Sources in the video below, FDA Addicted:
Pink Floyd - Money
PBS News Hour: How should the United States regulate powerful painkillers?
Channel 4 News Vermont:
Fighting America's heroin epidemic
KCTS 9 & InvestigateWest:
Prescription for Abuse Documentary
ETSU: When Addictions Collide - DEA Special Agent Alan Santos
National Association of Boards of Pharmacy: The Controlled Substances Act (1983)
Dr. George Koob, Director of the National Institute on Alcohol Abuse and Alcoholism:
Medications Development for Alcoholism: A Framework for Translational Studies
The Young Turks: Drug Dealing Legalized; They're Called Pharmaceutical Companies
MSNBC: U.S. Senator Joe Manchin from West Virginia Discusses the Dangers of Zohydro
NIDA Director Nora Volkow: 2014 NIH Pain Consortium Symposium Introduction
Andrew Kolodny, M.D.: PROP-Physicians for Responsible Opioid Prescribing: Risk of Addiction, Opioids for Chronic Non-Cancer Pain
Bernie Sanders & Rand Paul: HealthCare and Drug Company Corruption
USA Today: Dr Stephen Loyd, Addicted
Dan Clauw, MD: Pain & Depression: What is the Relationship? 2014 NIH Pain Consortium Symposium
Roger Fillingim, PhD: American Pain Society Research Agenda. 2014 NIH Pain Consortium Symposium
Fadel Zeidan, PhD: Neural Mechanisms Supporting Mindfulness-Based Pain Relief as Compared to Placebo Analgesia. 2014 NIH Pain Consortium Symposium
Mary Davis, PhD: Pain and Mood Regulation in Women with Chronic Pain. 2014 NIH Pain Consortium Symposium
Psychoactive Substances Research Collection at the Purdue Archives:
Science & Sacraments: Psychedelic Research and Mystical Experiences
Roland Griffiths, PhD. Johns Hopkins Behavioral Pharmacology Research Unit: Psilocybin & Spirituality
TN Lieutenant Governor Ron Ramsey & State Senator Janice Bowling: TN Intractable Pain Act: 'Pain Patient's Bill of Rights' Based on Fraud (TNReport.com)
Karl from Plaistow: Life & Alcoholism
Pink Floyd, Erik Fabiano: Money, Dark Side of the Rainbow
Kathleen Gyllenhaal: IN UTERO
Pink Floyd, achamp1121: Echoes
Bernie Sanders: Then & Now (1985-2015)
Hallucinogen Therapy and Pain Perspectives
CDC Draft Guidelines for Opioids (Not ‘Preferred’ Treatment for Chronic Pain)
CDC gets it transparently wrong on opioids
Special Interest Groups Behind CDC Opioid Guidelines
Opioids and Sunshine at the CDC
Mental Health, Addiction, and Drug Policy: Politics and Faux Morals Trump American Health
In August 2016, the DEA rejected legislators' appeals to remove marijuana from DEA Schedule I to facilitate research. The DEA refused, citing advice from the Department of Health and Human Services. In a letter to governors who petitioned for the rescheduling the DEA dared to state, "The FDA drug approval process for evaluating potential medicines has worked effectively in this country for over 50 years. It is a thorough, deliberate, and exacting process grounded in science, and properly so, because the safety of our citizens relies on it."
Given the fact that the FDA drug development partnership with pharmaceutical companies resulted in America's opioid epidemic and various other cases of psychoactive drug fraud, this is the most absurd statement to ever come from a government agency.
In the video below, Vermont Senator Bernie Sanders and Vermont Governor Peter Shumlin address psychoactive pharmaceutical fraud and legalized bribery (i.e. lobbying).
"Is fraud their business model? The amendment that I am offering would send a strong and clear message to the drug industry. Illegal behavior will not be rewarded with continued government granted monopolies. Virtually every major pharmaceutical company in this country has either been convicted of fraud... i.e. ripping of federal government, state government, or individuals, or else has reached a settlement." –Sen. Bernie Sanders
"But you know, we're up against some big financial pressures here. Just a few years ago, the combined pharmaceutical industry spent $435,000 per member of Congress lobbying for their views, let's just get this out there. $435,000. That's big money. And I'm just asking us, do we have the courage? Do we have the heart...?" –Gov. Peter Shumlin
Together, the FDA drug approval process and the DEA's drug war have slowly created a medical monopolization of drugs. In the four decades since marijuana and classic hallucinogen research was prohibited, we have seen no improvement in the treatment or prevention of mental illness or substance abuse. Drug laws and the medical monopolization of psychoactive drugs promotes opioid overdose, ill-advised use of antipsychotics and benzodiazepines, and government futility in addressing suicide rates that have not decreased in the past half-century.
