The New York Times published some important Letters to the Editor today about two recent opinion pieces about the War On Drugs.
Thursday, March 2, 2023
Inheriting The War On Drugs
Wednesday, December 14, 2022
Let’s Talk WITH Kids, Not TO Kids About Drugs and Addiction.
Let’s Talk WITH Kids, Not TO Kids About Drugs and Addiction.
In the last several days I’ve read some important articles and editorials about our drug pandemic and addiction. How many of them have reached adolescents? How many have been clipped, copied, or otherwise shared by teachers with their students? If not, why not? If we think about that question, we’ll have to delve into the fear that keeps us from addressing substance use and other forms of addiction head-on. It’s too easy to just say addiction feeds on silence. If we don’t share information and ideas with young people, we only strengthen the fabric of the cloak of silence. If they are not already, in a few short years adolescents will be voting and helping to make policy on these issues.
There are plenty of other pieces in the news that deserve to be shared. If we hesitate to share at all, we must ask ourselves what we’re frightened of. Our fear will only come back to haunt us. Silence = Death rings as true today as it always has.
Here’s a starter kit:
What Comes Next for the War on Drugs? The Beginning of the End.
https://www.nytimes.com/2022/12/12/opinion/drug-crisis-addiction.html
How to Talk to Kids About Drugs in the Age of Fentanyl
https://www.nytimes.com/2022/11/08/opinion/fentanyl-teens.html
How Do We Save Teens From Fentanyl?
It’s Not Just About Pot. Our Entire Drug Policy Needs an Overhaul.
https://www.nytimes.com/2022/12/11/opinion/marijuana-drugs-us-policy.html?searchResultPosition=1
Sunday, June 26, 2022
Candide's Garden
Spring in the Catskills arrives late, then lush. Vegetable beds in the garden, a bank too steep where meadow meets lawn, spots unreachable by garden tractor in the meadow itself, edging about the house, space between the stones in the walk to the house, all sprout tall grass and weeds almost overnight. Keeping things under control, indeed from being overgrown and overtaken requires my attention, my time, and my weed whip. Some call it a string trimmer, others a weed whacker. By any name, it is one of the most important pieces of equipment in this country homeowner’s maintenance arsenal. For years mine was a heavy-duty “pro” model, a tool to make my engagement with intrusive vegetation a fairer, if not fair fight.
While renewing the struggle this spring my machine began making funny noises, then overheating enough to scorch the housing, and finally an alarming rattle. It was a Stihl FS 80R, described on the internet as the “best old school string trimmer.” Worrying the weeds would overtake my vegetable beds, I made a beeline to my Stihl dealer. An old-time gentleman, he patiently explained that the alarming rattle was my FS 80R’s death rattle. The screws and the socket holding the muffler in place were worn beyond repair or replacement. “How long had I had it.?” “A long time.” The dealer speculated Stihl hadn’t made them much after 2000. I guessed I’d had mine before then.
Time for a new one. A quick calculation suggested that if a new machine lasted as long as my now-defunct model, I’d be able to manicure my property until I was somewhere between 95 – 100 years old. The clear question became what would give out first, man or machine.
I left with a new machine and set right to work once back home. Weed whipping is a chore that allows plenty of time to meditate, dream, contemplate life, and reflect on where I’ve been and where I might like to go. Working with my much more efficient new machine it didn’t take long before my thoughts drifted back to the day before last Thanksgiving when I’d been given a diagnosis of Parkinson’s disease. My immediate response was, “Am I doomed?” My regular doctor and a neurologist assured me I was not.
A couple of years ago I noticed some shaking in my left hand when I rested my arm on a desk to type. Or when I had to grasp a piece of paper. Or, a lack of facility with my fingers when trying to clean my hard contact lenses. Or, more frequent keystroke errors and loss of speed when typing. Left side only.
I kept these annoyances to myself, passing them off as a consequence of age. I confess to musing about them while working in the garden, or mowing our meadow, and Yes, weed whipping.
