The real issue is that Kratom use is already so widespread that attempts at a total ban would inevitably create hardship for those who are already dependent on the drug, as well as fuel the appearance of a thriving black market.
A substantial number of patients will wind up taking these meds on a more or less permanent basis, so lifetime costs should be considered.
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Many physicians don’t want to offer opioid maintenance. They’re happy to refer out, to an addictionologist or psychiatrist with training.
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In terms of a comfortable detox, Suboxone was a success. In terms of a return to opiate use, it was a failure.
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Everyone acknowledges the problem but accurate tracking seems to be a challenge.
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Naltrexone maintenance is a lot cheaper than prison. But it’s a lot more expensive than methadone maintenance, which dulls some of its luster.
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Besides, your insurance company probably loves them. It’s cheaper than extended psychotherapy.
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We haven’t corrected any identified physical deficiency. We’ve simply substituted a medical opioid for an illicit one.
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Please get back to us as soon as you’ve perfected this cure. We can promise you massive profits, guaranteed.
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You know what would help put an end to the debate? A protocol and procedures for a successful transition off maintenance for those patients who would prefer not to remain dependent.
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We might have been making things more difficult for the patients we wanted to help. This is not unknown in healthcare.
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