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Addiction Experts Call Out Price Remarks As Unscientific, Damaging

Tom Price, who now heads the Department of Health and Human Services, spoke at the CPAC conference in 2010.

Photo: Gage Skidmore (Flickr)

Tom Price, who now heads the Department of Health and Human Services, spoke at the CPAC conference in 2010.

Addiction experts are up in arms following remarks from Health and Human Services Secretary Tom Price, in which he referred to medication-assisted treatment for addiction as “substituting one opioid for another.”

Nearly 700 researchers and practitioners sent a letter Monday communicating their criticisms to Price and urging him to “set the record straight.”

The medicines Price referred to are methadone and buprenorphine, both of which are opioids. The letter notes that there is a “substantial body of research” showing the drugs’ effectiveness and they have been the standard of care for addiction treatment for years. The drugs tamp down cravings and prevent withdrawals, helping people suffering from addiction to stop misusing prescription or illicit opioids and get back to living productive lives. Experts say Price’s remarks, made last week to the Charleston Gazette-Mail, ignore the primary benefits of such medications and go against scientific evidence.

“I couldn’t believe we were having to reopen this conversation. It totally flies in the face of all the evidence.”

—Brendan Saloner, Addiction Researcher

“I was just totally gobsmacked,” says Brendan Saloner, an addiction researcher and assistant professor at the Johns Hopkins Bloomberg School of Public Health.

Saloner says that Price’s own Department of Health and Human Services (HHS) displays information online that contradicts his comments.

“I couldn’t believe we were having to reopen this conversation. It totally flies in the face of all the evidence,” he says. “These drugs are highly effective in restoring a sense of normalcy in people’s lives.”

Price instead touted treatment with a third addiction medicine, Vivitrol, a brand name formulation of naltrexone, which is an opioid blocker. All three drugs — methadone, buprenorphine and naltrexone — have been shown to help reduce relapse and keep people in treatment.

“Instead of talking about getting the right medication to the right patient at the right time, [Price] actually maligned the use of buprenorphine and methadone,” says Dr. Corey Waller, an addiction psychiatrist who heads legislative advocacy at the American Society of Addiction Medicine.

Addiction experts say that Price’s remarks are consistent with widespread, but inaccurate, views on the use of buprenorphine and methadone, also known as opioid maintenance therapy. They worry that the secretary’s comments perpetuate those views. “It’s not replacing one drug for another because we define addiction based on behavior, not on the absence or presence of a drug,” says Waller.

An HHS spokesperson, Alleigh Marre, wrote in an email that Price’s remarks did not signal a shift in the department’s policies regarding the drugs. “One of the five pillars of the secretary’s strategy to combat the opioid epidemic is expanding access to treatment and recovery services, including medication-assisted treatment,” she wrote.

This story was produced by Side Effects Public Media, a news collaborative covering public health.

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  • lastcamp2

    Oh, don’t be hard on Price. He is just parroting the same superstitious blabber that has run national policy for decades.
    We call it The War on Drugs, and it is based on a complex of notions based on superstitious brainwashing that tells us that drugs are more horrible than about anything, when the scientific facts are that they are not. Most drug users not only don’t harm others, but don’t really harm themselves. The harm comes from the way we deal with people who use drugs recreationally. We lock them up.
    We have six times as many people in jails and prisons than we did in 1971 when the misbegotten War on Drugs was started. That is due almost exclusively by the criminalization of drugs.
    Decriminalization has been successful in Portugal and elsewhere in the world. But don’t expect it to start here. We live in a culture that is run by superstition, not by science.
    Drug criminalization is a billion dollar industry and is the main reason for the expansion of the police state. Don’t expect things to change. Too many people owe their livelihoods and personal wealth to the current system of drug criminalization. It just happens to be at the expense of victimizing millions of our citizens.

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