Dave Aronberg Talks How to Fight Fraud in Treatment Industry

Dave Aronberg Talks How to Fight Fraud in Treatment Industry

8 months ago, Florida was home to 953 licensed drug treatment centers, and 207 were in Palm Beach County. As of April 1, there are now 185 in Palm Beach, with 771 in the whole state. This decrease is due to the crackdown on fraud by Palm Beach State Attorney’s Office, which has led to 45 arrests in the last year and a half. So far, those arrests have led to 16 convictions. For State Attorney Dave Aronberg there is no sign of slowing down.

Recently, Dave Aronberg spoke with Opioid Watch to talk about the work his office has been doing to try and strengthen the addiction treatment industry. Chief Assistant State Attorney Alan Johnson also sat down to talk about how Palm Beach County is fighting to protect those who are coming to Florida for help. Johnson heads the office’s Sober Homes Task Force.

Dave Aronberg VS Purdue Pharma

 According to Aronberg, he got involved with opioid-related issues back in 2001, when he was an assistant attorney general. Aronberg says he was asked by his boss, Bob Butterworth, to investigate Purdue Pharma. This Big Pharma giant is the producer of OxyContin. This powerful prescription opioid has been credited with making a heavy contribution to the opioid crisis. Dave Aronberg was to examine the marketing practices of Purdue Pharma, and is quoted in the interview transcript stating:

“I believe we were one of the first in the country.”

Of course, now Purdue Pharma is one of many big name pharmaceutical companies being accused in lawsuits across America. In fact, Delray Beach, Florida recently filed its own case against the company.

When asked about what he found, Aronberg said that Purdue was marketing the product like it was Advil. Purdue has been repeatedly accused of pushing this product as if it was far less dangerous than it actually was. In 2002, Dave Aronberg was elected to state senate, and shortly afterward the case against Purdue was settled. In the edited interview transcript, Aronberg is quoted:

“Purdue also offered $2 million to the state to establish its first prescription drug monitoring program. I worked in the state senate to get the PDMP enacted into law. But some conservatives refused to go along. They thought it was Big Government. So Purdue’s $2 million went away, because the offer expired. We didn’t get the PDMP till 2011. By then the carnage was horrific.”

Furthermore, Opioid Watch notes that a Purdue spokesperson confirmed that the state failed to implement a PDMP by July 1, 2004, which was the expiration of the companies offer.

Dave Aronberg Goes to Congress

In December of 2017, Aronberg went in front of Congress to testify concerning fraud and abuse in the addiction treatment industry. In this meeting, they discussed various issues with shady facility operators in Florida and made suggestions on how the law could step in to change it and protect patients. The interview transcript quotes Aronberg:

“In recent years, we’ve had an influx of unscrupulous operators who enrich themselves by exploiting those in recovery. As a consequence, we’re attracting thousands of young people from throughout the country into fraudulent rehab centers. (We’re talking about some, not all. There are good rehab centers, too.)”

Again, Aronberg found himself at battle with shady marketing practices. While investigating the treatment industry, Aronberg’s office discovered illegal operations that not only manipulated insurance providers but put patients at extreme risk.

From patient brokering, where illicit actors would sell patients with insurance to the highest bidders, to illegal kickback schemes being run by sober homes to outpatient treatment programs. Chief Assistant State Attorney Alan Johnson added information about the exploitation of urine analysis costs, and even some programs that began billing insurers for allergy and DNA testing. Aronberg states:

“We have a doctor who billed $7 million in nine months for allergy tests.”

Needless to say, the task force and state officials had their work cut out for them.

The ACA, ADA, and FHA

When talking about the many scams being run by various illegitimate businesses, the conversation came back to insurance and how these cons run. Here Dave Aronberg talks about his beliefs on how the law should step in and help restructure the current system.

“Number one: Change the Affordable Care Act’s fee reimbursement model to an outcome-based reimbursement model. Where the good providers are rewarded and the bad ones are paid less. Right now, the opposite occurs, so the more times you fail, the more money you get. There’s an incentive for more services and for more relapse. That shouldn’t be.”

After talking about the issues with the ACA, he talked about the ADA and FHA.

“The second change we need is this: the Americans with Disabilities Act and Federal Housing Act have been misused and exploited by bad actors who own flophouses.”

He went on to say,

  “Local governments are largely prohibited from overseeing the sober home industry. If they want to require mandatory inspections, certifications, and registrations, they’re likely prohibited under federal law.”

In essence, Aronberg believes the law should allow local governments to create their own guidelines for health, safety and the general welfare of the patients. None of these demands seems outlandish, and with reasonable regulation, the reputable and effective providers in this industry can continue to best serve the South Florida recovery community.

Aronberg also points out that the problem is not only in Florida. Recently, he went to Orange County, California to meet with officials dealing with the same situation. Next for Dave Aronberg is leading the national task force of 34 prosecutors in 30 states. Their goal is to produce a working paper for setting best practices for prosecutors all over America concerning these issues. The task force also intends to make suggestions for changes to federal and state laws.