My wife, Margot, eventually picked up on some of the shakiness and insisted I mention it to my doctor at my next physical. I did. Upon examination, he believed my affliction to be something called Essential Tremor and prescribed a drug, Primadone, to alleviate the symptoms. I took it faithfully, as prescribed, for a year. It did nothing.
Ever so slowly my symptoms worsened. Ever so quickly my imagination, like my garden, sprang into action and bore fruit.. My father died of a brain tumor. I’d outlived his three score and ten…but still? My mother died of a massive stroke, having apparently had some smaller, unrecognized events along her path to age 94. Would I fall more than a full score short of her? Did I have a benign brain tumor, a small lime inside my skull to match the one Margot herself had had successfully removed a decade ago? Was my insomnia due to anxiety over having any of these conditions? Or was it Parkinson’s Disease? Worry beat a path to Google. Parkinson’s can result in insomnia. Hadn’t my doctor ruled that out? ALS? That can keep a fella awake for a while.
In the year between physicals, I lost sleep, wondered why my handwriting was smaller (micrographia), noticed facial tremors, felt my voice sometimes weaken, seemed to tire more easily, denied anything was wrong, only to plant my besieged head on a pillow nightly for more worry. Was that twinge I felt normal? Nothing? Essentially a tremor? Or death come knocking at my door? My faithful servant Denial couldn’t hear the banging.
Primidone may work well for Essential Tremor. I couldn’t tell you from my experience. It does nothing for Parkinson’s. My next annual physical arrived. I was as healthy as can be. Except for those symptoms I couldn’t wish away. My doctor offered no diagnosis…yet. Within a week I spent a day getting a DaTscan brain scan to share with my doctor and a neurologist to “rule out” Parkinson’s. A week later, after a thorough examination, I left the neurologist’s office with a new prescription in hand. By mid-afternoon, I’d taken my first dose of Carbidopa/Levodopa to treat Parkinson’s Disease. That medication works. My symptoms are much relieved and I appear, by and large, normal.
Still, underneath the jocular comments over whether the weed whip or I will expire first lies fear. The fear of death. Fear over a financially secure future. Fear over capabilities lost to time. Every time the fix engine light in the car goes on, a faucet drips, a board on the porch loosens, a tree blows down in a windstorm and needs to be cut up and removed, something as simple as removing the cover on a fixture to replace a light bulb calls, fear pushes forward. As the world around me breaks down and requires routine maintenance, it triggers fear over how I might break down. When does that maintenance become anything but routine? Something more than just a simple daily regimen of medication to hold back what is undeniably a neurodegenerative disorder.
I’m reminded of a lyric from “Non-Stop” in the musical Hamilton.
“How do you write like you're running out of time? (Running out of time?)
Write day and night like you're running out of time? (Running out of time?)
Every day you fight, like you're running out of time
Like you're running out of time
Are you running out of time?”
In fact, I am writing something I want to get out into the world. This December will mark the tenth anniversary of my son, William’s, death from an accidental heroin overdose. I’m creating a memoir that can be presented as a solo dramatic performance. That means writing and memorizing. Memorizing something approximately 80 minutes long seems daunting, a task that feels like it will require the life of several weed whips.
I remain vigorous and productive. Pleasingly so. To date, only my mind races ahead to other dates, or THE date. I have three extraordinary granddaughters who live nearby. Josephine Hope – 8, Willa Joy – 4, and Julia Love – 3. I take great joy in watching them develop: swimming, riding bikes, becoming literate, expressing themselves as artists, dancing, cartwheeling, and somersaulting through childhood. Often while doing meditative chores, I speculate on what they will become, and what their lives will be like. And, how much and for how long will I continue to be a participant/observer.
