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Obama Puts Drug War Focus on Demand Reduction
April 24, 2009

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News Summary

Recent comments by President Barack Obama and drug-czar nominee Gil Kerlikowske indicate that the War on Drugs could see a significant shift in focus from supply reduction to reducing demand by investing in more prevention and treatment, CNN reported April 18.

Obama and Homeland Security Secretary Janet Napolitano have both indicated that the administration won't consider legalizing drugs, but Obama pledged in meetings with Mexican President Felipe Calderon to do more to cut U.S. demand for drugs being smuggled across the border with Mexico.

"Demand for these drugs in the United States is what is helping to keep these cartels in business," said Obama. "Now, are we going to eliminate all drug flows? Are we going to eliminate all guns coming over the border? That's not a realistic objective," he said. "What is a realistic objective is to reduce it so significantly, so drastically that it becomes once again a localized criminal problem, as opposed to a major structural problem that threatens stability in communities along those borders."

Both the White House and Congress want to invest more money in drug courts that divert offenders into treatment rather than prison. "The success of our efforts to reduce the flow of drugs is largely dependent on our ability to reduce demand for them," Kerlikowske said during his recent confirmation hearing in the Senate. "It requires prosecutors and law enforcement, courts, treatment providers and prevention programs to exchange information and to work together. And our priority should be a seamless, comprehensive approach."

But advocates want to see more investment in treatment for those outside the criminal-justice system, too. "For individuals who don't have the resources, don't have public health insurance, can't afford it themselves, the single best way that they can access treatment is to get arrested," said Ryan King of the Sentencing Project. "And that's wrong. What we need to do is make sure for every American that is abusing drugs and wants to stop, that they have the resources made available to them, regardless of whether they can afford them."

COMMENTS ON THIS ARTICLE:

Posted by George Clarke on 25 Apr 09 03:30 PM EDT
Yes... I have been waiting for this. Please try to make Medically Assisted Treatment(MAT)easily accessable, patient friendly, and affordable or free. Please use the drug war money to facilitate treatment. In addition, please look at how this is done in other countries as well.

Posted by Patrick Robbins on 25 Apr 09 06:08 PM EDT
We need to legalize all drugs and end the war on drugs. Ask yourself, Do I want the criminal cartels to continue to distribute drugs or should we let the medical profession do it.

Posted by Monique Manna on 25 Apr 09 07:11 PM EDT
The only ones that can be helped are the ones that truly want it. I have a close relative with a severe drug addiction who abuses Methadone Treatment...this will turn costly to the tax payers / government...we can not supply drugs to those who DON'T want to quit...this is a free ride for some (not all)...again, we can not help those who will not help themselves.

Posted by ted on 25 Apr 09 08:05 PM EDT
Monique. Sounds like your relative is underdosed,a common problem.If given the proper dose,a patient will not have cravings,and thus will not abuse the system. The private pay clinics are goldmines,often charging $12 a day for about sixty cents worth of medication.

Posted by Shannon B on 25 Apr 09 09:04 PM EDT
I am a patient of MMT and agree, it does sound as the relative is underdosed. My life has changed drastically from an addict on the streets to a medical professional who is a counselor for other addicts. Please, lets make treatment accessible and affordable to those who need it. I almost didn't make it to treatment because of the outrageous prices. Many do not make it because of the same reason.

Posted by Monique Manna on 25 Apr 09 09:49 PM EDT
So, how many years are you "under dosed"? My point, it only helps when they want the help. This person abuses it. I am not a supporter of Methadone Treatment...you can detox from heroin and NOT die...I have an Uncle that is a counselor and has been clean for almost thirty years...without the help of Methadone.

Posted by parrothead on 26 Apr 09 08:30 AM EDT
Monique, You should be very proud of your Uncle. I know the unnecessary suffering he has endured over the years. The sad fact is, 90% of addicts who try to quit cold turkey,or wean off methadone, relapse within one year. The methadone that you would deny us, keeps us out of prison, and free of the risk of HIV, hepatitis,and overdose. Please study the statistics, we are not your Uncle.

Posted by alsatter on 26 Apr 09 09:45 AM EDT
Monique, there are also those of us that have been on methadone for 30 years, have been clean, hold a job, successful. We should be given a CHOICE for treatment, either MAT or not. But it should be made more affordable for ALL who choose that road.

Posted by DaveJ on 26 Apr 09 01:20 PM EDT
There will never be a one-size-fits-all addiction treatment protocol any more than there is a one-size-fits-all antibiotic. Treatment is primarily a medical/physical undertaking. It's not likely that a person will be able to rebuild their life if they still suffer physically.