What might be most surprising though is the mention of harm reduction strategies?

“It’s about prevention, drug treatment, and innovative strategies. I think it will be powerful because it’s going to be prosecutors talking about needle exchanges and disposal and safe injection sites. People assume prosecutors are going to be focusing only on mandatory minimums and longer sentences. That’s not what this is about. I think it’s going to surprise people.”

While needle exchanges and safe injection sites have been proposed in numerous states, it is not the most popular idea. San Francisco is actually on track to open the first safe injection site in America, with Philadelphia not far behind, and Seattle and Baltimore in the conversation as well.

With Aronberg and the task force working to make a difference, hopefully, we will see the right change soon. We hope it will make the recovery community stronger as a whole. Reputable and respected providers are also doing their part to refine their practices while implementing innovative and effective resources to ensure that those who with drug or alcohol addiction always have a safe place in Palm Beach County to get the help they need. With the opioid crisis ongoing, having real resources for opioid treatment is still an essential part of overcoming the problem.

Palm Healthcare Company is a leader in holistic addiction treatment with over 20 years of helping people from all over the country heal mind, body and spirit. Providing safe and comprehensive care should always be a focus in the effort to overcome the drug problem, and preservation of life should always be a priority. If you or someone you love is struggling, please call toll-free now.

CALL NOW 1-888-922-5398

How Acupuncture Treatment Helps Many Overcome Addiction

How Acupuncture Treatment Helps Many Overcome Addiction

To put it simply, acupuncture is a form of alternative medicine in which thin needles are inserted into the body. This practice is a key component of traditional Chinese medicine, and the most widespread method of acupuncture in the United States derives from traditional Chinese medicine. Acupuncture therapy has been used to help heal and promote wellness for over 2,000 years.

Modern medicine explains the benefits of acupuncture using neuroscience. Traditional Chinese medicine focuses on the balance and flow of energy. Western practitioners tend to identify acupuncture points as places where stimulation to nerves, muscles, and connective tissue increases blood flow and activates the body’s natural endorphins. There are critics who say many studies on acupuncture are hard to prove because of the nature of the treatment versus control groups. Some would say any improvements may merely by placebo effects. However, many have experienced benefits from trying this method of treatment as part of personalized addiction recovery programs.

It is typical to use acupuncture for pain relief, although it can help with a wide range of other conditions as well. Generally, acupuncture is used in combination with other forms of treatment and has been known to be an effective addition to holistic addiction treatment. In 1997, the U.S. National Institute of Health (NIH) publicized acupuncture’s safety and efficacy for helping treat various conditions.

Relapse and Craving Prevention

One acupuncture technique applies small needles called “seeds” to the ear. A large study examining three auricular acupuncture protocols such as this looked at relapse prevention in drug users. This study concluded that all three protocols were associated with reductions in drug use over time.

In another study examining acupunctures impact on relapse prevention, an 8-week randomized study of 32 subjects compared two groups:

  • One group was given acupuncture treatment with two prescription medications used for craving reduction
  • The other received a placebo for cocaine addicts on methadone maintenance therapy

Half of the subjects in the test dropped out, so the results were not so concrete. However, almost 90% of those who completed the treatment achieved abstinence by the end of the study. The patients who completed the trial and achieved abstinence reported:

  • Diminished craving
  • Significantly improved mood

Over the years there have been hundreds of clinical studies on the benefits of acupuncture. According to the UC San Diego Center for Integrative Medicine, some studies claim that it can successfully help treat:

Although again, these treatments can often include medications and other forms of therapy.

Opiate Addiction and Acupuncture

The mesolimbic dopamine system originates in the ventral tegmental area (VTA) and projects to regions that include:

  • Nucleus accumbens
  • Prefrontal cortex

Expert believe these areas play a pivotal role in the development of opiate addiction.

Opioid abuse causes changes in the levels of dopamine in the brain. These reactions are typically associated with feelings of pleasure and well-being. This positive association helps drive the development of opiate abuse. So when someone discontinued opioid use, it reduces dopamine outflow in the nucleus accumbens. This is what creates opioid withdrawal.

Many studies in animals and humans have demonstrated that acupuncture causes multiple biological responses. The best-known mechanism is via endogenous opiates and their receptors.

In 1993, Han and Zhang reported the effectiveness of EA on morphine abstinence syndrome in a rat experimental model. The authors found that acupuncture point 100 Hz EA produced a statistically significant suppression of symptoms such as:

  • Wet shakes
  • Teeth chattering
  • Escape attempts
  • Weight loss

They also discovered acupuncture point 2 Hz EA produced a mild but significant suppression in:

  • Escape attempts
  • Wet shakes

These results suggest that 100 Hz EA was far more effective than 2 Hz EA in suppressing drug withdrawal syndrome. Further studies suggested that EA suppresses opiate withdrawal syndrome by activating κ opioid receptors and dynorphin release.