Approaching twenty years ago, I found myself taken by an opinion piece in The New York Times by Verlyn Klinkenborg. He began:
“The most famous line in Voltaire's ''Candide'' is the final one: 'We must cultivate our garden.' That is Candide's response to the philosopher Pangloss, who tries again and again to prove that we live in the best of all possible worlds, no matter what disasters befall us. Ever since ''Candide'' was published in February 1759, that line has seemed to express a reluctance to get involved, an almost quietist refusal to be distracted by the grand chaos of earthly events. And that reading might make sense, if Candide hadn't already lived through a lifetime of woe. In fact, that line is the summation of Candide's wisdom, his recognition that no matter how you choose to explain the world, the garden still needs cultivating.”
I return to Candide’s response every time the check engine light goes on when I need to replace a light bulb when the light of our democracy flickers. Beans need to be replanted when something sneaks in and helps itself to young sprouts. Little girls need bedtime stories. Letters to the Editor still need writing. Things will always need repair. As I contemplate life’s disasters, threats, and challenges while weed whipping, mowing, and cutting wood, I eventually return to Klinkenborg and Candide. I must cultivate my garden.
Thursday, February 17, 2022
Mourning David Poses
I was honored a few months ago when David Poses @davidthekick asked me to write a blurb about his book, The Weight Of Air. Here are several offerings I sent him. They may not have worked for the publisher, I don't know. David appreciated them. That I do know.
Wednesday, September 8, 2021
Letter to New York Governor Kathy Hochul
The Honorable Kathy Hochul
Governor of New York State
NYS State Capitol Building
Albany, NY 12224
Dear Governor Hochul:
There are four crucial bills sitting on your desk right now that will ensure that ALL New Yorkers, regardless of their insurance provider or involvement with the criminal legal system, can access the life-saving addiction treatment they need.
In particular, I write to urge you to sign A.533(Rosenthal)/S.1795(Bailey) to mandate the use provision of medication for the treatment of substance use disorder (SUD) in all New York State’s jails and prisons.
Why do I write? Addiction treatment in New York’s correction facilities is sadly lacking and/or misguided. Passing this bill will be a small step toward larger remedy.
In July of 2016, I attended the sentencing of a young upstate New York neighbor who had committed a burglary in thrall to his drug addiction. As a friend of his family, as the father of a son who died from a heroin overdose, and in my role as an activist, I’d written a lengthy letter to the judge requesting the young man be provided every opportunity to receive the most up-to-date addiction rehabilitation services the State of New York corrections system could provide, both immediately and throughout the duration of his sentence. I asked the court to direct that his file demonstrate that it was imperative he receive the best drug treatment available.
I went into some detail to demonstrate that “afflicted with the disease of addiction, [he] had been ill-served by a lack of proper treatment providers and by insufficient or ill-informed treatment when any was available. A case that should have been a public health problem with reliable public health solutions fell instead to an overburdened criminal justice system.”
Lest one think I was proposing some wildly radical idea, consider what Dr. Nora Volkow, the director of the National Institute on Drug Abuse at the National Institutes of Health, wrote in Scientific American in March of 2018. “Informed Americans no longer view addiction as a moral failing, and more and more policymakers are recognizing that punishment is an ineffective and inappropriate tool for addressing a person’s drug problems. Treatment is what is needed.”
I am not suggesting treatment instead of prison for a crime. I am saying effective treatment could have averted the need to commit a crime in the first place; that effective treatment while incarcerated can prepare someone for a responsible, productive life upon release; or at the least will help prevent a return to prison following a repeat offense related to drug use. Or substantially reduce the chance of death soon after release.
Little did I know then, indeed only until I stumbled upon this information most recently, that our nation’s jails and prisons operate under the "inmate exception". When Congress established Medicare and Medicaid in 1965, it specifically prohibited either plan from paying for health care in the nation’s jails and prisons. “This explicit exclusion…has contributed to a significantly under-resourced correctional health care system that is isolated from mainstream medicine and shielded from critical accreditation and external quality oversight mandates.”[1]Was the judge aware of the “inmate exception” when he handed down his sentence? How familiar was he with drug and alcohol treatment in New York’s prisons? How naïve was I to ask the court to recommend the best treatment available thinking that there were real options?
