The Cost and Benefit of Prescribing Drugs to Addicts in Drug Rehab
Saturday, June 27th, 2009More people are killed each year by a doctor’s pen than by a gun. Thousands more. Doctors prescribe pain killers, anti depressants and other drugs which if improperly used can injure or even kill a patient. Michael Jackson is the most famous recent victim of this tragedy of inappropriate drug use.
Now I’m sure no good doctor sets out to kill a patient when they prescribe medication for pain or suffering. After all, every doctor swears, as part of the Hippocratic Oath to Do No Harm. Yet morbidity and even mortality are inevitable byproducts of some drug use. A doctor can be sure that a certain percentage of his patients will suffer more from the drugs they prescribe than from the condition they are attempting to alleviate.
With this in mind, drugs should be prescribed only when the benefits far outweigh the risks. Some instances of drugging are acceptable; many are not. Where one’s life has become unbearable with pain, the risk of further injury or even death is clearly outweighed by the benefit of alleviation. Drugging a patient with such a level of pain is warranted.
The pain of end stage cancer provides a good example. As cancer consumes good tissue like a wind driven fire consumes a forest, the patient becomes wracked with ever increasing levels of pain. Light doses of pain killers give way to heavier doses which are inevitably replaced with sronger narcotics.
The drugs used eventually disable the patient. But without the drugs, cancer would have wrecked his body and made him suffer along the way. It’s an acceptable tradeoff to kill the patient’s pain, even if as we do so, we kill some of his awareness and life.
The pain of cancer and other physical ailments is real and measurable. Which makes a cost benefit analysis as described above relatively easy and an appropriate means of determining who should receive drugs and who shouldn’t.
But no objective standards exist to determine the benefit of using medications in drug treatment. Many drug rehab in Georgia clinics prescribe powerful mind altering and dangerous medications to their patients though neither tests nor clinical observation has shown that rehab is improved with drugs.
If you or a loved one has a problem with drugs, your best bet is to choose a drug free program. Drugs have their place but not in the lives of people who want to remain drug free for life. Drugs can kill and are only warranted when the costs are greatly outweighed by their benefits. Such was not the case with Michael Jackson and would not likely be the case with your loved one.
Fritz Alders,
Managing Partner, Georgia Alliance