In short, there are researchers who believe that acupuncture is an effective method of therapy for helping treat those recovering from opioid addiction. Again, it may not be a good enough treatment on its own, but it can have an impact on cravings and other stressors in the body that help prevent relapse. So whether you believe in balancing the flow of energy in the body, or just pinpointing the nerves, acupuncture might be one way to enhance your recovery program.

Palm Healthcare Company offers acupuncture therapy as one of the many holistic treatment options to help each individual customize their own recovery plan. Acupuncture provides another opportunity to cultivate a state of physical and mental wellness in addiction recovery. Everyone struggling deserves a chance to be as healthy and happy as possible while overcoming drugs or alcohol. If you or someone you love is struggling, please call toll-free now.

 CALL NOW 1-888-922-5398

Palm Healthcare Company Blog: Top 9 Stories from 2017

Palm Healthcare Company Blog: Top 9 Stories from 2017

With the beginning of the new year, Palm Healthcare Company is looking forward to helping spread more exciting stories of experience, strength, and hope while also sharing important news stories and exciting new developments that relate to the world of addiction recovery and substance use disorder treatment. As we commit ourselves to another year of fighting alongside thousands of people working toward a better future, we would also like to take some time looking back on all the big moments in 2017 that we shared with our Palm Healthcare Company Blog.

  1. President Trump Declares Public Health Emergency: What’s the Plan?

President Trump Declares Public Health Emergency: What’s the Plan?

October of 2017, President Donald Trump made an announcement declaring the opioid crisis in America as a Public Health Emergency. This highly anticipated declaration was delivered in a way slightly different than many had expected, noting the technical differences between a Public Health Emergency and a National Emergency.

Many advocates were concerned that this announcement did not provide a concrete foundation for the necessary federal funding and did not initiate much-needed action, but others we assured that this means the Trump administration was taking this issue very seriously. In this article, we took a look at what this announcement did actually accomplish, and what it failed to deliver on.

  1. Racketeering for Fentanyl: Opioid Maker Insys Founder Arrested for Bribes

Racketeering for Fentanyl: Opioid Maker Insys Founder Arrested for Bribes

A huge development to another story came in late 2017 when John Kapoor, former CEO of Insys Therapeutics and founding father of one of the most prominent opioid manufacturers in the country, was arrested and charged with conspiring to push the signature drug of Insys Therapeutics, a Fentanyl spray called Subsys, for unacceptable uses through bribes and kickbacks.

The Palm Healthcare Company blog notes how back in 2016 the Justice Department reported to be charging 6 former executives and sales-managers of Insys Therapeutics for conspiring to defraud health insurers.

When looking at the details in this story, it has intensified the conversation about Big Pharma involvement in the epidemic

  1. Can Kellyanne Conway Really Compete with the Opioid Crisis?

Can Kellyanne Conway Really Compete with the Opioid Crisis?

Not too long after President Trump’s declaration of a Public Health Emergency pertaining to the opioid crisis, Kellyanne Conway was announced as leading the charge on the White House’s efforts for addressing the opioid epidemic.

This Palm Healthcare Company blog saw a lot of comments!

While some find that having a high-profile figure at the head of the efforts gives validity to the White House’s commitment to solving the opioid issue in America, many others are speaking out in frustration. Those in opposition to this appointment say that while she may be useful as a counselor or pollster, she has no experience of expertise when it comes to drug abuse, addiction or substance use disorder treatment.

Thus far the one thing both Kellyanne and the President seem adamant about is a media campaign, but advocates are still afraid this is more “Just Say No” and not enough support for effective resources.

  1. After Las Vegas Shooting: PTSD and Mental Health Must be Priority

After Las Vegas Shooting: PTSD and Mental Health Must be Priority

In early October of 2016, the nation was shaken to its core when Las Vegas had one of the deadliest shootings in modern American history. This horrific tragedy flooded newsrooms and live viral footage with the country watching in shock as a gunman killed 58 people and injured 546 more at an outdoor music festival.

In the aftermath of this terrible and heartbreaking incident, our Palm Healthcare Company blog took a look at how such traumatic experiences impact people, and about the importance of those who struggle with Post-traumatic Stress Disorder (PTSD) getting proper diagnosis and care.

At a time when so many people are self-medicating with dangerous or even deadly narcotics, it is important to care for those most vulnerable, especially after such an earth-shattering experience.

  1. Police Helping Addicts into Treatment is a Growing Trend Saving Lives 

Police Helping Addicts into Treatment is a Growing Trend Saving Lives

In August of 2017, we took a look back at several programs that had come to light all over the country based on Police Departments working with their communities to offer drug users the chance to get help with addiction treatment instead of being arrested and charged.