What has happened to the young man in question? From January 2016, when first arrested until the current time, he has been locked up in one county jail and SEVEN different state correctional facilities. Following the county jail, he has bounced from Downstate, to Great Meadow, Eastern, Coxsackie, Mohawk, Woodbourne, and Fishkill. In his estimation, the best treatment he got anywhere was as an outpatient while in the county jail. He did enter one six-month treatment program (ASAT – Alcohol and Substance Abuse Treatment). As he has advised me, ASAT is “a standard program for anyone who mentions any drug or alcohol use when entering DOCS in reception or is convicted of either as a part of their crime.” He participated in ASAT at Great Meadow at the beginning of his sentence for three months before being transferred to Eastern. “I tried to get into ASAT to complete it for the Family Reunion Program and to have it out of the way. [Instead]…I was transferred in a quick fashion to Coxsackie due to the counselor knowing me from the Recovery Center and outside AA/NA groups.” Now he will have to start the program all over again, most likely at the end of his sentence, which is typically how the system operates. Once in ASAT, a prisoner is segregated and only able to avail themselves of job programs or study opportunities on a part-time basis. ASAT can be as corrupt and corrupting as it is beneficial, oftentimes conducted by inmates under the supervision of counselors.
The young man I write about has spoken intermittently with overworked counselors at each facility. He’s had little access to AA meetings, and no group work at all during the Covid pandemic. Complaints or outside interference are of no use, as they may well bring on retribution. It appears he will have to wait things out for at least three years still ahead of him. A tough row to hoe for anyone, much less someone who may still need to resist the call of a substance, without a strong support network. In the meantime, he works at welding in an Industry program where he recently earned a 26 cent pay increase, is described as a “great welder” by his supervisor, “a pleasure to have in Industry.”
One can only hope he can weld himself a drug-free future so that he can enjoy the pleasure of freedom in society once he obtains his release. In August 2016, I wrote the judge to thank him for his consideration. “Mr. [Doe] is but one thread in the connection that ties us in the fight against drugs and addiction. As I sat in court and those about to be sentenced shuffled in, I could not help but notice how close they all were in age. You, of course, see this scenario over and over. For me, it was a refreshing and disturbing reminder of work that needs to be done.” How long will it take for New York State to build a truly comprehensive drug treatment program, both in and out of our prisons and jails?
The state needs your leadership to start the building of a comprehensive program. Signing A.533(Rosenthal)/S.1795(Bailey) will be an important first step.
Respectfully yours –
Bill Williams
102 High Meadow Road
Livingston Manor, NY. 12758
E-mail: briobrio33@gmail.com
[1] The Inmate Exception and Reform of Correctional Health Care
Kevin Fiscella, MD, MPH,
Saturday, August 14, 2021
Kratom and Harm Reduction
Kratom and Harm Reduction
“More than a decade in the making, America's opioid crisis has morphed from being driven by prescription drugs to one fueled by heroin and, increasingly, fentanyl. Drawing on historical lessons of the era of National Alcohol Prohibition highlights the unintended, but the predictable impact of supply-side interventions on the dynamics of illicit drug markets. Under the Iron Law of Prohibition, efforts to interrupt and suppress the illicit drug supply produce economic and logistical pressures favoring ever-more compact substitutes. This iatrogenic progression towards increasingly potent illicit drugs can be curtailed only through evidence-based harm reduction and demand reduction policies that acknowledge the structural determinants of health.” Leo Beletsky
“Regardless of the specific facts about particular drugs, however, for more than 100 years, the main strategy America has used to deal with drug problems is prohibition. With the exception of alcohol, caffeine, and tobacco, nearly every substance that has publicly been associated with recreational use has either been banned entirely or strictly confined to medical use. Prohibition policy—such as the war on drugs—assumes that restricting drug sales and possession will solve the problem, period.” – Maia Szalavitz
Monday, July 12, 2021
Well Done CC Sabathia
Reading this about CC Sabathia reminded me of something I wrote about him just after he entered rehab to confront his relationship with alcohol. https://www.cnbc.com/2021/07/05/cc-sabathia-on-battling-addiction-while-finding-success.html Thanks and well-done CC!