GAO Report: Widespread Overuse of Antipsychotic Rx Drugs Among Elderly
Health Affairs: Medical Marijuana Reduces Use of Opioids, Antipsychotics, Benzodiazepines, Sleep Meds, and Antidepressants in Medicare Part D Patients, Reduces Cost of Medicare Part D to Taxpayers
JAMA Internal Medicine: Opioid overdose 25% lower in states with medical marijuana laws
Dan Claw: Why U.S. doctors love opioids and hate marijuana for chronic pain
Cost is the greatest barrier to mental health care, yet NIH-funded research wastes taxpayer money by focusing only on cost prohibitive treatment models. Moreover, mental health care in the United States will continue to be inconsistent and discriminate based on age, race, socioeconomic status, and geographic location of the patient. Mental health care in older adults is terrible, despite their access to Medicare.
There will always be insurance resistance to numerous psychotherapy sessions and many people do not have this type of time commitment. Those who are poor and uninsured–patients who are most likely to experience stress, mental illness, and substance abuse–go without any type of care.
In states with medical marijuana laws, use of prescriptions decreased for dangerous and overused prescription drugs that include opioids, benzos, antipsychotics, sleep meds, and seizure meds. Why isn't there real world research that investigates personal use of marijuana for medical reasons? When care is substandard, and essentially nonexistent–as it is with mental health, substance abuse, and pain care in the United States–people are going to self-medicate. It drives people to go without care, live with chronic stress, or self-medicate with whatever is available. As recent history has shown, available substances for self-medication tend to be the most fatal and addictive, including opioids, benzos, and alcohol. Relatively non-addictive substances such as marijuana that have moderate evidence in treating pain are illegal. Personal use of substances found in nature can offset the total financial burden of mental health parity.
Senators Markey, Manchin Press Conference: Reform FDA to Address Opioid Crisis
Keep in mind as you read: How do you improve substance dependence problems in the United States without providing adequate behavioral health, economic, and social support systems?
At the bottom of the page:
BELIEVE IT OR NOT, PATIENTS MUST PAY FOR THIS POOR LEVEL OF CARE:
This isn't a new problem.
America's current prescription drug and heroin epidemic started in the 1990s when the FDA approved, regulatory bodies promoted, and pharmaceutical companies fraudulently marketed potent opioid analgesics for the treatment of all types of pain, even centralized pain that should not be treated purely with opioids. As a result, addiction and overdose deaths increased dramatically, heroin use increased, and regions of the United States have seen surges in hepatitis C and HIV infection from shared needles.
The mental health incompetence and greed that created the prescription opioid epidemic is a small piece of society's failure in reducing suicide, preparing patients and families for the dying process,
How is the existing lack of transparency in bringing psychoactive drugs to market ethical when these drugs (i.e. opioids, benzodiazepines, barbiturates) have historically been addictive, dangerous when used chronically, and affect an organ–the brain–that we know very little about?
A free market economy is great, but not when it involves irresponsible approval and marketing of psychoactive drugs to patients and providers who are desperate for mental health solutions. All drugs that treat mental illness have varying degrees of adverse effects, as well. The same cannot be said for various non-drug therapies that could boost resilience in mental illness and chronic pain, including psychotherapy with entheogens and meditation.
Root Cause of Pharmacy Robberies: Appalachia, American Politicians Lack Courage to Provide More Treatment Options and Implement Full Harm Reduction, Mental Health & Drug Policy Reforms
KILLING PAIN: THIS IS NOT A NEW PROBLEM
and depression has not changed in 40 years: Primary care doctors and even psychiatrists write prescriptions for abusable drugs without spending time to address root causes of mental distress. Patients end up self-medicating all types of mental illness with harmful substances like alcohol, opioids, and benzodiazepines.
American Mental Health:
GET IN TOUCH WITH CONSENSUAL REALITY
People need help now, and it needs to be affordable.
The American mental health system is trying to do things right by conducting rigorous research on non-drug therapies. However, if thought leaders in the United States do not focus heavily on therapies that are affordable, decent mental health care will never be available to most Americans. Insurance companies simply will not want to pay for inefficient and unpredictable therapies.