The pioneering program came from Gloucester Police Department in Massachusetts back in 2015. This program allowed users to ask police for help, and told addicts they could submit drugs to local law enforcement without fear of being arrested if they were willing to seek treatment. A 2016 study showed that this program was experiencing some impressive success.

Police departments in a number of other states were inspired by this and took up similar programs as a way to help their communities fight the addiction outbreak.

The Palm Healthcare Company blog took a close look at a handful of these programs to celebrate their compassion and success.

  1. Sterilized for Cash: This Woman Pays Drug Addicts to Not Have Kids 

Pregnant lady’s stomach and her hand holding dollar over black background

When we posted this Palm Healthcare Company blog we saw a great deal of debate in the comments on our Facebook. For over 20 years, Barbara Harris has driven across the country using cash to ask addicted women to give up their fertility. To date, the organization has paid over 7,000 people.

The controversy around such a powerful story had some people showing a great deal of support for someone giving addicted women an incentive to not get pregnant, while other people were appalled and angered that someone would entice desperate women who are not in the right mindset to make such dramatic and life-altering decisions with their bodies.

  1. What Chester Bennington Taught Us about Addiction and Depression

What Chester Bennington Taught Us about Addiction and Depression

(This content is being used for illustrative purposes only; any person depicted in the content is a model)

In July of 2017, the world lost a great artist and inspirational musician with the death of Chester Bennington, the lead singer of the band Linkin Park.

Initial reports were that Bennington had died from suicide by hanging, with later reports indicating that Chester had been drinking at the time of his death. The vocalist had been open about his struggles with depression and drug addiction over the years, and in this article, we took a look at just how much Chester Bennington could teach us about the devastation of depression and addiction.

  1. Dear Media, Thank You for Bad Press 

Dear Media, Thank You for Bad Press: Love, South Florida

South Florida has been under a great deal of scrutiny recently, specifically concerning the issues facing the recovery community such as unethical and illegitimate sober home operators in the area. In June, there was a Megyn Kelly NBC News Investigation which focused in on Delray Beach, Florida and some of the big problems concerning unscrupulous activities from corrupt individuals exploiting drug addicts in need of help.

We took this time to look over some of the bigger stories concerning the illicit activities in South Florida with the recovery industry while showing support and gratitude for all those working together to try and put an end to operators who are taking advantage of people in need of help.

  1. Palm Healthcare Measures Up to Addiction Treatment Outline for EAP

Palm Healthcare Measures Up to Addiction Treatment Outline for EAPs

In September of 2017, we took a very close look at an article written by the Journal of Employee Assistance that was designed to help Employee Assistance Programs (EAPs) find the right kind of addiction treatment programs to recommend to their clients.

The outline given for EAPs to find effective and reliable addiction treatment options gives a list of things to look for. The Palm Healthcare Company blog was happy to show off just how all of our facilities measure up to these crucial standards.

Keep an Eye Out for More

Palm Healthcare Company continues to try and share every treatment development, news story or exciting innovation on our blog to not only help more people learn and raise awareness but to offer some perspective and maybe ask some new questions.

Whether it is sports, celebrities, news or politics we are committed to talking about important stories that pertain to drug policy in America, substance use disorder, mental health, and personal wellness. We will continue to touch on the top stories of 2018 to spread the word and hopefully inspire more people to get involved in these crucial conversations.

2017 was an intense, innovative and inspiring year. Here is to hope for 2018.

Holistic addiction treatment means incorporating every aspect of life for each individual with personalized opportunities for lasting recovery. So every bit of information can help anyone make a more comprehensive decision about what kind of recovery plan they want. If you or someone you love is struggling, please call toll-free now.

 CALL NOW 1-888-922-5398

Can You Quit Medication-Assisted Treatment Without Withdrawals?

Can You Quit Medication-Assisted Treatment Without Withdrawals?

Support for Medication-Assisted Treatment (MAT) has continued to grow in recent years as the opioid epidemic in America has put a mounting strain on the country. While the numbers of overdoses and opioid-related deaths have steadily climbed to devastating heights there has been more effort to explore treatment options. A better understanding of the medical and mental health aspects of addiction has become a priority. Stigma has slowly begun to carry less weight while advocates push for more effective and supportive routes to care for recovering addicts. One thing people have turned to heavily is medications like Suboxone of Methadone in attempts to steer away from more illicit and dangerous substances like heroin or fentanyl.

The application of medication in treatment can be very useful. It is a strategy that can help with the preservation of life by helping people stay off more unpredictable and life-threatening substances. However, some would say that if used for long-term this form of treatment is still relying on the idea of substitution. Often times these drugs have their own very harsh withdrawal symptoms, especially with extended use.

Taking a look at the more popular drugs used for medication-assisted treatment, one may ask- can you quit medication-assisted treatment with no withdrawals?

