Moral Hazard Has No Place in Addiction Treatment
In 2016, Rachel Winograd began to see methadone patients who relapsed or left the treatment program where she worked start overdosing and dying at unprecedented rates. The culprit was illicitly manufactured fentanyl, which is generally 50 times as strong as heroin — with some variants an astonishing 5,000 times as potent. Fentanyl had begun to overtake heroin in Missouri. “We were just seeing people drop like crazy,” said Dr. Winograd. But to her utter shock, staff members did not distribute naloxone, which is also known as Narcan, a nasal spray or injection that can reverse opioid overdose, to try to save their lives. ….[READ]
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