Narcotics research, rehabilitation, and treatment. Hearings, Ninety ...
Narcotics research, rehabilitation, and treatment. Hearings, Ninety ... Narcotics research, rehabilitation, and treatment. Hearings, Ninety ...
572the commissioner, $186 million in all of the programs for the nextfiscal year. Is that correct ?Mr. JoxES. That is correct.Mr. Brasco. And it seems to me that notwithstanding this expenditure,we are all in agreement that we need more and tliat we do nothave any answers yet; notwithstanding the fact that Xew York isconsidered to be one of the leading States in this area.Then when you get the program before us, the President's progi^am,which is supposed to be a war, which allocates for 50 States to use$105 million in various categories, and then you have to divide that105 by 50, plus all of the jurisdictions in those various 50 States, thisis a war that is being fought by throwing marshmallows. I thinkthat very simj)ly, if we are going to go along those lines and say thatthis is a major breakthrough, then I think we do a disservice to ourselvesand to the millions of Americans who are looking at the Congressand this particular committee to come up with some answers.So when you ai-e ready to criticize, please do it, because I thinkthat is what we need here. This is not a partisan thing. There hasto be constructive criticism across the board; otherwise, we are notgoing to get any place.Chairman Pepper. Following that line of inquiry, Mr. Jones, if Iunderstand your conclusion, the State of Xew York in its next year'sbudget, the 1972 budget, is spending $186 million on a treatment andrehabilitation program for narcotics addicts, and you are telling usthat the Federal Government, without considering the President'spresent reconmiendations, is spending $88 million for the wholeUnited States of America, where it is estimated that there are between200,000 and 300,000 heroin addicts?Mr. Jones. Right.Chairman Pepper. The Federal Government is presently spending$88 million and if the President's additional $105 million is added tothat, that will make a total of $193 million. And you are spending $186million in New York alone.Mr. Jones. That is correct.Chairman Pepper. My next question : Is the amomit that New Yorkis spending, the $186 million, adequate to deal with a heroin addictioncrisis of such magnitude ?Mr. Jones. Absolutely not. As a matter of fact, it represents a substantialcutback from the amomit we actually asked for for the currentfiscal year.Chairman Pepper. Have you and your associates made any estimateas to how much it would cost to effectively offer treatment and rehabilitationto all the heroin addicts of New York State ?Mr. Hesse. I can say this much on that question, Congressman Pepper.We anticipated at a point last November that we would require$117 million in our operating budget from State purposes funds; thatwe would need approximately $71 million in local assistance funds. Weestimated our needs from the National Government for just basic programsto give us an additional impact in certain areas, particularly inNew York City, for certain types of programs for which we could notget the additional funds from the legislature, at approximately $27million. Unfortunately, the money was not put into Public I^aw 91-513
573and we could not get them to entertain the applications that we hadprepared for them.On that particular point, when you talk about a disservice to thepeople of this country—and forgive me, Congressman, if I am somewhatcynical ; I am a political scientist—the people of this country respondedto what this Congress did last year in approving Public Law91-513 and Public Law 91-527. You promised them an opportunityfor drug education programs and the Office of Education received applicationstotaling $70 million. And they only had $6 million to spend.You should read the letters that the Office of Education had to sendout.Mr. Brasco. That is what we should be hearing.Mr. Hesse. Right.At the same time, NIMH had $6.5 million to implement the comprehensivedrug abuse treatment program under the special programgrants section. They received 79 applications totaling $26 million andthey had $6.5 million.Now, the initial estimate of $23 million in the first year that wasmade by this Congress when they drafted the bill was fairly precise,,because you got just about that much. $3.5 million more, from programsaround the country. But regardless of what kind of programdollar estimates you make here, Congressmen, or regardless of whatpeople may think about New York and what we have accomplishedwith our $475 million, if you put forth programs and you put forthbills, there must be a general consensus here in this Congress, and withthe administration, that you will actually fund the programs that youmake available to the country. You cannot repeat what you did in1970-71.Mr. Brasco. I agree with you and that is why I am rather concernedabout this present declaration of war on drug addiction. Itwould seem to me that, if we come up with the figure of $3.5 billion,it is costing in one way or another because of the scourge of drug addiction; then for openers, we ought to at least get to that point where weare talking on a war level— give the program $3.5 billion. Unless wedo that, I just do not think that you can draw up any guidelines thatI agree with you. I think in the rhetoric of speeches,make any sense ;the American people have been told so much and expect so much andreceive so little ; that is why we are involved in the kind of situationthat we have today, where there is just great disbelief in government,period. And I think that is what we want to hear, that kind of criticismAvhich—well, it is not criticism, it is the truth. And I think it is constructive.If we are continually saying "I do not mean to criticize,*'then we are not going to get anywhere.Mr. JoxES. There is only one thing wrong with it, of course, andthat is that assuming the money were provided, the tendency would bea year from now to say, "Well, let us see what you have done with it;how many of the people that you have treated now remain drug free ?"Questions like that are awfully hard to answer, you see.Chairman Pepper. Mr. Jones, let me ask you one question. Have youany recommendation out of your wide experience in this area as to thetype of treatment and rehabilitation agency or facility there should;be? I mean by that do you contemplate that the treatment should begiven, for example, by j)rivate physicians or do you contemplate that60-296—71—pt. 2 16
- 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 570 and 571: ,,Mr.550you have used some of the s
- 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 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
- Page 620 and 621: 60PRased on the proposed goal of 2.
