While it’s too soon to know if the improvement [opioid deaths down] is part of a long-term trend, it is clear there are some lessons to be learned from Dayton. The New York Times spent several days here interviewing police and public health officials; doctors, nurses and other treatment providers; people recovering from opioid addiction and people who are still using heroin and other drugs.
Medicaid expansion hugely increased access to treatment
Mayor Nan Whaley thinks nothing has had as big an impact on overdose deaths as Gov. John Kasich’s decision to expand Medicaid in 2015, a move that gave nearly 700,000 low-income adults access to free addiction and mental health treatment.
I know the treatment business.
The key here is to house them away from the hood, or at least get them away from the hood during the day. Especially with meth, it is not 'medicine in the medicaid sense', the traditional sense. It is militant cultural intervention under the cover of medical license. It works. Medical techies can be militant, they have license, funds, insurance and a monopoly. This works, it is a fiction that medicaid does it, the Conservation corp could do this with a fake jobs program, the PeaceCorp does this.
Especially with meth, one needs militant camp guards who can take a bus to the meth heads, offer them a hundred bucks for a weekend at work camp. That alone gets you over half way home on the meth problem by simply getting them out of the meth network for the weekend.
Call it medicine, I will triple the government costs because are using medical militancy. Call it am jobs program for meth heads and you costs go way down, we know what we deal with and we specialize the work camp to treat the meth heads.. They can be induced to exit the bad scene for a week end.
Herion is a bit different, the medics are generally forced into substitute medicines, less dangerous. Then it is mainly getting them in and out of the clinc on a regular basis. This is real medicine, and it works for cocaine also, which is easy to quit with quick recovery. With meth you need the work camp, the militancy, you are really dealing with zombies.
Every meth head recovery story I have dealt with had one thing in common. For circumstantial reasons, the person was isolated from the meth network. Meth is true mid brain damage, recoverable after a few years. On meth, the person has few human emotions and cannot really respond to counseling. Once isolated fro the meth network the meth head is forced to deal directly with human connections, and doing this under structured workcamp conditions is ideal, like taking them back to summer camp to learn human interactions.
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