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Leo Beletsky @LeoBeletsky
, 3 tweets, 2 min read Read on Twitter
NEW: @ACLU_Mass is suing Essex County, MA for failing to provide medication to treat opioid use disorder in its jail, as is standard medical practice. Essex sheriff dept just filed memo outlining reasons they do not provide medication. Read full text: aclum.org/sites/default/…
It's RICH, but passage on p.5 particularly noteworthy. 1. Methadone "simply switching to another dangerous drug" [false], 2. Methadone is "responsible for nearly 1 in 4 opioid-related deaths" [false; methadone-involved deaths aren't 1/4 of ODs, almost entirely w/drug Rx for pain]
To support Sheriff's opposition to suboxone maintenance therapy behind bars, Memo cites a Youtube video of ppl INCARCERATED in its jail, directed to detail negative attitudes and experiences with suboxone. Never seen this done in court filings before. You?
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So the safe consumption discussion got me thinking: what has the DOJ, and especially the DEA, done to address the crisis they claimed will be "worsened" by the introduction of a proven public health measure? Stand by for some news
So in thinking about what has the DEA done to address the overdose crisis, the tally is...not very positive. It does appear that the agency has done far more harm than good. Here's my take, in tomorrow's @nytopinion nytimes.com/2018/09/17/opi… … w @JeremiahGoulka. Thread to follow
To be fair, the DEA never got a fighting chance. A brainchild of Nixon’s War on Drugs, it was mostly a bigger, badder version of its fed predecessors whose mission was to dismantle drug trafficking at home and abroad. See @mattpembleton's excellent history umass.edu/umpress/title/…
Read 20 tweets
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Been following @jenniferdoleac @anita_mukherjee naloxone paper w trepidation since learning about it last summer. Frustrating to watch how few constructive conversation emerged from the paper's recent broad exposure. My attempt to remedy w long #thread papers.ssrn.com/sol3/papers.cf…
First, let me just say criticizing the paper or its authors for doing what is standard in their field (e.g. publishing online before formal peer review) is patently unfair. Whether or not those academic conventions make sense is a different, longer conversation
But please learn the facts and don't critique people for things they aren't responsible for. Goes without saying, there's definitely no room for personal attacks, including those baselessly questioning the authors' intelligence, competence and professionalism
Read 64 tweets
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Generally sensible @JAMA_current piece, but several key elements not rooted in evidence, missed opps for @DrFrieden @andrewkolodny #thread
1/x Do need better surveillance on SUD. But "newly filled prescriptions for >30d" is not a marker for "addiction." Frankly puzzled by this
2/x Using PDMPs as a surveillance tool for SUD is fraught bc 1. misses pp who access opioids on black mrkt, 2. raises major privacy concerns
Read 13 tweets

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@andrewkolodny called our article (with Diane Hoffman & @ChadDKollas in @statnews on the harm to patients who legitimately use opioids for pain in the current regulatory environment, which begins with the AMA’s recent action stating the same, dishonest. statnews.com/2018/12/06/ove…
1/While the subject of opioids inspires polarizing and often simplistic or even eviscerating attacks, we need to welcome questioning and different perspectives in open debate, so here are his points and our response:
2/Claim A: He takes greatest exception with our citation of the risk of developing and addiction from prescribing opioids long term at .06-7%.
Read 27 tweets
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Helping Americans Sidelined by Opioid Addiction and Drug Use Get Back to Work

@ScottAdamsSays

@drawandstrike @HNIJohnMiller @catesduane @rising_serpent @_ImperatorRex_ @Debradelai @GodlessNZ @almostjingo @tracybeanz @TheChiIIum

whitehouse.gov/articles/helpi…
The American economy is strong, and manufacturing jobs are growing steadily.

Jobs in goods-producing industries, which include manufacturing, recently grew at the fastest rate since President Reagan was in office. In Utah, 7,400 manufacturing jobs have been added since Nov 2016.
Nationally, recent data showed the fewest number of people filing for unemployment in 49 years, and more than 4 million new jobs have been created since President Trump was elected. The Dow Jones Industrial Average and the S&P have recently set record highs.
Read 22 tweets
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At @OSULawDEPC for the @DrugPolicyOrg @acluohio conference From Punishment to Public Health. I am going to tweet a lot about drug policy in the next two days. I know many people want to focus right now on the critical moment the nation is going through, feel free to mute me.
First speaker, opening keynote, is @SamuelKRoberts: “the War on Drugs has been fairly effective at what it was designed to do, which is to rationalize increasing inequality in health, education, labor, and opportunity in the post-1973 American economy.”
"This [the War on Drugs] was never about the drugs." @SamuelKRoberts drives home the point that the War on Drugs was backlash to the civil rights movement, anti-War movement, and an assault on poor people and people of color.
Read 177 tweets
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I have just discovered that #Oregon is proposing changes to the state #opioid policy for #chronicpain patients on #medicaid.
I am incensed and I don't even live in Oregon. So let's break this down. #disability #opioidhysteria #spoonies #painpatients #opioidepidemic
Buckle up.
CW: ableism, bullshit, suicide, swearing
References:
portlandtribune.com/pt/9-news/4013…
nationalpainreport.com/chronic-pain-a…
To summarize:
-Oregon's Health Evidence Review Commission and Value-based Benefits Subcommittee (HERC and VbBS) are proposing changes to Medicaid
-The changes intend to discontinue long term opioids for chronic pain patients
Read 41 tweets
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Is President Obama Reading A Muslim Book Called The Post-American World? wafflesatnoon.com/is-president-o…
Why was this immediately disregarded as false?
What is ‘Post-American World by Fareed Zakaria’?
Why is this relevant?
Why would the President of the UNITED STATES OF AMERICA be reading this book?
What church did BO attend as pre-POTUS?
Who was BO’s mentor?
How is Alwaleed and HRC connected?
Who was HRC’s mentor?
How is Alwaleed and Bush Sr./Jr. connected?
What occurred post 9-11?
What war did we enter into?
What was the purpose and disclosures given re: justification?
Who financed 9-11?
Read 1560 tweets
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While UT fought #opioid epidemic, @SenOrrinHatch enabled it from DC. Here’s why it's personal for me. 1/11 #utpol
washingtonpost.com/graphics/2017/…
This isn't the first time @SenOrrinHatch has played politics with Americans' health, especially in Utah. 2/11
In 2016, @SenOrrinHatch, who received almost $180K in drug industry donations, led the way in hobbling the DEA's 3/11
Read 11 tweets

Trending hashtags

#FireMcCabe #HiviteTactics #HillaryForPrison #Mexico #FLYJOHNNYFLY #AryanCircle #opioid #darknet #shadeworkman #michaelcohen #NEW #GreatMillsHighSchool #FIREMCCABETODAY #Guncontrol #Election2018 #indictments #WilliamBrewer #RTWEET #drugmisuse #Boston #SayBraveThings #Profit #Laredo #crack #campaignfinance

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