Understanding Medication-Assisted Treatment

Medication Assisted Treatment is the use of anti-craving medications to try and help address issues related to drug dependence, withdrawal, and relapse. The more common medications used in MAT include:

But MAT is also utilized alongside comprehensive therapy and other forms of support. Experts and advocates for addiction recovery, including the Substance Abuse and Mental Health Services Administration (SAMHSA), insist that maintenance medications alone are not sufficient enough treatment.

Advocates for medication-assisted treatment will compare MAT to someone taking medication for diabetes or asthma, with the belief that maintenance drugs are an essential part of staying healthy. However, others in the world of addiction recovery still believe it is possible to be healthy in recovery without the prolonged use of powerful medications.

The truth is the answer may not be the same for everybody. Different treatments may be more useful for different people. No one should be ashamed of the method they use to get help. But we also want to look at how some drugs used in medication-assisted treatment might make things more complicated for certain people.

Suboxone

Looking at the most popular maintenance drugs for opioid addiction, of course, we find Suboxone. To better understand Suboxone withdrawals, we first have to know what it is. This popular brand name is used to identify a prescription medication that contains active ingredients:

  • Buprenorphine- a narcotic opioid medication
  • Naloxone– an opioid blocker that impedes the effect of opioid medications

This medication functions as a partial opioid agonist and diminishes cravings as well as prevents other opioids from reacting to the brain’s opioid receptors. Taken in low doses for short periods of time, the drug can be helpful in curbing opioid withdrawal symptoms while tapering off without too many residual effects.

The tricky part comes when someone uses Suboxone for an extended amount of time as a replacement for heroin or other opioids.

Sometimes this can lead to its own form of recreational use and physical dependence. Even the U.S. Drug Enforcement Administration reports that Suboxone is commonly susceptible to abuse. It is still a powerful drug.

Suboxone Withdrawal Symptoms

While Suboxone and other maintenance drugs may be a preferred tactic for going ‘cold turkey’ off of heroin or other opioids, the drug itself still has the power to cause its own set of withdrawal symptoms. These symptoms can include:

  • Irritability or agitation
  • Anxiety
  • Difficulty sleeping
  • Profuse sweating
  • Tearing
  • Runny nose
  • Frequent yawning
  • Stomach pain or cramping
  • Diarrhea
  • Dilated pupils
  • Nausea and vomiting
  • Confusion
  • Changes in mood

Not to mention precipitated withdrawal, when the ingredients in this medication can actually induce the onset of unpleasant symptoms rapidly, if not immediately, for someone actively engaged in opioid use.

Methadone

Methadone is a long-acting opioid medication utilized since the 1970s to try and help people get off of heroin. It is typically used today under strict medical supervision because the drug is very potent and has a high risk of addiction. In fact, a 2012 National Survey on Drug Use and Health found that approximately 2.46 million people reported to using methadone for a non-prescribed purpose at least once.

According to another study, in 2009 methadone was responsible for 1 out of every 3 opioid overdose deaths.

Because of the risks, a gradual taper should be utilized to wean someone off of methadone. Often times doctors will prescribe another detox medication to help with this process, with the tapering to be done under medical supervision.

Methadone Withdrawal

But as with trying to quit heroin or other powerful opioids ‘cold turkey’, trying to abruptly discontinue methadone can bring on intense withdrawal. This includes physical and psychological symptoms such as:

  • Agitation
  • Anxiety
  • Depression
  • Insomnia
  • Runny nose
  • Tearing or watery eyes
  • Muscle aches
  • Joint pain
  • Sweating
  • Nausea
  • Abdominal cramps
  • Diarrhea
  • Vomiting
  • Shivering
  • Trembling

Many of these symptoms are similar to the symptoms of withdrawing from heroin or other opioids. So in a sense, this drug can create similar withdrawal symptoms as the drugs it is supposed to be used to treat.

Quitting Medication Assisted Treatment

Is it possible to quit medication-assisted treatment- yes, there are always other options for getting comprehensive care and lasting recovery without the prolonged use of these medications. Even relapse prevention is possible without relying on medications to fight cravings.

Can you quit medication-assisted treatment with no withdrawals? Well, that may be a process. It depends on a number of factors, such as the specific maintenance medication and the length of time using it. For example, someone who has been using methadone for years could probably have a much harder time getting off methadone than someone who used another medication for a month or so to help get off opioids.

Safety is crucial when deciding to quit MAT. Quitting medication-assisted treatment without a taper or other forms of medication can cause intense withdrawals. It is not suggested that someone try to quit MAT ‘cold turkey’ or without consulting a doctor for help with changing the dosage and slowly tapering off the drugs.

Again, just because it isn’t heroin or fentanyl doesn’t make it harmless.

MAT or Detox?

Medication-assisted treatment holds a lot of value, but the question becomes whether or not it is the kind of sustainable solution you want. Recovery isn’t one-size-fits-all. Medication-assisted treatment can be helpful in saving someone’s life who cannot stop using drugs. But is it something that will completely eliminate cravings and withdrawals, or will it just postpone these symptoms?