Posted by ichoosefreedom on 27 Apr 09 08:19 AM EDT
Monique-you have to understand who funds JoinTogether. RWJF funds them. RWJF was created by the founder of Johnson & Johnson. RWJF owns tens of millions of shares of J&J stock. If you'll notice, ALL dependence (nicotine, etc.) demands drugs and not cold turkey. Ever ask why? For nicotine, J&J owns the only over-the-counter NRT products (which have now been found to cause oral cancer). It's all about the money and selling their products. Look at all the RWJF grants, etc. and ask where their money connection is. http://www.rwjf.org/search/gsa/search.jsp?q=methadone&spell=1&num=10&src=sw Low and behold, J&J makes Fentanyl for methadone treatment. What a surprise. http://www.jnj.com/wps/wcm/jsp/showData.jsp?q=methadone

Posted by Phoebe on 27 Apr 09 10:28 AM EDT
ichoosefreedom's paranoid conspiracy theories point to the obvious -- he/she needs some medication.

Posted by stopthehate on 27 Apr 09 10:29 AM EDT
Or ichoosefreedom could ask the millions of people whose lives have been saved by Methadone Maintenance or NRTs whether they preferred to suffer and die. Is having compassion and common sense an option?

Posted by Mike on 27 Apr 09 10:35 AM EDT
The money should be invested in education. If we can keep the next generation away from drugs through education, there will be no need to pay to keep someone on methadone or other treatment programs.

Posted by Jaosn B on 27 Apr 09 10:36 AM EDT
Woohoo! This article seems too good to be true, but there it is in writing, straight from the mouths of the drug czar and president.

Posted by Larry Didier on 27 Apr 09 11:14 AM EDT
Great news to try to focus on demand reduction and move away from the largely law enforcement option that's been so common. We must not eliminate the drug laws, however, because they continue to keep many people from falling into drug use/abuse patterns. But where is the mention of prevention - the true 'demand reduction'? Millions of lives and families are tragically altered by those who abuse and become addicted - long before they ever seek treatment. Let's cut back on the misery by convincing our your AND adults that intoxication is a worthless and tragic path and must be avoided.

Posted by Donna on 27 Apr 09 12:59 PM EDT
The key to the above and I directly quote, "What we need to do is make sure for every American that is abusing drugs and wants to stop, that they have the resources made available to them, regardless of whether they can afford them." So it is for thos that WANT TO STOP and WHETHER THEY CAN AFFORD TREATMENT or not. These individuals will have such addictions that it will not be enough as outpatient. It will not be enough for inpatient in 30 days. It's important to know what you are up against. Can we go the distance?

Posted by jed on 27 Apr 09 03:08 PM EDT
NOW I feel even more proud that I voted for this gentleman. He's the anti-Bush!

Posted by Mike2 on 27 Apr 09 03:48 PM EDT
Let's not shoot ourselves in the foot by arguing about harm reduction vs abstinence approaches or about prevention and education vs treatment. I hope we can all agree that education/prevention is worthwhile and that help is needed for all who suffer from addiction. Studies have proven that $1 spent on treatment saves $8 to $12 in medical costs associated with substance abuse (to say nothing of the quality of life benefits). Can the same be said of $1 spent on drug enforcement/interdiction? I think the record is clear on that going all the way back to Prohibition and beyond. How refreshing to finally see a preident and drug czar who seem to be getting it. And let's those of us who care about this issue stay together and present a united front on that!

Posted by Lynne on 27 Apr 09 04:19 PM EDT
Whoa...Monique and others...where is suboxone treatment in this conversation? It is SO superior to the old methadone treatments. It saved my daughter's life. Please, anyone out there who needs help with opiate addiction, run, don't walk to the nearest doctor who can prescribe it for you. Combined with counseling/support, there's real hope.

Posted by Rajiv Bhole on 28 Apr 09 08:44 AM EDT
The treatment being offered today results in 4 failures for each successfully treated addict! Investing more in such treatments will not help much in reducing demand. The need is to find a treatment that works—a simple solution to prevent the debilitating anger/resentment/hatred and fear. As long as we continue making our children angry and fearful instead of teaching them the method to control their emotions, children will continue becoming addicts. The best solution for our emotions is in the AA Big Book, steps 4, 5, 9 and meditation without God. Hasn’t any psychologist yet figured it out that AA made its psychotherapy program into the religious 12 Step program to circumvent the 1926 NY State Law that made the practice of psychotherapy by non-doctors illegal? Also, Addicts need proper nutrients to rejuvenate themselves rather than medicinal drugs. The solution is there in physiology texts, not in pharmacology. All addicts have depleted dopamine, which is produced in neurons from tyrosine, the texts say. Give addicts tyrosine and their drug demand will plummet, especially cocaine and methamphetamine's. I am an ex-RD (representative) of NA-India Region. Hope this helps someone.

