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NARCOTICS RESEARCH, REHABILITATION,
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::VEXHIBIT NO. 4 (a) AND (b)Eddy, D
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NARCOTICS RESEARCH, REHABILITATION,
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urden that such addiction imposes u
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1 (lata; (->) the sliariiis" oF iii
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9Chairman Pepper. The committee is
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::11quota production from unrecogni
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13in this country. This raises the
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15from other clinical projects of w
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:17practice, experience has indicat
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;19.I think a quota would be better
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21When methadone was first introduc
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:::::.—23American Society of Phar
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_'—25.I'BOCUREMENT AND ISSUE DATA
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'.28Fiscal years-1967 1968 1969 197
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30rally in opium. By indirect, the
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32We can, I think, most helpfully g
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34so intense that we haven't done v
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Dr. Eddy. Well, physicians, usually
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38Dr. Eddy. No.Chairman Pepper. Now
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:40get away with it as Dr. Keats su
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:—:42public health hazard was jud
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:44Bibliography(1 Nathan B. Eddy. "
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46(52) Nathan B. Eddy. "Dilaudid."
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48(98) "The New Narcotics, Post-gra
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^.50
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52entails the consideration of addi
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54Chairman Pepper. Have you found t
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56^.I wonder would you care to comm
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58Chairman Pepper. Without objectio
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—1958-681959-«419691962-64196219
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—62abuse and has brought about th
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64bank robbery or an assault. You d
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66Mr. Wiggins. Would the stopping o
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68—Chairman Pepper. Can you give
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:70The problem then would be the wi
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;72taking exceptional measures in t
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)—74pay serious attention to this
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;76From 1958 to 1961, he served as
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78deine in painkilling drugs. So if
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;80ning capabilities, responsibilit
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;:;82terials. If they could introdu
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84Figure 1infrared Ektachrome film
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;86Figure 3.—Tones of wheat (W) a
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88ers at the poppyfields or at any
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:90;:tional situations has handicap
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;;92Locating illicit opium cropsDet
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94Jaffe. Well, there would be some
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96Mr. Jaffe. Primarily on the fact
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98in the same ball park about what
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100Chairman Pepper. Mr, Waldie, do
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::102agencies and input data would
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104most facilities are barely able
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;106We have also studied a ^roup of
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108Dr. Gearing. Yes, sir; I would n
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110somethino: in the nei
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112program is put into the machiner
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I114you have some data there that s
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116Dr. Gearing. It depends on what
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118Chairman Pepper. Would you have
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120it not be so that we could proje
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.122admission rate was approximatel
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124BESULTS(1) Although many of the
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1262. All the members of the methad
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128HETHADOHE MAINTENANCE TREATMENT
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11 1 1 1 1 11130Methadone Halnten?n
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132TABLE 2.-METHAD0NE MAINTENANCE T
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134Figure 9 Methadone tlaintenance
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136Methadone Ka'ntanance Treatmf:nt
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:::.::.138Appendix A^—Methadone M
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140nance treatment patients showing
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142Figure 3 •lethadone Kaintenanc
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144Dr. DuPoNT. 1,760 on methadone m
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:146there are dramatic reductions i
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148Health insurance coverage for me
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150Dr. DtjPont. Well, there are no
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152Mr. Blommer. You would agree the
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154done. Where is the evidence ? No
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156There are several reasons a pers
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158It would seem to me a very busy
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160we had before. I don't think it
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162heroin addiction and support all
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164Dr. DuPoNT. I am reluctant to ge
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166Using this figure as rule of thu
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)168ment facilities for heroin addi
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.170parole departments. None were c
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::172Table 2.— Selected character
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174TABLE 3.—HEROIN ADDICTION RATE
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176W.a^^cc-V.c Cffv..AdF-ro ftcoKjL
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178.^06V f\QrK-'SEt G^ouP/AJ6SIS're
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I180*i coo)u->CM>—'CMUJCOO O COa>
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I(/I182esiMmin0)^> oo.00 =E|c O.2 o
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184encouraged to return to methadon
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186or other side effects. This incr
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:188number as that on the bottle. W
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190Attachment ThreeTo all medical s
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-jI IALLI192ATTACHMENT- FIVE,J: IPA
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194ATTACHMENT NINEGOVERNMENT OF THE
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......—196half of the addicts sta
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198CONCLUSIONSCertain patterns emer
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200TABLE 5.— PROFILE OF BARBITUAR
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202TABLE ll.-SUPPORT OF HEROIN HABI
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204TABLE 17.-AGE OF ADDICTS AND NON
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206TABLE 23.—PRESENT MARITAL STAT
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208TABLE 28.-MILITARY SERVICEAddict
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:210The committee is pleased to cal
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212sists of a network of 21 geograp
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214(6) Basic studies on the nature
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216in fact, constitute autonomous o
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Chairman Pepper. Mr. Perito?218;; M
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^'220is not a very forgiving drug.
