How To Perpetuate Barriers To Addiction Treatment

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In my last post, I wrote about how stigma affects our ability to blunt the opioid crisis in ways that we don’t usually consider. For example,  almost a quarter of the pharmacies in the worst-hit counties in the nation do

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The Hidden Stigma That Kills People With Opioid Addiction

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Stigma about proven OUD (Opioid Use Disorder) treatments is a significant barrier to getting the opioid crisis under control. Stigma prevents patients from seeking treatment with Suboxone and methadone. And stigma prevents addiction care providers from using Suboxone, methadone, and

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Naming Addiction: A Father Goes Full Dumbledore In An Obituary

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I spend much of my time at work figuring out how to improve access to evidence-based treatment for individuals with addiction, especially opioid addiction. I attend conferences focused on opioid addiction. Over the past several years, it has become a common

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Driving While Looking In The Rear View Mirror

Our current national response to the opioid epidemic is still more preoccupied with its past (prescription opioids) than its future (illicit fentanyl).

Our Ambivalence About Addiction is Killing Us

We lost more than 33,000 Americans to opioid overdoses in 2015.  Over 50,000 succumbed to all overdoses. That’s more than were murdered, killed themselves or died in car accidents that year. Yet, we can’t make up our mind. To what

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The Story of My Wife’s Brush with The Swinging Opioid Pendulum

A physician traces the evolution of the opioid epidemic while coming face-to-face with the practical reality of America’s swing away from opioid prescribing. Making pain the 5th vital sign directly led to our irrational opioids prescribing. Now, we are prone to the same lack of nuance and clinical judgment in the opposite direction.