Posted by Robert D. Eisen on 28 Apr 09 03:28 PM EDT
Lynne, thanks for your comment. As a 58 year old attorney who was formerly addicted to opiates/opiods for close to a decade, Suboxone was a lifesaver for me. Not only did it eliminate my cravings and ease my withdrawal, it also eased the refractory depression that plagued me my entire adult life and ultimately led to my addiction. I have been on a Suboxone maintenance program since it was introduced in 2002. It is “insulin” for my brain. Prior to Suboxone, I had been to many inpatient drug treatment centers over many years to no avail. I had also been in cognitive therapy and underwent ECT many times. Nothing ever worked except for Suboxone. We are indeed fortunate to finally have our government adopt an enlightened perspective on drug abuse and addiction. There is a new consensus emerging in this country in support of prevention and treatment. This was reflected by overwhelming Congressional passage of mental health/addiction treatment parity last year. President Bush signed that legislation. He, too, was evolving toward the current administration’s position. The times they are a’changing. New Bob Dylan album out, too.

Posted by Janet on 28 Apr 09 04:20 PM EDT
Addiction professionals using evidence based counseling practices can help people choose recovery. Methadone treatment is very important for individuals who abuse heroin. Bupenorphine is not an 'answer' that we would like to think it is. It is unregulated in its delivery and a lot of people are abusing it. The other problem is that most addiction is caused by traumatic life experiences. If we cut down on the traumatic life experiences (racism, sexual abuse, family violence, violent crime, etc.) we would have much less demand for drugs. Childhood sexual abuse and families of addiction alone probably accounts for half or more of all of the addiction problems in this country.

Posted by Freddie Simons on 28 Apr 09 04:46 PM EDT
There is no doubt that the expansion of evidenced-based primary ATOD prevention services provides the corner stone for demand reduction. These evidence-based programs, I like to refer to them as " Behavioral Health Care Innoculations," should be available univesally to all children and youth. The future allocation of any funds for ATOD, that does not include at least a 20% set aside for Prevention is penny wise and pound foolish.

Posted by Tracey on 28 Apr 09 04:52 PM EDT
Thank you for recognizing the WOD needs to change.If you take out any drug dealer, there will be 50 more to take his place. Accusations and stigma don't work. "My way is the only way" doesn't work. Only by being calm, rational and open-minded to the realities of drug use & abuse, will anything change for the good of us all. Insanity is doing things the same way & expecting different results, after all. I grew up in an alcoholic family; I am an addict. If not for methadone maintenance I would be dead or in jail over & over again. That is the solution for ME.As a Baby Boomer, I know the generational addiction problems are going to grow larger & far worse. It is time for a change. Yes, we can!

Posted by Tracey on 28 Apr 09 05:27 PM EDT
One person says "my relative did this" then the other side gets defensive & we argue. We are individuals. We didn't get addicted the same way & won't get helped the same way. What did or didn't work for someone's Uncle Joe or Cousin Flo, has no bearing on what would happen for me,my family & neighbors. There is no magic pill or potion that is going to "fix" the problems.We all bring our own baggage and dysfunction & body chemistry to the table. Often too, is the person who wasn't helped by plan A, but maybe it was the timing. Maybe that same person would be helped at a different point in their life. We have all heard about how someone with an addiction has to be "at the lowest" point in their life, to find the desire to finally "get clean". That is sometimes true; sometimes not. My point being, someone at the tender age of 20 isn't going to have the life experience that an older person does, to recognize things that are in need of change. Or they don't want to ask for help for a number of reasons. Keeping the stigma alive is only going to keep those people avoiding treatment longer, which in fact makes them have a worse addiction, which makes treatment harder to succeed.

Posted by John from Oceanside on 28 Apr 09 06:19 PM EDT
Tracy thanks for your wise words. We will need all the facets of treatment,prevention,law enforcement,courts,and policy makers working together to make a change. I have seen it work and numbers have reduced.

Posted by John on 29 Apr 09 10:33 AM EDT
To say that if dosed correctly that no one will abuse the system shows a gross misunderstanding of addiction. That ignores all the under lying issues with why people seek intoxication. I see methadone as a great detox agent -not as maintenance as then it is simply a replacement drug and please don't state that you are CLEAN while on methadone as you are not!!

Posted by Ted on 29 Apr 09 06:52 PM EDT
I'll tell you what,Johnboy,I'm BETTER than clean because I'm not craving illicit drugs.I'm also not "high" I look and feel perfectly normal,because the Methadone is replacing chemicals that my brain no longer produces.I'll take that over a white-knuckle 12 step life any day.

