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

576and the way in which the funds are expended and how we approachthe problem. I personally feel that President Nixon has increased thatfund considerably, doing- a better job, really, than the Congress hasat this point in providing leadership so far as the drug problem isconcerned. I ho])e. and I certainly will support a larger expenditureof money until we get the job done, every penny that is necessary todo the job. But I do think we have to go about it wisely and have aplanned program to operate under.Now, let me aL k a couple of questions, If I may. You are using themethadone program in New York ?Mr. Jones. That is correct, sir.Mr. Keating. And I am sure you are aware of Dr. Jaffe's effortsin this direction to make a longer lasting blockage drug so as to avoidtreatment every day. Do you have any of that methadone in yourhands for treatment that is longer lasting or is that only with Dr.Jaffe?Mr. Jones. As far as I know, we do not have the new derivative thatDr. Jaffe is reportedly using—not that we do not have it, but we arenot using it as an integral part of our program effort. There is researchbeing done with respect to this new drug which, incidentally, is, asI understand it, also addictive. It is longer lasting, allegedly, in thesense that it does not have to be administered as frequently as themethadone-type that we are using.Mr. Pp:rito. Mr. Keating, just to clarify the record, you are referringto acetyl-methadone, the drug Dr. Jaffe has been using.Mr. Keating. Right.Now, do you think this has some pluses from your standpoint, thislonger lasting drug? Can it help you so that the addicted person doesnot have to come in every day ?Mr. Jones. It certainly sounds exciting. It is because of the possibilitieshere that we are making some of the recommendations that arecontained in our submitted text, as a matter of fact.Mr. Keating. Now, recently, there were two deaths from overdosesof methadone in New York. We traced it through our office that thedeaths were due to methadone, although we were advised in Washingtonand other places that it was not methadone. I am sure you arefamiliar with the 16-year-old girl and 22-year-old fellow who diedtogether outside tlie hospital in New York. We only have our information.I could still be wrong. I wonder if you investigated that and ifyou know if that was a methadone overdose in fact.Mr. Jones. I understand it was and as Dr. Chambers will tell you,this is part of the reason for our caution in wholesale use or adaptationof any of the known chemicals. The fact is, for example, that methadoneis much more dangerous on an experimental basis than is heroin ;believe it or not.Mr. Keating. I am not surprised and I am concerned. I can see,with regard to the crime rate, methadone does have some positive, pluseffects. Rut it is not the answer, and I am not satisfied that it is theanswer, because total rehabilitation must be our goal. I am very happyto hear you say that there are some reservations about its use and wehave to look for something better.Have you ever used naloxone or have you over had an opportunityto use naloxone ?