Remember, these are still powerful narcotic drugs that have a high risk for abuse. Some people end up using medication maintenance for life. Others will use it for a short period of time, with a detox period afterward. Either way, it is your choice; how long do you want to rely on substances, and to what extent?

Other models believe in providing holistic treatment and personalized therapy after a detox period, helping to reduce and remove chemical dependence and build a foundation for personal recovery.

Using medication to help with the painful and often overwhelming symptoms of withdrawal from opioids and other drugs can be essential to a smooth and healthy transition. In fact, with a safe medical detox, each individual is given an initial assessment to see what medications will be helpful in making this phase of treatment comfortable and safe. This can include medications for anxiety, mood disorders, physical pains and various other side-effects of substance abuse.

And when it comes to some of these medications, it can sometimes be necessary to continue using them.

The biggest difference is whether narcotic maintenance medications like Suboxone or methadone become a long-term prerequisite to recovery, or if they are used to help someone who is sick get better so that the real healing can happen.

Palm Healthcare Company believes in providing a safe medical detox to allow for a comfortable and healthy transition from active drug or alcohol use. Our facilities utilize an experienced and professional medical staff who help to monitor each individual’s progress and provide effective medical support for lasting recovery. If you or someone you love is struggling with substance abuse or addiction, please call toll-free now. We want to help.

 CALL NOW 1-888-922-5398

President Trump Declares Public Health Emergency: What’s the Plan?

President Trump Declares Public Health Emergency: What’s the Plan?

All day people all over the country have been waiting for President Trump to make his formal announcement of the opioid epidemic as a national emergency. Finally, the time for the event at the White House has come, but the announcement has some wondering if enough is being said. So we want to take a little bit of time to talk about some of the highlights from the president’s announcement.

President Donald Trump did give a detailed speech regarding many efforts that are being pursued to combat the opioid epidemic in America. Yet, some are saying that he didn’t say enough about how these resources would be funded, pointing out his declaration was for a Public Health Emergency.

So what does it all mean? Why does the difference matter?

Public Health VS National Disaster

To be clear, both are forms of national emergency declarations. What is the big deal? Well, the difference is the scope and funding that comes with address each order. So today, President Trump, through the Public Health Services Act, directed his acting secretary of health and human services to declare a national health emergency. According to a senior White House official, this designation that will not automatically allocate additional federal funding for the crisis.

If the president has utilized the Stafford Disaster Relief and Emergency Assistance Act, otherwise calling the opioid epidemic a national disaster, the federal government would have been able to immediately tap into funds from the Federal Emergency Management Agency’s Disaster Relief Fund to combat opioids.

Some may say this move was made since the Stafford Act is traditionally used for natural disaster relief, such as with recent Hurricanes Harvey, Irma and Maria. President Trump and President Obama’s administration officials both say that using the Stafford Act would have been too broad and put an unwarranted burden on the Federal Emergency Management Agency’s Disaster Relief Fund. Which seems somewhat likely, since this fund is already being depleted by recovery efforts from the three major hurricanes that hit the United States this year.

Overall, it seems many officials from this and the previous administration feel that a Public Health Emergency was a more appropriate choice out of the two.

What Will Public Health Emergency Do?

The order from President Trump will do some good, including:

  • Expanding access to telemedicine to get treatment for those in rural areas
  • Instructing agencies to limit bureaucratic delays for dispensing grant money
  • Secure Department of Labor grants for the unemployed
  • Shift funding for HIV and AIDs programs to provide more substance abuse treatment for people already eligible
  • Expands Narcan access

The nationwide health emergency that Trump ordered is more direct but comes with less immediate action.

According to Senior White House officials, they will be following up by working with Congress to get more money for the Public Health Emergency Fund. Which is a good start, since critics are quick to point out there is only $57,000 in this fund.

It is also said to increase federal funding in year-end budget deals currently being negotiated in Congress. In fact, Democratic Pennsylvania Senator Bob Casey introduced a bill this week that would provide $45 billion for opioid abuse prevention, surveillance, and treatment over 10 years. But will it ever see the light of day?

The President Trump Plan: Pros

There were various parts of the speech from President Trump that did hint at some interesting ideas. Some pros and some cons include:

  1. Expanding Treatment Options

Possibly one of the bigger moves here is that President Trump said his administration would also be working to reduce regulatory barriers that prevent people from getting treatment, such as one that bars Medicaid from paying for addiction treatment in residential rehab facilities larger than 16 beds.

If the president can remove some of these hurdles, more people may have access to better options for treatment.

National Institute of Health has taken the first steps of instituting a public-private partnership that will be working toward research and resources including:

  • New treatment for addiction
  • New treatment for overdose

The president also said,

“We are already distributing nearly $1 billion in grants for addiction prevention and treatment. And over $50 million to support law enforcement programs that assist those facing prison and facing addiction.”

