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

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

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,,Mr.550you have used some of the same information in your testimonytodaj'. You made the statement or the statement was made here:Efforts at developing a long acting antagonist are imperative until a morelogical means of preventing opiate addiction is developed. The present enthusiasmfor the legal distribution of methadone or heroin is a spurious solution. Methadoneor heroin maintenance substitutes a legal addiction for an illegal one, reducingneither the risks of addiction nor of death.In other words, methadone is not safe; right?Dr. Resnick. I cannot give you the exact figures but in New YorkCity there have been a number of methadone deaths.Steiger. Here, too.Mr. Winn. Yes; there have been some here, too, of course, and Isuppose the other large cities where there is a methadone program.Dr. Resnick. I want to emphasize I am not knocking methadone. Ithink it is very useful.Mr. Winn. No. I understand you are not knocking it, nor am I,but at the same time I think what you and the other doctors havepointed out in that paper which ycu gave, and what I am tr^nng tobring out, is that the risks of methadone maintenance are about thesame as heroin maintenance as far as deaths are concerned.Dr. Resnick. I am not sure that statement is true, Mr. Winn.It is true that )3atients do take overdoses of methadone and die.It is true that individuals who are not bonafide members of methadonemaintenance programs get methadone from people who are on theseprograms, and die.Mr. Winn. They also secure them from licensed physicians, Avhichwould ]3ossibly give them the overdose that would cause them to die.Dr. Resnick. That is a possibility. Now, it is also true that manyheroin addicts die not odIj from an overdose of heroin but they diefrom concurrent illnesses that result not directly from the heroinbut from other illnesses that they contract as a result of their usingheroin.,Mr. Winn. Now, the gentlemen that testified with Dr. Kurland,who were on naloxone, testified that they had a loss of appetite. Thatwas about the main reaction they felt. Is that same loss of appetiteprevalent with users of cyclazocine?Dr. Resnick. Loss of appetite is one of the side effects but it isalso, as all the others, one that goes away, does not persist. It doesnot occur in every patient. It does occur with some.Mr. Winn. I am sorry.Dr. Resnick. It does not occur with eveiy patient. But anj" patientwho has been on cyclazocine maintenance, taking it regularly over aperiod of time, in my experience, whatever side effects he experiencedinitially, all of these side effects disappeared and they tell us the}^ takethis cyclazocine and have the same effects as if they drank a glass ofwater.Mr. Winn. Then should there be, or do 3-ou in your experiments,have a nutrition substitute to counteract that loss of ai)petite or arewe really talking about anything that is that serious?Dr. Resnick. It is not serious.Mr. Winn. Not that serious.Dr. Resnick. No.

55)1Chairman Pepper. Dr. Resnick, again, I want to repeat our deepthanks to you for the magnificent contribution on this subject and tothis hearing. We thank you very much.Dr. Resnick. Thank you.Chairman Pepper. The Select Committee on Crime of the Househas now concluded the second phase of our public hearings on theresearch aspects of heroin addiction in the United States. What wehave heard for the past 3 da3's both saddens me and gives me reasonfor hope. I am saddened by the low priority research that heroinaddiction has had in the past. I am saddened that at the present wecan only offer such limited hope to those addicted to heroin, theirfamilies and their connnunities, but I am hopeful that the testimonywe have received today and throughout this hearing bolsters this hope.That with the necessar}^ commitment on the part of Coiigress, we canrapidly increase our capacity to deal with the heroin epidemic.I have found from a good many years' experience in the Congressand as a citizen of this countr}- that this great countrj" can do almostanj'thing it wants to. When we wanted to find the atom bomb, thePresident of the United States gave almost unlmiited spending power,and so did the committees of the Congress and the Congress to thatWhen the President committed us to go to the moon, we dideffort.not ask how much it was going to cost. We said we were going there,and we went. So, I found that if we make a commitment, a determinedcommitment, this great country can do almost anything it wants to do.I believe that that commitment must be expressed in terms of dollarsto finance research, and an expressed national will to solve this problemnow, not 10 years from now after so many more have died; but now.Far too much lip service is paid to fighting heroin addiction and alot of it is made on the part of the Government of the United States.We need action, and a real sense of continuing urgency until thisproblem is solved, not some momentary flurrj' of excitement whenperiodic disclosures gain currency in the press.I am also hopeful that we can conquer this menace because the testimonywe have received mdicates that scientists are developing somepotentially successful leads that ma}' make heroin addiction a thingof the past.Look at the exciting prospects that are revealed here by Dr. Resnicktoday, that we might develop a prophylactic to give the young people,the way they get a vaccination for smallpox or typhoid, give them aninocvdation and some prophylactic drug like this that would preventthem from ever being hooked on these terrible drugs.We must support these scientists to the fullest. The general cutbackin Federal funding of scientific researchand incidentall}', myinformation is that the Russians are not cutting back on any aspectof scientific research—which is causing great harm to all fields ofresearch is a pitiful example of false economy. Wliat I meant to referto is that they tell me in the field of space and oceanography, in buildinga great navy and building a maritime power, and many otherareas with which we are comjjetitive with them, their expendituresare not being reduced. I understand they are going right along on aninclined plane.Cutting back as we are cutting back in so man}- areas of scientificresearch is false economy, and failure to make wise investments in

