ThinkingAcross the Spectrum of Policy, Practice, Research & Reality

A blog about anything related to addiction, treatment, or recovery, all the way from prevention to building recovery-friendly communities. We also welcome guest bloggers here!

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Crime vs. Disease

November 6, 2017 by C. Scott McMillin

…healthcare advocates have to work extra hard while proponents of a more punitive approach simply point to a crime committed by a drug user…

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Why We Don’t Learn From Experience

November 2, 2017 by C. Scott McMillin

It reminds me of the addicts who convince themselves that somehow, despite all the pain of the past, this time things will be different.

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Cannabis and the Political Class

October 30, 2017 by C. Scott McMillin

If we’re going to rely on science in decision-making, we should at least make certain it’s good science.

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In the News: Drug War Ceasefire?

October 23, 2017 by C. Scott McMillin

You can’t characterize dead children as collateral damage and not expect it to come back on you later.

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Naloxone Fatigue

October 19, 2017 by C. Scott McMillin

Nurses and doctors experience the same feelings about homeless alcoholics they see in the ER every Saturday night.

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Opioid Alternatives

October 16, 2017 by C. Scott McMillin

The larger issue is that most drug pricing is still market-driven, or as my endocrinologist puts it, “they charge whatever they can get away with charging.”

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A “Plan” Isn’t Enough

October 12, 2017 by C. Scott McMillin

So if… the real problem at this late stage isn’t the lack of a plan but the absence of motivation to implement it– then what’s in the way?

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In the News: Harm Reduction in West Virginia

October 9, 2017 by C. Scott McMillin

He compares the patients he treats, who are often homeless, to “outcasts” and ‘lepers”, who have been “derided, despised, and marginalized.”

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Opioid Vulnerability

October 5, 2017 by C. Scott McMillin

There’s no blood test, no scan to aid diagnosis. Knowing intellectually that one in ten will succumb is very little help; it has no practical value in terms of predicting an individual outcome.

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“…and Let God Sort ’em Out”?

October 2, 2017 by C. Scott McMillin

I fear they’re regular Americans, like some of us, except for their twisted attitudes and beliefs about addiction.

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