Narcotics research, rehabilitation, and treatment. Hearings, Ninety ...
Narcotics research, rehabilitation, and treatment. Hearings, Ninety ... Narcotics research, rehabilitation, and treatment. Hearings, Ninety ...
,,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 research— and 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
- Page 519 and 520: '.499could result in a laboratory s
- Page 521 and 522: 5qifinds it in normal exploration.
- Page 523 and 524: 503synthesized a large number of na
- Page 525 and 526: 505STATEMENT OE DR. ALBERT KURLAND,
- Page 527 and 528: 507discovered if we iiad taken the
- Page 529 and 530: 509Mr. Perito. Dr. Kurland, do you
- Page 531 and 532: 511Chairman Pepper. Has the Food an
- Page 533 and 534: 513]Mr. Steiger. Do you feel from y
- Page 535 and 536: 515In this second study there was a
- Page 537 and 538: 517were any significant differences
- Page 539: 519The Deceptive Communication and
- Page 542 and 543: .522than a State psychiatric hospit
- Page 544 and 545: 524Department of Mental Hygiene), R
- Page 546 and 547: TABLE 3—COMPARISON OF THE 1ST POS
- Page 548 and 549: 528TABLE 10—RELATIONSHIP OF AGE T
- Page 550 and 551: 530tution and his involvement in th
- Page 552 and 553: Attachment No. 5;r\ N-CH,-CH=CHo ,
- Page 554 and 555: '-534Chart No. U (case No. 672)Disp
- Page 556 and 557: 536Chart No. 4 (case No. 694)Illust
- Page 558 and 559: 538Chart No. 35 {case No. 697)Excep
- Page 560 and 561: 540This amount of heroin is roughly
- Page 562 and 563: 5msuccessful or not in that short a
- Page 564 and 565: 544Chairman Pepper. Would you repea
- Page 566 and 567: 54^creased amount of licit as well
- Page 568 and 569: —54Sand the bureaucracy and the a
- Page 572 and 573: 552so many areas is also a pitiful
- Page 574 and 575: 55,4nitiide of heroin addiction in
- Page 576 and 577: 556reached $976.5 billion, we can w
- Page 578 and 579: 558Mr. Jones was appointed to the c
- Page 580 and 581: 560cant when you consider that Out
- Page 582 and 583: 562criminal act in his lifetime. Ye
- Page 584 and 585: —564Mr. Perito. Would it be fair
- Page 586 and 587: 566Now, Dr. Cliambers, can yon resp
- Page 588 and 589: —568Mr. Raxgel. Our distinguished
- Page 590 and 591: ;-570Mr. Jones. That is correct. Ou
- Page 592 and 593: 572the commissioner, $186 million i
- Page 594 and 595: 574there should be something in the
- Page 596 and 597: 576and the way in which the funds a
- Page 598 and 599: 57SDr. Chambers. I think wliat you
- Page 600 and 601: 580Education is the best way of pre
- Page 602 and 603: 58-2Certain essential facts must re
- Page 604 and 605: 584done through determined action,
- Page 606 and 607: 586druffs, has the Nation's largest
- Page 608 and 609: :588To repeat, methadone maintenanc
- Page 610 and 611: :590I believe the Federal Governmen
- Page 612 and 613: :take no such satisfaction. We have
- Page 614 and 615: 594of value in the testimony you ha
- Page 616 and 617: 596gone ahead with several. We have
- Page 618 and 619: 598force within our State Police De
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