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I was appointed to the AL Council on Opiod Misuse and Addiction (UPDATE #2)

Posted on 1/23/17 at 6:32 pm
Posted by BamaCoaster
God's Gulf
Member since Apr 2016
5308 posts
Posted on 1/23/17 at 6:32 pm
I was appointed by the governor's office to be on an executive committee to discuss ways to combat the rise in opioid addiction/overdoses here in the state.

I am in Montgomery now and we meet tomorrow.

I will discuss why there are so many addicts and so much heroin in our state/country (Mexico + FDA + pain management).

My proposed solutions are:
Kratom
Medical Marijuana
Decriminalized drugs (Portugese model)

as well as what other states are doing:
Oregon: making it more difficult to get scripts by having extra loopholes to jump through
Vermont: increased access to buprenorphine (much better than methadone)
Rhode Island: four part plan of: more treatment, overdose rescue, prevention, and recovery.

I am a big proponent of medical pot and buprenorphine.

Any other suggestions before they laugh me out of the room?




In all seriousness, the governors office contacted me about my "different perspective", so at least they are willing to listen.


An Update on Alabama Council on Opioid Misuse and Addiction (LONG):
We had our first session today in which we all spoke about our backgrounds. I was the only one with a drug policy background which is most likely why I was in a room full of doctors, judges, law enforcement, and bureaucrats.

There are six subcommittees:
Data collection
Prevention/Education
Treatment/Recovery Support
Prescriber/Dispenser Practices
Rescue (First responders)
Law Enforcement


After we were dividing up into the subcommittees (I'm on prevention/education), I stood up and asked about "alternative policies", specifically the Portugal model of decriminalization of all drugs. The Mental Health Commissioner of Alabama, Dr. Perdue, stepped to the microphone and said that "all options are on the table". This does not mean that AL will decriminalize drugs, but this does mean that they are thinking about taking a "health-first" stance when it comes to drug use, rather than a "criminal-first" stance that has been tried for over 40 failed years of drug policy.


Afterwards, several committee members were interested in my decade+ research, and I can promise you that there are people in power that are having a "change of perception" when it comes to drug policy here in Alabama.


Update II:
We met again last week in Montgomery.
The guys leading the committee are Secretary Perdue and Dr. Robert Moon. Both mental health experts.

Interesting fact:
In America, if you are prescribed 30 days worth of opioids, there is a 26% chance that you will be "addicted or have continual use" after a year, and a 13% chance that you will continue to use 3 years after your prescription is ended.

The guy who is finalizing the recommendation is a sociopath named Barry Matson, who is the chairperson of the Alabama Drug Abuse Task Force and the head of the Alabama District Attorney's Association.
Mr Mason gave a speech in which he lauded "today's marijuana", stating that the THC percentages he has come across is 90-95% (which is impossible) and that we are not really fighting a war on drugs in this nation, because if we were, we would go all out. More arrests and resources, more prisons, heavier punishments. He is the guy behind the bill to increase prison sentences from fentanyl. "If you had a pack of Splenda, that amount of fentanyl in a pack of Splenda - that could wipe out an entire gymnasium full of people", he scarily stated.
I regret not standing up, asking him direct and pointed questions, and calling out his bullshite. I have regretted it for the past couple of days. But alas, I sat there is a depressed awe.

I left the committee meeting after his speech received resounding applause. Alabama had an opportunity to show the rest of the country that we are not backwards and to be a model of drug policy reform. We are going to blow it.



This post was edited on 3/17/17 at 8:45 am
Posted by bamarep
Member since Nov 2013
51811 posts
Posted on 1/23/17 at 6:33 pm to
Try getting the US the frick out of the countries they grow the shite and close the southern border stemming it's flow would be a good start.
Posted by SECdragonmaster
Order of the Dragons
Member since Dec 2013
16249 posts
Posted on 1/23/17 at 6:35 pm to
Build a wall between Mexico and California.
Posted by td01241
Savannah
Member since Nov 2012
22856 posts
Posted on 1/23/17 at 6:37 pm to
I was an addict and I'm on methadone. Works for me.
Posted by russellvillehog
Member since Apr 2016
9711 posts
Posted on 1/23/17 at 6:38 pm to
You sir are the smartest person on that board.

Look. Once someone is an addict it is almost impossible to stop. You have to give them some form of relief to get off of them. Some people do not want to do it anymore, but the pain of quitting makes it very difficult. If you give them tools to quit some, not all, will quit.
This post was edited on 1/23/17 at 6:41 pm
Posted by 4Ghost
Member since Sep 2016
8521 posts
Posted on 1/23/17 at 6:38 pm to
Good Luck! Let us know how it turns out. This issue. Is personal to me. Racked my family, hard!
Posted by el Gaucho
He/They
Member since Dec 2010
53129 posts
Posted on 1/23/17 at 6:41 pm to
Duterte is doing great things for the drug problem in the phillipines

All you gotta do is kill the drug dealers
Posted by SpencerRob
Pass Christian, MS
Member since May 2008
1150 posts
Posted on 1/23/17 at 6:41 pm to
Why not more access to Vivitrol? Break the addiction cycle instead of replacing one addiction for another.
Posted by Funky Tide 8
Tittleman's Crest
Member since Feb 2009
52813 posts
Posted on 1/23/17 at 6:41 pm to
Why were you asked, if you don't mind me asking?



