Drugs and the Homeless

August 1, 2019 by C. Scott McMillin

…the problems we decide not to deal with at present go on to undermine treatment for the rest.

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Demand and Supply

July 29, 2019 by C. Scott McMillin

Picture a horde of lemmings suddenly deciding to change direction and stampede off a different cliff.

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Addiction and “Medicare for All”

July 18, 2019 by C. Scott McMillin

I’d argue that America has never adequately addressed its own problems with addiction, which have been with us in one form or another since before we became a nation.

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Prohibition Paradox

July 15, 2019 by C. Scott McMillin

Alcohol still gets credit for close to 90,000 deaths every year– more than other drugs, even in the middle of an epidemic.

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Mission Not Accomplished

July 8, 2019 by C. Scott McMillin

It’s a real challenge for the folks on the ground to fit their reality into the prescribed format of a Federal grant.

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Another Day, Another Opioid Lawsuit

June 10, 2019 by C. Scott McMillin

Meanwhile , the healthcare field continues to struggle with legitimate issues around the use of (and controls over) opioids in medical practice.

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Raising the Tobacco Age Limit

May 30, 2019 by C. Scott McMillin

So, public health advocates maintain, the McConnell plan is really just a clever ruse to reduce support for other legislation that might actually reduce smoking and vaping.

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Proposing a Plan

May 23, 2019 by C. Scott McMillin

This is in part a course correction from the trend of several decades ago, when the emphasis was on cutting expenses in the naive belief all addicts could be successfully treated on an outpatient basis.

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Coercion in Massachusetts

May 20, 2019 by C. Scott McMillin

I compare it to finding someone lying on the sidewalk, helping them up, brushing them off, and pushing them down again.

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Treatment and Coercion

April 25, 2019 by C. Scott McMillin

Those of us who work in treatment quickly sense a problem: people with addictions aren’t likely to respond to this approach.

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