  1. Indictments

For one, Trump said that the Department of Justice is bringing indictments against Chinese drug traffickers responsible for bringing deadly synthetic opioids like fentanyl into the country.

Another interesting announcement made by President Trump is that the federal government will soon be bringing major lawsuits against people and companies that are involved in the overprescribing and other shady practices concerning prescription drugs.

  1. Pulling Dangerous Prescription Drugs

Trump also says the FDA is now requiring drug companies that manufacture one high-risk opioid, Opana ER, be withdrawn from the market immediately. He states,

“We are requiring that specific opioid, which is truly evil, to be taken off the market immediately.”

President Trump also states his administration will also be pushing for the development of non-addict pain medications.

The President Trump Plan: Cons

President Trump did in many cases acknowledge some useful aspects of combatting the epidemic. But, there were also some ideas that continue to fall short of innovative.

  1. Advertising

President Trump is also emphasizing the use of a “Massive advertising campaign” to keep young people from doing drugs in the first place. President Trump said-

“- they will see the devastation and ruination it causes to people and people’s lives.”

“The fact is if we can teach young people, and people generally, not to start, it’s really, really easy not to take them. And I think that’s going to end up being our most important thing. Really tough, really big, really great advertising.”

While prevention and education are extremely important, many criticize this strategy saying that these old tactics of “Just Say No” and the D.A.R.E. program just don’t work. This advertising might have been useful if focused on treatment options, but if it is more of the scare tactics of “Refer Madness” then we probably won’t see much improvement.

  1. The Wall

The Commander in Chief also took this opportunity to promote the building of the wall between the United States and Mexico, stating:

“90% of the heroin in America comes from south of the border, where we will be building the wall, which will be greatly helping this problem!”

He took time in his speech to highlight the need to “breaking up gangs and distribution efforts” as a primary way to curb the epidemic.

Of course, the wall is often an issue of contention. Many experts have argued since President Trump proposed this as the key element of his war on opioids that attacking the supply has never worked with preventing the spread of addiction. And even if it did, many believe the wall will do little to prevent drugs from being brought into America from south of the border.

  1. Funding

Some experts are still saying this is not a proper plan because while it does allow federal agencies to move grant money, it establishes no immediate funding for a crisis that killed over 64,000 Americans last year.

Meanwhile, the GOP-controlled House of Representatives today narrowly passed a Senate-approved budget resolution 216 to 212, that some experts claim will cause all $1 trillion cut to Medicaid and $500 million cut to Medicare. Many recovery advocates fear that with the ambiguity concerning health care coverage there will not be enough resources in time to provide treatment to those in need.

Some representatives still believe more funding needs to be committed to the issue, while others say that many people struggling with addiction don’t have health insurance and that more must be done to expand coverage.

Moving Forward

The chairman of President Trump’s opioid commission Chris Christie commended the president, calling his announcement a “bold action” to address the opioid crisis. The opioid commission will present a comprehensive plan next week with the final report on November 1st.

No matter what your opinion at this point, we can all agree we need to be moving forward. This means taking an honest look at what is working and what isn’t. Still, the fact that the highest office in the nation has taken the time to address the issue in such terms is hopefully a sign of dramatic change on the way. Only time will tell how this latest move from President Trump will truly impact the opioid epidemic. For now, there is sure to be plenty of debate over the weight of today’s statements and how they will influence policy. There are some promises to be kept, for sure.

There is a lot more to this conversation, but for now, we have to hope that some of these new opportunities will give options and hope to those in America suffering tragically. The opioid crisis is nothing we can expect to be fixed by one person overnight. We have to continue to provide resources to those in need. Palm Healthcare Company facilities have proudly provided addiction treatment resources for decades to those in need. If you or someone you love is struggling, please call toll-free now.

 CALL NOW 1-888-922-5398

Opioid Commission Demands Insurance Companies Cover Treatment

Opioid Commission Demands Insurance Companies Cover Treatment

If that headline seems kind of confusing, don’t worry, it should. Technically insurance companies are already required by law to provide the same coverage for substance abuse and mental health that they do for other health conditions… and therein lies the issue.

Back in August the White House Opioid Commission, established by President Trump and led by New Jersey Governor Chris Christie, made several recommendations to the current administration about how to address the current drug crisis as it damages communities across the country. One of those recommendations was to declare a national emergency, while others had to do with options for prevention and education.

In the aftermath of ex-DEA agent Joe Rannazzisi’s eye-opening interview exposing the shady connections between Congress and Big Pharma companies, many have been looking closely at how government officials and multi-billion dollar empires helped create the opioid epidemic. Now the White House’s Opioid Commission is putting a focus on how health insurance companies and the flaws in their policies have contributed to the intensifying addiction crisis.

So with the opioid commission saying they will call-out insurers and make demands on coverage for addiction treatment, will more people have access to help?