- Page 622 and 623: 602STATEMENT OF HON. MILTON SIIAPP,
- Page 624 and 625: (51)4and apprehend the wholesalers
- Page 626 and 627: J'606[Exhibit No. 23Prepared Statem
- Page 628 and 629: 608Under our 1071-72 budget proposa
- Page 630 and 631: GIOcenters for the treatment of her
- Page 632 and 633: . Dr.612Bourne informs me that we h
- Page 634 and 635: 614Governors in Atlanta to which re
- Page 636 and 637: 616pretty bad news, because it indi
- Page 638 and 639: 618Scientific statistical ioformati
- Page 640 and 641: 620((')) Finally, I believe that al
573<strong>and</strong> we could not get them to entertain the applications that we hadprepared for them.On that particular point, when you talk about a disservice to thepeople of this country—<strong>and</strong> forgive me, Congressman, if I am somewhatcynical ; I am a political scientist—the people of this country respondedto what this Congress did last year in approving Public Law91-513 <strong>and</strong> Public Law 91-527. You promised them an opportunityfor drug education programs <strong>and</strong> the Office of Education received applicationstotaling $70 million. And they only had $6 million to spend.You should read the letters that the Office of Education had to sendout.Mr. Brasco. That is what we should be hearing.Mr. Hesse. Right.At the same time, NIMH had $6.5 million to implement the comprehensivedrug abuse <strong>treatment</strong> program under the special programgrants section. They received 79 applications totaling $26 million <strong>and</strong>they had $6.5 million.Now, the initial estimate of $23 million in the first year that wasmade by this Congress when they drafted the bill was fairly precise,,because you got just about that much. $3.5 million more, from programsaround the country. But regardless of what kind of programdollar estimates you make here, Congressmen, or regardless of whatpeople may think about New York <strong>and</strong> what we have accomplishedwith our $475 million, if you put forth programs <strong>and</strong> you put forthbills, there must be a general consensus here in this Congress, <strong>and</strong> withthe administration, that you will actually fund the programs that youmake available to the country. You cannot repeat what you did in1970-71.Mr. Brasco. I agree with you <strong>and</strong> that is why I am rather concernedabout this present declaration of war on drug addiction. Itwould seem to me that, if we come up with the figure of $3.5 billion,it is costing in one way or another because of the scourge of drug addiction; then for openers, we ought to at least get to that point where weare talking on a war level— give the program $3.5 billion. Unless wedo that, I just do not think that you can draw up any guidelines thatI agree with you. I think in the rhetoric of speeches,make any sense ;the American people have been told so much <strong>and</strong> expect so much <strong>and</strong>receive so little ; that is why we are involved in the kind of situationthat we have today, where there is just great disbelief in government,period. And I think that is what we want to hear, that kind of criticismAvhich—well, it is not criticism, it is the truth. And I think it is constructive.If we are continually saying "I do not mean to criticize,*'then we are not going to get anywhere.Mr. JoxES. There is only one thing wrong with it, of course, <strong>and</strong>that is that assuming the money were provided, the tendency would bea year from now to say, "Well, let us see what you have done with it;how many of the people that you have treated now remain drug free ?"Questions like that are awfully hard to answer, you see.Chairman Pepper. Mr. Jones, let me ask you one question. Have youany recommendation out of your wide experience in this area as to thetype of <strong>treatment</strong> <strong>and</strong> <strong>rehabilitation</strong> agency or facility there should;be? I mean by that do you contemplate that the <strong>treatment</strong> should begiven, for example, by j)rivate physicians or do you contemplate that60-296—71—pt. 2 16