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'222Furthermore, in our present con
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—224the Federal Government decide
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-—I have presented one generic ki
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,clinic;?,>•
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230I realize we are running late.Do
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''232'']Vir. Winn. Tiien you mentio
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234So having put it in the area, ha
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,Memberships'—i236privilege of co
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;238A central hypothermic response
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;240South Bronx, Bedford-Stuyvesant
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242€are of patient addicts. We ha
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244hospitals in the city, came into
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246that came into my office, and I
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'Mr.;>•/nmo'.i,,;248deputy commis
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:250two Rockefeller Institute physi
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:252during pliase II that serious e
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254well-structured methadone mainte
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;:256nonsense and serves only to ad
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:258you best complete your statemen
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260Mr. Pertto. Based upon your expe
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262A a'reat case in point was a con
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«264Mr. Steiger. Did you discuss w
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—:266Mr. HoRAN. We don't support
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268Mr. Horan, let's back up a littl
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270It is not up to heroin or morphi
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272nesses yesterday who brought out
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274;Mr. Perito. It is my understand
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276So that at the end of the week t
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278steroid he lias in him we might
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280Mr. Perito. You are referriii"'
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282not drug free. I can say approxi
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28 A$2-a-day habit these individual
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•As286I got to the point once in
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288Mr. Steiger. You mentioned anoxi
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290Mr. Eangel. I could see then tha
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292Dr. Casriel. Mr. Keating, I have
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j294What period of time are ^ve tal
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296was March of 1970—he was admit
- Page 310 and 311: 298"The paper by Dole and Nyswander
- Page 312 and 313: :300vent them from coming to New Yo
- Page 314 and 315: 302[Exhibit No.14(b)]Casriel Instit
- Page 316 and 317: 304to result from the insuflScient
- Page 318 and 319: 306It is this role of the intervent
- Page 320 and 321: 308EESULTSStudies concerning tlie p
- Page 322 and 323: 310The method derives from a specia
- Page 324 and 325: 312Why is this happening? What need
- Page 326 and 327: m)effective with uncured alcoholics
- Page 328 and 329: I316Casriel, who is medical-psychia
- Page 330 and 331: 318resort to heroin. One must not f
- Page 332 and 333: .320in Permanent Cure of Narcotic A
- Page 334 and 335: 322!(4) '-Modification of Adaptatio
- Page 336 and 337: 324sections of the country, all sor
- Page 338 and 339: ;Mr.Pertto.niuch,I?,Mr. Peritq. Tha
- Page 340 and 341: 328Chairman Pepper. Mr. Steiger.Mr.
- Page 342 and 343: , Mr., In''wMr, WiNx.nltiiink tlie
- Page 344 and 345: :332"Stomach cramps" were found to
- Page 346 and 347: 'i.We334'""^li'anTOanl^ETPPEiL That
- Page 348 and 349: :))))336would be deprived of any cl
- Page 350 and 351: 338less abuse liability than agents
- Page 353 and 354: NARCOTICS RESEARCH, REHABILITATION,
- Page 355 and 356: CONTENTSApril 26 1April 27 77April
- Page 357 and 358: :•vEXHIBIT NO. 4 (a) AND (b)Eddy,
- Page 359: :lovernor,vnEXHIBIT NO. 21 (a) and
- Page 363 and 364: 343Also testifying today is Dr. Cha
- Page 365 and 366: 345collaboration with Congressman R
- Page 367 and 368: 347of methadone addiction than they
- Page 369 and 370: ;;;;349They will add to the ranks o
- Page 371 and 372: 351at a functionary level for the m
- Page 373 and 374: 353programs that the Secretariat ha
- Page 375 and 376: 355]Mr, Ingeksoll. Yes, sir; tliat
- Page 377 and 378: 357Mr. Ingersoll. Yes ; I am famili
- Page 379 and 380: 359require the provision of markets
- Page 381 and 382: 361only country in history to devel
- Page 383 and 384: 363Mr, Ingersoll. No, sir. This par
- Page 385 and 386: 365Mr. Ingersoll, "Well, before I w
- Page 387 and 388: 367distribution, then we can at lea
- Page 389 and 390: 369Mr. Ingersoll. I agree. The prob
- Page 391 and 392: I371So it is a problem I think that
- Page 393 and 394: 373Mr. Murphy. John, one problem yo
- Page 395 and 396: 375Mr. Ingersoll. I think so, becau
- Page 397 and 398: 377Mr, Keating. Are sufficient prec
- Page 399 and 400: 379Mr. Ingersoll. I am not at all s
- Page 401 and 402: .381-,,, Mr. Rangel. Please, I am n
- Page 403 and 404: , Mr.383Rangel, Will your Bureau ha
- Page 405 and 406: 385As I understood you to say befor
- Page 407 and 408: 387Mr. Brasco. Well, as I understan
- Page 409: 389emergency basis because it is a
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302Any reasonable amount of money,
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394ranging from chronic hospitaliza
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396study an adequate number of pati
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398Dr. Gardner. No, I don't. That w
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400Mr. Perito. Were you getting dat
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'402How many would you say are bein
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404system of treatment and rehabili
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406did not permit adequate study fo
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408Dr. Edwards. No; I wouldn't know
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410least curtail to some extent, th
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412Dr. Edwards. All 1 know, I can l
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414sible for someone to conceal fro
- Page 436 and 437:
;416Well, very briefly, does it hav
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418maybe the rest of their lives, o
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420[Exhibit No.17(a)]Statement of J
- Page 442 and 443:
——422such analgesic agents are
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424available to authorized personne
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426comprehensive medical care is av
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———428ing of the form "Notice
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—430He has served as a consultant
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432STATEMENT OP DR. BROWNDr. Brown.
