Too many doctors worry about “those people” showing up in the waiting room. They don’t particularly want to be known as a resource for the addicted.
There’s an ongoing search among users for ways to either improve the high (which escalating tolerance threatens to steal away) or suppress the withdrawal symptoms.
I think at this point, most law enforcement personnel would agree. They’ve concluded that, as the saying goes, this is one of those problems we “can’t arrest our way out of.”
It isn’t PhDs in the white lab coats who show up at your doctor’s office to provide false or misleading information about drug safety.
We may be stuck relying on the soft stuff– therapy, support, behavior change, even spiritual growth– all those icky-squicky things that neuroscientists struggle to quantify.
It’s the result of a problem in medicine that’s been going on since before I ever started working in the field. The drugs have changed, but the results haven’t.
We can’t predict in advance which user will turn out to be in which category, and frankly, neither can they.
I thought that blue ribbon commission did a pretty good job with its 60 recommendations, but I haven’t seen much subsequent action, have you?
There are plenty of steps we could take, supported by research and common sense, that would produce measurable gains in a relatively short span.