Restricted Addiction Treatment

One of the biggest issues the opioid commission seems to have with insurance companies is that frequently their policies only cover one type of addiction treatment and not others. It seems insurance companies are convinced that with a complex and extremely personal issue like substance use disorder or mental health conditions, there is a one-size-fits-all answer. Sadly, most advocates can tell you this isn’t the case.

Something else especially frustrating is that laws already exist to prevent insurers from treating addiction treatment different than any other health issue. Chris Christie himself said,

“Why are we still not seeing addiction services covered, and mental health services covered as broadly as every other type of disease?”

“And what do we need to do to make sure that the law is enforced and followed?”

The Mental Health Parity and Addiction Equity Act of 2008 requires health insurers to treat mental health and substance abuse disorders the same as any other disease. It means they should provide health care coverage for these conditions without additional limits, co-pays or deductibles. If companies add on additional requirements, it creates even more barriers between the suffering individual and treatment. Sadly, not every insurance company thinks it has to play by the rules.

A task force convened by President Barack Obama last year reported that numerous insurance companies still place a number of limits on addiction coverage, like more strict pre-authorization requirements. The insurance companies claim that their policies are only part of a complex problem, insisting that the issue also has to do with shortages of doctors and poor medical training from healthcare providers in the field of addiction treatment.

However, the simple fact that insurance companies are still trying to push back against supporting addiction treatment has the opioid commission ready to address the inconsistencies that are making it even harder for people who need help to get the help they deserve.

Holding Insurance Companies Accountable

The opioid commission is not holding back when it comes to trying to make insurance companies contribute to solutions since they helped contribute to the problem. The New Jersey Governor warned health insurance companies to be prepared for a final report that will “place new demands” on health insurance policies.

Christie and the opioid commission seem to be playing offense, saying Big Pharma drug companies and health insurers profit while allowing an epidemic of addiction to continue, but these new demands will hopefully change all that. Christie added,

“I’m a capitalist. I want everybody to make profits. I think it’s great. But we can’t any longer go about addressing this problem this way,”

“I hope you’re prepared to accept the challenge, because we know if it hasn’t gotten into your own house yet, it could, and then all the sudden your perspective on this problem could become markedly different.”

Not only is there more pressure on insurance companies when it comes to treatment options in their policies, but with how they handle medications in the first place.

Health insurance providers are also under a greater deal of scrutiny for policies that sometimes favor powerful and addictive painkillers over less addictive, and more expensive, variations. So not only are they limiting the options when it comes to getting treatment for substance abuse, but they are limiting coverage of medications to more addictive drugs to save money.

Insurance providers did show up to testify at the commission to help create a more comprehensive view of the issue. Involved were executives from some of the nation’s largest insurance companies:

  • Aetna
  • Anthem
  • Blue Cross Blue Shield
  • Cigna
  • Harvard Pilgrim Health Care
  • Kaiser Permanente
  • UnitedHealth Group
  • UPMC Health Plan

Representative Elijah Cummings, the ranking member of the House Oversight Committee, also has questions for many of those same companies. Some of these inquiries stem from a report by The New York Times last month stating insurance companies “erected more hurdles to approving addiction treatments than for the addictive substances themselves.”

Cummings wrote letters to seven of the companies which state,

“This is not a hypothetical problem. The over-prescription of opioids leads to addiction and death.”

The White House’s opioid commission has also spoken with leaders in the pharmaceutical industry. All this shows that the opioid commission is not only worried about exploring our options for fixing the issue but also in examining all the elements that helped cause the opioid epidemic in America. Christie says the final report to President Trump will include sweeping recommendations but will also be “extraordinarily instructive in terms of how we got here, which is an important thing for this commission to acknowledge.”

The commission will hold its last meeting November 1st before delivering its final report to the President. Only time will tell what demands this report plans to place on insurance companies to provide more coverage for addiction treatment services.

Will Insurance Companies Change?

The big question becomes how will this impact the services offered by insurance companies. Will the opioid commission’s suggestions help shape new policies, or will some insurance companies continue to ignore the parity laws put in place to make sure they do not discriminate against the treatment of substance abuse?

Will these changes allow for the coverage of different innovative and holistic treatment options, or will the change only support programs that depend on maintenance drugs like methadone or Suboxone?

Hopefully, the new demands being put on insurance companies will help to support mental health and substance abuse parity. When it comes to addressing addiction in America, we need every resource we can get in order to move forward with overcoming the opioid epidemic. With more officials taking a closer look at every aspect of the issue, perhaps we can get a more effective strategy for addressing the problem.

With so many people struggling with opioids and other drugs across the country, comprehensive and effective treatment is essential to making any real progress. For decades Palm Healthcare Company facilities have been providing holistic addiction treatment options that help create lasting change. If you or someone you love is struggling with substance abuse or addiction, please call toll free now.

 CALL NOW 1-888-922-5398

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