Reality: Mental Health Care is Simply is Not Available to Rural and Low Income Americans, a Population that Needs it the Most
American history of "acceptable" substance use:
2014 Davis. Pain and Mood Regulation in Women with Chronic Pain (PDF)
2014 Davis. Stress-Related Clinical Pain and Mood in Women with Chronic Pain: Moderating Effects of Depression and Positive Mood Induction. Positive social bonds and feelings of interconnectedness increase resilience in chronic pain. Underexplored: Power of Positive Affect
2014 Clauw. Pain and Depression: What is the Relationship? (PDF)
2014 Clauw. Pain Fibromyalgia: A Clinical Review. JAMA
2015 Hamilton. Depressive Rumination, the Default Mode Network, and the Dark Matter of Clinical Neuroscience. Biological Psychiatry
Meditation and Classic Hallucinogen Effects on the Default Mode Network
Dr. Etkin isn't lying. Sadly, we have seen little improvement in fighting mental illness and addiction in the past 4 decades. "Easy Pill to Swallow" from 1978:
Failure to Fund Research of New Therapies Because of Politics, Not Science, Not Public Health - FDA-Approved Drug Therapies and Classic Hallucinogens to Treat Alcoholism: Barriers, Background, and the Latest Research
Case Study: Treatment of an Individual with Alcoholism in the United States of America. Shoup, 48, died seven days after he was locked up at Sussex Correctional Institution in Georgetown for not being able to pay bail on a fifth driving under the influence charge.
At times, he was observed talking to himself, trying to rip out an intravenous tube for fluids in his arm and trying to bust out of the cell, the report said.
Fraud Against the U.S. Government and American People: Antipsychotics Used for Unapproved Purposes in Children & Elderly, Overused in Adults
"Antipsychotic drugs are currently the primary treatment for people diagnosed with schizophrenia.
However, Steve Brill’s groundbreaking exposé on the antipsychotic Risperdal revealed extent to which pharmaceutical companies, like Johnson & Johnson, specifically targeted vulnerable groups, like children with disabilities, foster care kids, and the elderly, for off-label prescribing of antipsychotic drugs, to expand their markets and increase their profits.
The results of such marketing efforts are evident. Studies estimate that approximately 50% of prescriptions for antipsychotics are given without an approved diagnosis and that, among those with intellectual disabilities, 71% receive these drugs without such a diagnosis. Also, almost one in four (25%) of children in foster care are prescribed an antipsychotic, and they are three times more likely than other children on Medicaid to be prescribed the drug off-label. Antipsychotics have a number of severe side-effects and have been linked to long-term structural brain abnormalities, but they carry even bigger risks in elderly people. In March, a team of researchers from the University of Michigan examined the records of older veterans from 1998 and 2009 and found that one of out every 27 patients with dementia treated with the antipsychotics Haloperidol or Risperidone died within six months."
See the most common side effects of second generation antipsychotics below, described as potentially "unbearable" and include weight gain, drowsiness, menstrual irregularities, decreased sex drive and arousal, akathisia (inability to sit still), insomnia, and dry mouth.
MedlinePlus: Many Seniors Given Antipsychotic Meds, Despite Potential Problems (Risks: kidney damage, stroke, and even death)
NY Times: When Crime Pays: J&J’s Drug Risperdal "Risperdal is a billion-dollar antipsychotic medicine with real benefits — and a few unfortunate side effects. It can cause strokes among the elderly. And it can cause boys to grow large, pendulous breasts; one boy developed a 46DD bust. Yet Johnson & Johnson marketed Risperdal aggressively to the elderly and to boys while allegedly manipulating and hiding the data about breast development."
TIME: Antipsychotics Flood Top 10 Drug Company Settlements
Of the children on Medicaid who receive antipsychotics, 92% receive them for unapproved uses.
92% of Foster Care and Poor Kids Receive Antipsychotics for Unapproved Uses
California Moves To Stop Misuse Of Psychiatric Meds In Foster Care
JAMA Psychiatry: Children and youth prescribed antipsychotics had an increased risk of type 2 diabetes that increased with cumulative dose.
From authors Olfson, Blanco, Liu, Wang, and Correll in Arch Gen Psychiatry. National Trends in the Office-Based Treatment of Children, Adolescents, and Adults With Antipsychotics (2012):
Believe it or not, patients with schizophrenia are now advised to scale down the use of these drugs and utilize more non-drug psychotherapy.
NY Times: "More than two million people in the United States have a diagnosis of schizophrenia, and the treatment for most of them mainly involves strong doses of antipsychotic drugs that blunt hallucinations and delusions but can come with unbearable side effects, like severe weight gain or debilitating tremors.
