen until Americans deem it a disease worth their while to fight as hard as we currently fight cancer. Even if a person exposes himself to the sun, we don’t blame him for developing skin cancer the way we blame substance users for developing addiction. We will not make a dent in the “frightful” occurrence of addiction until education about it is as valued as math, science and social studies are — rather than being allocated to the occasional assembly with a DARE-trained cop.
    You, sir, appear to be forgetting one of the basic laws of our Western culture, that of supply and demand. As long as the disease of addiction is allowed to flourish due to prudish and outmoded cultural attitues, inadequate research, treatment and sober living funding and availability, there will be a demand that no amount of laws or blockades will be able to quash.

  17. LRobin writes:

    I heard Mr. Califano on All Things Considered today. With all due respect, sir, some of your statements are way off. As a recovering addict with nearly 12 years clean through a 12-step fellowship, i can tell you that the way you compared the diseases of AIDs and addiction was ridiculous. Prevention/awareness of AIDs is a practical and realistic thing. WHen one discovers they are afflicted with AIDs, most accept treatment. But the disease of addiction is a disease of denial - prevention is nearly impossible! And one never knows who is an addict and who isn’t until it’s too late; until that line has been crossed. “Treatment” means NOTHING unless the addict wants to get clean and stay clean. This, i know! Your choice to get mad at the current administration is such a waste of energy. The “war on drugs” is like the war in Iraq - unwinnable! This is something most non-addicts just can’t understand.

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