55)1Chairman Pepper. Dr. Resnick, again, I want to repeat our deepthanks to you for the magnificent contribution on this subject <strong>and</strong> tothis hearing. We thank you very much.Dr. Resnick. Thank you.Chairman Pepper. The Select Committee on Crime of the Househas now concluded the second phase of our public hearings on the<strong>research</strong> aspects of heroin addiction in the United States. What wehave heard for the past 3 da3's both saddens me <strong>and</strong> gives me reasonfor hope. I am saddened by the low priority <strong>research</strong> that heroinaddiction has had in the past. I am saddened that at the present wecan only offer such limited hope to those addicted to heroin, theirfamilies <strong>and</strong> their connnunities, but I am hopeful that the testimonywe have received today <strong>and</strong> throughout this hearing bolsters this hope.That with the necessar}^ commitment on the part of Coiigress, we canrapidly increase our capacity to deal with the heroin epidemic.I have found from a good many years' experience in the Congress<strong>and</strong> as a citizen of this countr}- that this great countrj" can do almostanj'thing it wants to. When we wanted to find the atom bomb, thePresident of the United States gave almost unlmiited spending power,<strong>and</strong> so did the committees of the Congress <strong>and</strong> the Congress to thatWhen the President committed us to go to the moon, we dideffort.not ask how much it was going to cost. We said we were going there,<strong>and</strong> we went. So, I found that if we make a commitment, a determinedcommitment, this great country can do almost anything it wants to do.I believe that that commitment must be expressed in terms of dollarsto finance <strong>research</strong>, <strong>and</strong> an expressed national will to solve this problemnow, not 10 years from now after so many more have died; but now.Far too much lip service is paid to fighting heroin addiction <strong>and</strong> alot of it is made on the part of the Government of the United States.We need action, <strong>and</strong> a real sense of continuing urgency until thisproblem is solved, not some momentary flurrj' of excitement whenperiodic disclosures gain currency in the press.I am also hopeful that we can conquer this menace because the testimonywe have received mdicates that scientists are developing somepotentially successful leads that ma}' make heroin addiction a thingof the past.Look at the exciting prospects that are revealed here by Dr. Resnicktoday, that we might develop a prophylactic to give the young people,the way they get a vaccination for smallpox or typhoid, give them aninocvdation <strong>and</strong> some prophylactic drug like this that would preventthem from ever being hooked on these terrible drugs.We must support these scientists to the fullest. The general cutbackin Federal funding of scientific <strong>research</strong>— <strong>and</strong> incidentall}', myinformation is that the Russians are not cutting back on any aspectof scientific <strong>research</strong>—which is causing great harm to all fields of<strong>research</strong> is a pitiful example of false economy. Wliat I meant to referto is that they tell me in the field of space <strong>and</strong> oceanography, in buildinga great navy <strong>and</strong> building a maritime power, <strong>and</strong> many otherareas with which we are comjjetitive with them, their expendituresare not being reduced. I underst<strong>and</strong> they are going right along on aninclined plane.Cutting back as we are cutting back in so man}- areas of scientific<strong>research</strong> is false economy, <strong>and</strong> failure to make wise investments in

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