Now, results of a landmark government-funded study call that approach into question. The findings, from by far the most rigorous trial to date conducted in the United States, concluded that schizophrenia patients who received a program intended to keep dosages of antipsychotic medication as low as possible and emphasize one-on-one talk therapy and family support made greater strides in recovery over the first two years of treatment than patients who got the usual drug-focused care. The report, to be published on Tuesday in The American Journal of Psychiatry and funded by the National Institute of Mental Health, comes as Congress debates mental health reform and as interest in the effectiveness of treatments grows amid a debate over the possible role of mental illness in mass shootings."
TX Hopes to Fix More Mental Health Care Shortage
The BEST Mental Health Care Access in the United States is for United States Combat Veterans. Level of Care: DISMAL.
Sadly, using military and wartime jobs as a solution to job growth is a solution for some politicians. The United States is entrenched in a toxic cycle of perpetual warfare. A decent proportion of men and women in the United States military will leave service in their 20s and be on disability for the rest of their lives. They'll come back to a country that has not focused on domestic policies. The United States has the worst mental health care among developed nations with few effective means of treating PTSD. Politicians cheering from the sideline have zero insight as to how their country is perceived by the rest of the world and how it factors into winning the war of ideology. This mindset is not sustainable for our country.
Example of Culturally Competent Community Mental Health in a State Where Cannabis is Decriminalized: Community input shaped new mental health clinic in Denver's Park Hill. The Mental Health Center of Denver's new family clinic will have a farm and a greenhouse to grow community food. The mental health clinic will feel more like a community center, a place for fitness and nutrition. Staff members believe that will diminish the stigma still associated with getting mental health care — people won't know whether someone is visiting the campus to talk to a psychiatrist or to work out and buy food.
Opioid/Heroin Addiction Scenario in Pueblo, CO
""It can be very depressing when you're sitting in San Luis, or let's say Antonito, and you can't find a job [...] and you're trying to feed your family. All of the sudden, you get this person saying, 'I'll pay you $100 for a pick up,' then you find out, 'If I use this, I feel better.'"
"I'd been searching to fill this void with like drugs, love, everything and nothing would fill it. I chose who I was with -- and drugs over my kids," Rhodes said. "That night I prayed to get out of it, but the heroin, the withdrawals are so bad you feel like you're gonna die."
How About Therapy That Involves Positive Emotions Such as Interconnectedness, Awe and the Seat of Human Ethical Tradition?
She's been clean for more than two years now and attributes getting clean to a higher power. God sent her to jail, she says. "He knows me. That's why He sent me to jail. I deserved it. But I don't know if I would've been OK had I not went.""
Healthcare in Tennessee: Addiction and Lack
of Good Mental Health Care Spares No One
Dr. Loyd's presentation: Overprescribing the Appalachians
Link: One of Dr. Loyd's heroes, Gabor Maté, M.D., discusses how ayahuasca offers addicts insight into self-destructive behaviors
60 Minutes did a nice profile on the White House Office of National Drug Control Policy (ONDCP) Drug Czar Michael Botticelli last night but they really dropped the ball by not challenging him when he said he wants to treat drug use as a health issue rather than a criminal one. They should have asked him why we are still arresting 1.5 million people for drugs every year in the United States.
Huffington Post: 60 Minutes Profile on the Drug Czar: What They Got Right -- and Wrong
Learn more about the Harrison Act, the White-Slave Traffic Act (Mann Act) of 1910 and the Harrison Narcotics Tax Act of 1914.
America, don't fight mental illness and addiction with
one arm behind your back. What do top psychiatrists say about research of non-addictive hallucinogens?
"We need to study these drugs."
The College of Psychiatric and Neurologic Pharmacists partners with the National Alliance on Mental Illness (NAMI) to provide current and thorough information on medications used to treat psychiatric and neurologic conditions. CPNP members author and review content in order to provide an objective, evidence-based description of what the medication treats, how the medication should be taken, side-effects, risks and much more. To search for specific medications please visit these medication fact sheets at the NAMI Website.
"We cannot have a meaningful revolution without humor. Humor is essential to the integrative balance that we need to deal with diversity and difference and the building of community." –bell hooks
Racy? We know. Fixing this mess will take strength and courage. Did you know that the United States has, by far, the most expensive healthcare system and prescription drug prices among developed countries? The American healthcare system is last or near-last in health access, efficiency, and equity. We must change things for the future of our country.
Is Your Life in America Like Pushing a Boulder
Through Eternity? 5 Issues We Can Change