Your suggestions look great to me. Agreed 100%.
Posted by boomertoomer
Member since Dec 2016
451 posts
Posted on 1/23/17 at 6:42 pm to
medical marijuana....i have a friend, he is 74 years old and his wife is 75, and his wife has a very severe palsy that causes her to tremble and shake something awful.....this shaking is nonstop and her doctors have tried to treat her, but nothing is doing much good....she has been this way for years and seems to be getting worse....her doctor told her that MM had proven to be effective in reducing the severity of the trembling and shaking, but the problem was that it was not legal in ALA....it ought to be....go for it
Posted by parrothead
big salty ham
Member since Mar 2010
4457 posts
Posted on 1/23/17 at 6:42 pm to
Will you be at the End Heroine march in Birmingham? It was nothing I really ever considered until it got too personal.
Posted by Brazos
Member since Oct 2013
20362 posts
Posted on 1/23/17 at 6:44 pm to
Yep suboxone is a life saver for opiate addicts.
Posted by crazy4lsu
Member since May 2005
36311 posts
Posted on 1/23/17 at 6:45 pm to
quote:


My proposed solutions are:
Kratom
Medical Marijuana
Decriminalized drugs (Portugese model)


It would be amazing if Alabama of all places adopted the Portuguese model.

I have a chronic pain injury and I take these little weed mints which don't really get me high and also allow me to function without pain and help me sleep. It has allowed me to avoid taking opiods completely.
Posted by mahdragonz
Member since Jun 2013
6947 posts
Posted on 1/23/17 at 6:48 pm to
Propose addiction be considered a pre-existing condition and once a person seeks help they won't be able to get insurance.

Suddenly Obamacare will have a lot of supporters.
Posted by ljhog
Lake Jackson, Tx.
Member since Apr 2009
19090 posts
Posted on 1/23/17 at 6:51 pm to
quote:

Decriminalized drugs (Portugese model)


Has worked very well there. However, they do not have multiple cartels running the country on their border. Worth considering, IMO.
quote:

Oregon: making it more difficult to get scripts by having extra loopholes to jump through
Vermont: increased access to buprenorphine (much better than methadone)

Good ideas. Go git 'er done. Who'd think it? Alabama a leader in innovative solutions to drugs and addiction.
Posted by udtiger
Over your left shoulder
Member since Nov 2006
99204 posts
Posted on 1/23/17 at 6:53 pm to
So...free samples?
Posted by 14&Counting
Eugene, OR
Member since Jul 2012
37711 posts
Posted on 1/23/17 at 6:55 pm to
quote:

Medical Marijuana


quote:

Montgomery


Yeah let me know how that works out. Bunch of regressed assholes down there.
Posted by AUCE05
Member since Dec 2009
42578 posts
Posted on 1/23/17 at 6:55 pm to
I have had to take opioids before, and they are the worst drug a human can take. My skin was crawling after two hours. It is criminal MM is not an option.
Posted by BamaChick
Terminus
Member since Dec 2008
21393 posts
Posted on 1/23/17 at 7:01 pm to
I understand the need was there to curb the pill mills and the doctor shopping and I'm totally fine with the new policies put in place (urine testing by docs, prescription monitoring, etc.) but the state of Alabama, has in the process, fricked over a TON of legitimate pain patients.

Within a 2 week period in December we lost 2 very good pain docs not due to any illegal things being done in their practices but by the state forcing them to close by using Medicare and Medicaid to refuse their billings.

There has got to be a happy medium somewhere that keeps the pill mills and drug seekers in check but still allows real people in pain - who don't abuse their medicine but are physically dependent - to get their medication.

Law makers don't seem to get that there is a difference between abuse and dependence. There are plenty of patients that are taking their opioids as directed and have been for years that are getting left in the cold in the state's zeal to not be number one on the list of "Opioid Prescriptions Per Capita".

And tell them there is a reason for the spike in heroin use - it correlates directly to the state's black and white policy on opioids.

I'd sincerely love to spend some time talking to them about what I've experienced as both a member of the healthcare community and as a patient.
Posted by AU66
Northport Al
Member since Sep 2006
3264 posts
Posted on 1/23/17 at 7:01 pm to
Im not sure pushing the decriminalization of drugs is a good idea, small steps, you will be dealing with with people like Cam Ward and Mack Butler and just the mention of that will get you laughed at, both of them were convinced Alabama was full of strung out kratom junkies dying in the streets even when presented with evidence during the kratom wars, i can only imagine their head exploding at the thought of legalization or decriminalization
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