- Page 454 and 455:
434had been in aftercare for 3 mont
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436The first drug that we studied w
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438In addition to this, however, th
- Page 460 and 461:
440Dr. Brown. Our current estimate
- Page 462 and 463:
442and hopefully develop drugs that
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444tific leadership, might produce
- Page 466 and 467:
446Dr. Brown. T notice the ])icture
- Page 468 and 469:
448Dr. Brown. The total, as I said,
- Page 470 and 471:
450capacity to do this kind of anti
- Page 472 and 473:
,Chairman452Navy took and developed
- Page 474 and 475:
454ation is becoming aware of the p
- Page 476 and 477:
—456There are, however—as drama
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458the mother is an addict befoi'e
- Page 480 and 481:
460with the problem, not evading; t
- Page 482 and 483:
462Mr. Besteman. The man on my staf
- Page 484 and 485:
464Mr. Mann. No questions, Mr. Chai
- Page 486 and 487:
—466saying how many or what propo
- Page 488 and 489:
468$15, $17, and $19 million, just
- Page 490 and 491:
470Studies on the waj^s in which to
- Page 492 and 493:
472Lastly, I might mention the prog
- Page 494 and 495:
474The Narcotic Addiction and Drug
- Page 496 and 497:
476sponsoring the developinent and
- Page 498 and 499:
478o zl= S=3 TOOE
- Page 500 and 501:
480TABLE 11(b).—NIMH RESEARCH GRA
- Page 502 and 503:
482In past hearings we have concent
- Page 504 and 505:
484Dr. ViLLARREAL. I would prefer t
- Page 506 and 507:
486Dr. ViLLARREAL. Well, it may be
- Page 508 and 509:
—488Mr. Perito. Doctor, given the
- Page 510 and 511:
490In the lower two graphs are ilhi
- Page 512 and 513:
492good model in animals of the pro
- Page 514 and 515:
494only about 500 or 600 ])eople on
- Page 516 and 517:
496Mr. Blo-mmer. Can the learning b
- Page 518 and 519:
49SDr. ViLLARREAL. That puts it ver
- Page 520 and 521:
500Dr. ViLLARREAL. Well, the Nation
- Page 522 and 523:
502Dr. ViLLARREAL. There are a few
- Page 524 and 525:
504forth. It is to be hoped that th
- Page 526 and 527:
506of urine testing, plus psychothe
- Page 528 and 529:
508naloxone, then I would be a fool
- Page 530 and 531:
510(The following letter was receiv
- Page 532 and 533:
512Mr. McCoy. Yes; when you first c
- Page 534 and 535:
514frMr. McCoy. I believe I could i
- Page 536 and 537:
5162,500 milligrams to obtain a 24-
- Page 538 and 539:
directordirector—:518Inlernship.
