The Republican plan to replace the Affordable Care Act would eliminate a requirement that Medicaid cover basic addiction and mental health services in states that expanded the government healthcare program, The Washington Post reports.
Almost 1.3 million people receive treatment for addiction and mental health disorders under Medicaid expansion.
Under the proposed plan, states that expanded Medicaid would be allowed to decide whether to include addiction and mental health services starting in 2020. Many states that could eliminate these services include ones hardest hit by the opioid crisis, including Ohio, Kentucky and West Virginia, the article notes.
“Taken as a whole, it is a major retreat from the effort to save lives in the opiate epidemic,” said Joshua Sharfstein, Associate Dean at Johns Hopkins Bloomberg School of Public Health.
Note: The following is based on a story published in The Buzz, a publication of The National Center on Addiction and Substance Abuse (CASA)
Recently, news stories have focused on how addiction is ravaging families and communities, particularly in rural areas.
Around one in five Americans lives in a rural area, defined as a community with fewer than 2,500 people. Rural and urban communities both face the challenges of substance use, overdose, and the opioid epidemic. Although substance use rates in rural areas have kept pace with those in urban areas, rural communities seem to have been hit harder. For example, a recent statistic shows a greater increase in the proportion of babies born addicted to opioids in rural communities than in urban areas.
Why do rural communities seem to be disproportionately affected by addiction?
Rural communities have been especially affected in the past few years by rising rates of poverty...
You’ve seen them. The exposure of devastating images of addiction, especially photos and videos of people overdosing or near-death, sometimes with their children nearby.
In some instances, the posted or shared pictures and videos were posted by law enforcement or first responders.
Questions have been raised as to why it is acceptable to post images that feature people with addiction. People are questioning whether the same situation would arise if people were found to be in medical emergency situations that involve a diabetic, or asthma.
It is acceptable for a bystander to post similar images on social media too?
According to Samuel A. Ball, PhD,President and CEO of The National Center on Addiction and Substance Abuse, the stigma of addiction will remain strong because some of its symptoms result in real risk or harm to others. But more of the stigma of addiction, which is also true of obesity, comes from...
A new Surgeon General’s report finds alcohol and drug misuse and severe substance use disorders, commonly called addiction, to be one of America’s most pressing public health concerns. Nearly 21 million Americans – more than the number of people who have all cancers combined – suffer from substance use disorders.
The report, Facing Addiction in America: The Surgeon General’s Report on Alcohol, Drugs, and Health, marks the first time a U.S. Surgeon General has dedicated a report to substance misuse and related disorders.
The report addresses alcohol, illicit drugs, and prescription drug misuse, with chapters dedicated to neurobiology, prevention, treatment, recovery, health systems integration and recommendations for the future. It provides an in-depth look at the science of substance use disorders and addiction, calls for a cultural shift in the way Americans talk about the issue, and recommends actions we can take to prevent and treat these conditions, and promote recovery....
Many people still see addiction as a character flaw instead of a chronic disease of the brain, according to U.S. Surgeon General Vivek Murthy.
He told The Huffington Post that to address the opioid epidemic, it is necessary to “change how our country sees addiction.”
Almost two million Americans are addicted to prescription opioids, Dr. Murthy told the publication’s Editor-in-Chief Arianna Huffington. “We can work on sharpening our prescribing practices, working with clinicians to ensure we’re treating pain safely and effectively,” he said.
Doctors need to be more equipped with skills for “how to recognize and treat substance use disorders to ensure that all the needs of a patient population are cared for.”
While most medical schools devote little time to teaching addiction medicine, Stanford is leading the way in taking a new approach, NPR reports.
Stanford has announced addiction lectures will no longer be part of a psychiatry series, but will become a separate unit for doctors in all subspecialties.
Training in addiction medicine will continue when students have clinical rotations.
As part of the school’s effort to reduce doctors’ reliance on prescribing opioids for pain, Stanford professor Dr. Anna Lembke is working with fellow faculty members to offer a lecture series on alternative treatments, such as acupuncture and massage.
In the 19 states that have not expanded Medicaid under the Affordable Care Act, doctors, public health officials and community leaders are struggling to get care to patients who need addiction treatment, the Los Angeles Times reports.
Many poor patients in these states are on waiting lists for recovery programs, or cannot obtain medicine to treat their addiction because they can’t afford it, health officials say.
In states that expanded their Medicaid programs through the Affordable Care Act, poor adults have access to health insurance and a way to pay for addiction treatment, the article notes. The 19 states that have rejected federal aid to expand Medicaid eligibility have effectively made coverage available only to poor children, seniors and pregnant women. All of those states have Republican governors or legislatures.
“The best way to get treatment if you’re addicted to drugs in Missouri is to get pregnant,” said Dr. Joe Parks,...
A new report finds insurance plans around the country are not covering the necessary services for people with addiction.
The National Center on Addiction and Substance Abuse reviewed addiction benefits offered in the 2017 Essential Health Benefits benchmark plans and found more than two-thirds violate the Affordable Care Act.
None of the plans are adequate, the report concluded. “Our findings reveal that people with addiction may not be receiving effective treatment because insurance plans aren’t covering the full range of evidence-based care,” Lindsey Vuolo, JD, MPH, Associate Director of Health Law and Policy at The National Center on Addiction and Substance Abuse, and lead author of the report, said in a news release. “For example, our review did not find a single state that covers all of the approved medications used to treat opioid addiction.”
The Essential Health Benefits benchmark plans determine which addiction benefits are available to the 12.7 million...
Alabama recently became the sixth state to ban the herbal supplement kratom over concerns about its potential for addiction, according to the Associated Press.
Wisconsin, Vermont, Tennessee, Indiana and Arkansas have also banned the supplement.
Alabama classified kratom as a Schedule I drug, alongside heroin and Ecstasy.
More states are also considering banning kratom, which is often sold as a pain treatment.
Kratom is a plant that originates in Southeast Asia. The drug is categorized as a botanic dietary supplement. The Food and Drug Administration (FDA) cannot restrict the sale of kratom unless it is proved unsafe, or manufacturers claim it treats a medical condition. The FDA banned the import of kratom into the United States in 2014.
Kratom is not controlled under the Federal Controlled Substances Act. The Drug Enforcement Administration (DEA) has listed kratom as a “drug and chemical of concern,” and notes on its website that there is...
Opioid addiction treatment experts say although the evidence is clear that medication-assisted treatment is the best way to tackle the nation’s opioid epidemic, there is still a stigma attached to using these medications.
Only a small percentage of the more than 4 million people who abuse prescription painkillers or heroin in the United States use one of these medications, methadone or buprenorphine, NPR reports.
These treatments have been proven to reduce relapses and overdoses, the article notes.
While limited availability of these treatments is an issue, stigma around the use of addiction medications also prevents some people from using them, experts say.
Because methadone and buprenorphine are opioids, a widespread view among people in recovery is that using these medications is simply replacing one drug with another. They say true recovery requires abstinence—without the use of medication. This view is strongly disputed by doctors and scientists.
The Obama Administration is trying...