Posted by Alicia on 30 Apr 09 10:33 AM EDT
Bravo Tracey, treatment and recovery are not "one size fits all" and the move internationally to understand prevention, treatment and recovery is a huge step in the right direction. Medication assisted therapy - whether methadone, suboxone, naltrexone, campral, or vivitrol saves lives. If the stigma of addiction were to be lifted and those in recovery - long or short term - were free to talk about their pathways to recovery, people word learn a valuable lesson. John, you are poorly informed because Medication Assisted Treatment IS RECOVERY!!!! Bravo to our President and his new team, Mr. Kerlikowske and Dr. Tom McClellan three who actually understand and promote prevention, treatment and recovery.

Posted by MAMAorg on 03 May 09 03:29 AM EDT
MMT is not being used as treatment in this country but a legal source to abuse a highly addictive and powerful narcotic. Being on Methadone for years is NOT RECOVERY but enabling the addiction. Maybe some of the pro supporters here are jumping the gun thinking that an unlimited supply of Methadone clinics will be on the agenda of the Obama administration. That would be your dream come true but a tragic day for America. Pathways to recevery mean to become drug free which the majority of those posting here who are lifer's have no intention of ever getting off this drug. You devote your lives to convincing others with every excuse possible and most are absolutely rediculous. The reality of drug substitution as treatment is coming to the surface of not reaching the goals once claimed. America is now in an epidemic of people addicted to Methadone, they just traded one drug for another. Sadly, the majority who use Methadone are abusing Methadone. When a person can bragg about the years they have been on this drug only validates this program does not work. Mothers Against Medical Abuse. Org

Posted by julia_juicyfruit on 08 May 09 04:14 AM EDT
Larry Didier, prevention would be wonderful...but I think to get to that point, children would need to be encouraged to accept and examine their thoughts and feelings. A kind of nation wide Cognitive Behavioural Therapy. We have better education on how to drive a car than on how to cope with our emotions. For some of us, we feel so BAD any drug that changes the feeling is good enough.

Posted by jeff westmoreland on 14 May 09 09:53 PM EDT
I have been taking Methadone, lortab and valum for the past five years. I have neck and back problems and these meds help MASK the PAIN. I have been able to work to provide for my family. I have never been a herion addect,or needle junkie. I do see were people go just to get a fix for the day ,but I also see this drug helping people by makeing them have a more sturctured and more productive. So when people say Methadone is for herion addiction I know that that person has no concepted of this matter and no IDIEA about what they are talking about. I see my DR once a month and this is not a clinic. I feel if the person that is given this drug takes it like prescibed then it is very useful. So PLEASE before you make 0utlandish statements about things you know nothing about ,or have never experenced. PLEASE stop bad mouthing something that is helping so many people. Thanks

Posted by Jane D on 17 May 09 01:35 PM EDT
I totally agree with Patrick Robbins (at top of posts). We SHOULD legalize drugs, but THATS never gonna happen unfortunately! And yes, it WOULD end the black market crime for drugs! I think lower schedule narcotics should be OTC as well! (Like Hydrocodone, Darvocet, Codeine). Like it is in Mexico! Why can THEY have stuff like that readily available to anybody, but we CANT? Another GOVERNMENT CONTROLLED issue. We're turning into freakin' communists, have lost a lot of our privacy rights as well as amendment rights. And its ONLY gonna get WORSE! As far as the "undermedicated" issue, I couldnt agree MORE. THIS is one of the main reasons we HAVE these crime problems is because people are UNDERMEDICATED. Drs are now opio-phobic and afraid to script anything decent, or at least a DECENT AMOUNT of it to sustain a lot of us!!!!! I am a chronic pain patient & cannot even get a satisfying amount of drugs from my own SPECIALISTS!!!! This is truly pathetic & should be CHANGED! Under-prescribing doctors should be JAILED. Because WE surely would be if we were found "double dipping" and going to several different doctors for what we NEED to live a halfway decent LIFE!

Posted by Anonymous on 04 Aug 09 12:22 PM EDT
The drug war is the driving force behind the prison rate(the US overtook russia as the prison capital of the world, racial profiling (75% of people incarcerated for drug crimes are african-american), the driving force behind organized frime, the driving force behind gun sales to localize criminal syndicates, the driving force behind corruption in government, it is the driving force behind the failing economy, it is the driving force behind the erosion of our civil liberties. Shit did I leave anything out? WE TRIED PROHIBITION IN THE 20S: it fails. common sense people "Its not a war on drugs, its a war on personal freedoms keep that in mind at all times when you're talking to me" -Bill Hicks

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