- Page 541 and 542:
52)1and medical certificates on tho
- Page 543 and 544:
523brought back a return to abstine
- Page 545 and 546:
525-ment into the free society, mad
- Page 547 and 548:
52i7TABLE 7.—EXPIRATION OF PAROLE
- Page 549 and 550:
929DISCUSSIONAlthough the approach
- Page 551 and 552:
531PERIOD OF RETENTION OF PAROLEES
- Page 553 and 554:
533TRANSFERS(These were parolees wh
- Page 555 and 556:
535DIRECT ADMISSIONS (SELECTED PRIM
- Page 557 and 558:
.537Charts No. 8, 9, and 10 ( ^^-'^
- Page 559 and 560:
589'Chairman Pepper. Our last mtnes
- Page 561 and 562:
541it to us for nothing and I do no
- Page 563 and 564:
54^when they know that the cyclazoc
- Page 565 and 566:
545Mr. Murphy. Well, nobody from th
- Page 567 and 568:
S47over a period of time, from 1 to
- Page 569 and 570:
549with more vigor and funded the p
- Page 571 and 572:
55)1Chairman Pepper. Dr. Resnick, a
- Page 573 and 574:
•Present^NARCOTICS RESEARCH, REHA
- Page 575 and 576:
gei-soll of tlie Bureau of Narcotic
- Page 577 and 578:
:I557Our investigators have reporte
- Page 579 and 580:
;559Mr. Jones. With your permission
- Page 581 and 582:
561ing back from overseas, going ba
- Page 583 and 584:
563crime being committed. The same
- Page 585 and 586:
. 20.ij^.565—Mr. JoxES. True, par
- Page 587 and 588:
567can do controlled evaluation and
- Page 589 and 590:
—569lar project. So if you are go
- Page 591 and 592:
—571Mr. Jones. Not a pemiy.Chairm
- Page 593 and 594:
573and we could not get them to ent
- Page 595 and 596:
575are going to spend these large s
- Page 597 and 598:
577Mr. Jones. We are doing consider
- Page 599 and 600:
;;;;579and types of drugs that are
- Page 601 and 602:
581It is absolutely essential that
- Page 603 and 604:
583Some of the results of this stud
- Page 605 and 606:
:585treatment and rehabilitation, $
- Page 607 and 608:
587For instance, we need to study a
- Page 609 and 610:
;To the contrary, the current combi
- Page 611 and 612:
591We appreciate your frustration t
- Page 613 and 614:
593veterans could avail themselves
- Page 615 and 616:
o95ernor's Council on Narcotics and
- Page 617 and 618:
597That would, as I lia\'e pointed
- Page 619 and 620:
599without worrying al>out the auto
- Page 621 and 622:
Drug601local programs, costs for a
- Page 623 and 624:
603I think that indicates that the
- Page 625 and 626:
)G05of complete fragmentation and I
- Page 627 and 628:
607Second, we intend to greatly int
- Page 629 and 630:
:—;609I do not intend this mornin
- Page 631 and 632:
:'611required to treat heroin addic
- Page 633 and 634:
613I think it is more appropriate t
- Page 635 and 636:
615because I agree with them, as lo
- Page 637 and 638:
J617LEAA funds—Congress says, you
- Page 639 and 640:
;:619As a result of this effort, th
- Page 641 and 642:
621But we need immediate help or so
- Page 643 and 644:
623Governor Carter. Tliey are begin
- Page 645 and 646:
625New York and other places that t
- Page 647 and 648:
627couple of years ago to try to ge
- Page 649 and 650:
:629Yet, in spite of these efforts,
- Page 651 and 652:
631(e) Therapeutic communities.(f)
- Page 653 and 654:
—633Presently, drug education in
- Page 655 and 656:
;;:635amines, heroin, and barbitura
- Page 657 and 658:
637now handles 200 people at a cost
- Page 659 and 660:
This639(iucludiug 902 juveniles). I
- Page 661 and 662:
641Second, ia the need for ancillar
- Page 663 and 664:
:643Regrettably, few addicts volunt
- Page 665 and 666:
645you think that it is possible to
- Page 667 and 668:
647ceptionally useful, not only for
- Page 669 and 670:
—649are not pressed when the civi
- Page 671 and 672:
651have, at least at the present ti
- Page 673 and 674:
G53Mr. Saxdmax. Within tlie prison.
- Page 675 and 676:
655Dr. Kramer. Dr. Max Fink is a co
- Page 677 and 678:
'•657ill Southeast Asia tliat her
- Page 679 and 680:
659if properly operated iiiider ])r
- Page 681 and 682:
661(2) And second, that that would
- Page 683 and 684:
663from too little control to too m
- Page 685 and 686:
:665communities laave different pro
- Page 687 and 688:
667ous effects when the patient tre
- Page 689 and 690:
:669reference symptoms are consider
- Page 691 and 692:
G71There is a simplistic appeal to
- Page 693 and 694:
—673Brill stated that on a scale
- Page 695 and 696:
v675api-eurs, in fact, that an incr
- Page 697 and 698:
:;677of this subgroup is questionab
- Page 699 and 700:
:679[Exhibit No. 30]Statement of Re
- Page 701 and 702:
:;681[Exhibit No. 31]Harvard Medica
- Page 703 and 704:
"medium683METHODSTiie tecliDique of
- Page 705 and 706:
685transcendental meciitation into
- Page 707 and 708:
687TABLE 5— USE OF OTHER HALLUCIN
- Page 709 and 710:
689NARCOTICS(16621 (1862) (13301 (
- Page 712:
BOSTON PUBUCVBBAHV3 9999 05706 0780