Narcotics research, rehabilitation, and treatment. Hearings, Ninety ...

460with the problem, not evading; the problem, is that the cost of researchas General vSarnoff said, is the cost of going from here to there.I think until we have matched patients to compare with methadonetreatedpatients we will not have the results we need.1 think one could get good answers in a year or two and I thinkthere is a promise that within the next year that we wdll have moredefinitive answers about the efficacy of methadone.Mr. Steiger. By definitive answers I get the feeling you aretalking about crime figures. With all due respect, it seems to me thatyour responsibility is to see, one, that it is safe, and, two, that itapparently will work under the conditions which you prescribe.Now you tell me it is going to take you another year or two to makethat judgment. Are you waiting to make a judgment which includesthe crime statistics, or are you only concerned with the physiologicalaspects of this?Dr. Brown. From my ]ierspective—again, it is in our openingstatement—that one must look at the physiology, whether or notthe person is working, whether he gives up antisocial behavior ornot, whether he is motivated enough to educate himself, whether helives with his family, the nature of his mental health, et cetera. Allof these are very important criteria. We are not limited to just whetheror not it has some bad effects on the body or his heart goes bad after4 years. We are concerned Vvith the whole range. I do not like tosee it when the antisocial behavior is the only criteria. I do not thinkthat is adequate but I think it is terribly important.Mr. Steiger. You see. Doctor, our problem is that this is not aninner-city problem anj" longer. It is obvious our concern is becausenow it is our ox that is being gored. I have got a problem in Flagstaff,Ariz., and you never heard of Flagstaff", Aiiz., but the ]:)oint is thatI honestly believe after listening to weeks of testimony from peopleas sincere as yourself, the normal caution that goes with, one, thescientists; two, the bureaucratic administrator; and three, anybodyin the public light, this is working to the detriment of the Nationin this instance. I think the most valid evaluation of methadonewas made by yourself, that it is probably effective in a quarter to athird of the cases of addiction.Great. All right. Draw some guidelines. Tell us to go use it becausewhat is happening is you are creating a black market by some doctorswho are not motivated by the profit motive, and by others who areclearly unscrupulous. You are creating a new artificial illegal situationand you are dohig it because everybody points to 3'ou. Thebuck seems to always end up in yoiu* lap. Wliether it is there proi)erlyor not, it seems to me the time has come to stop saying let us waitand see.It is my firm belief that you have the statutory authority to makethis judgment now. If I am WTong, I hope you will correct me. AndI just think that you are scriousl}' shirking yoiu" responsibility ifindeed this is only valid in 10 jiercent of the cases because we havenowhere else to go at this point and we are playing games with Lexington.We are playing games with the well-intentioned but technicallyinadequate peoj)le who arc attempting to solve the problem.I have got a guy who plays Beethoven in stereo as a means oftreating addicts. I should not say that. It ma}^ work. But the point is