“On Labor Day of 1955, my family moved to New Jersey. That October, as I walked to the school bus a neighbor stopped his truck, leaned out the window, and asked whom I was rooting for in the World Series, the Yankees or the Dodgers. Nine years old, I tried to guess what answer would please Mr. Miller the most. I guessed right. Yankees! Thus began a relationship that continues to this day, momentarily melancholy as it may be as I write after a playoff loss to the Astros. As a boy growing up in the ’50s and ’60s, there were Octobers of great excitement and happiness as Mickey Mantle, Roger Maris, Yogi, and all my other heroes walloped “Ballantine Blasts” out of Yankee Stadium, the House That Ruth Built – after beer baron Jacob Ruppert purchased the team. Knickerbocker was the beer of the New York Giants and Schaefer a sponsor of the Brooklyn Dodgers. The Schaefer sign on the Ebbets Field scoreboard would light up with an “H” or an “E” to help those scoring at the ballpark or at home. Later the Mets arrived with Rheingold as their official beer.
October was always a time to follow ballplayers in their joy and despair. At least until October despair became trivial three years ago when our son and brother, William, succumbed to what proved to a fatal heroin overdose. That loss brought my wife and me to the Mall in Washington DC this October 4th. We joined 30,000 other people from all across the country to participate in the Unite To Face Addiction rally. The rally made history in part by declaring the event “The Day the Silence Ends.” No more will any of us tolerate or accept secrecy, shame, and silence about the disease of addiction. Celebrities from all walks of life were there to share their stories of recovery, to reinforce the message that recovery is possible, and to speak out against the stigma of the disease. We were reminded again and again that there are 23 million Americans in long-term recovery from alcoholism and substance use disorder. Among those speaking was former Yankee (and yes, Dodger, Giant, and Met) Darryl Strawberry. His struggles have been well documented, but there was Darryl looking fit and trim, speaking persuasively from the heart about his recovery and proud of the two recovery centers he has established. A ballplayer offering a different kind of hope in October.
Later, the rally included a photomontage of celebrities who lost their battle with addiction. There was my boyhood hero, Mickey Mantle, bigger than life, again, taking one more swing on a giant screen.
The following day was Advocacy Day. Nearly 700 people from all over the country went to Capitol Hill to talk with Congressmen and Senators in the interest of making elected officials more aware and proactive in the fight against addiction in all its ghastly guises. We were part of the New York delegation that spent time being well received in Senator Chuck Schumer’s office.
As we gathered outside the office for a quick “team photo” and goodbyes, I checked my e-mail. There was a message from my friend Mark, also a Yankee fan and a bit of a baseball historian, letting me know that CC Sabathia had just entered an alcohol treatment program.
My mind went back to Mickey Mantle. Then to Billy Martin. The more I thought about it, the more Yankee names came up: Dwight Gooden, Whitey Ford, Steve Howe, Jim Bouton, the Sultan of Swat himself, Babe Ruth, and once again, Darryl. Men whose lives may have even been celebrated as real men who could drink hard and play hard at a time when there was less discrimination over a swing and a swig. Men whose substance use was denied or protected, sometimes even by the sportswriters who sat at the bar with them. How many more Yankees are there I don’t even know about? How many ballplayers all across the game?
Now there was one more. But there is something different this time. CC Sabathia is to be commended. He’s not hiding. To me, he’s a hero for saying, “It hurts me deeply to do this now, but I owe it to myself and to my family to get myself right.” No silence. No shame. Just honesty in the first important step on what one hopes will be his road to recovery. Honesty in making that first step more important than anything else in his life. We owe him the same understanding and compassion we would offer him if he were dealing with any other life-threatening disease. Not everyone believes that, of course. Our culture remains primitive and judgmental when it comes to alcohol and substance use disorder. Someday soon one hopes we see he is the kind of role model our kids need, a new kind of October champion.
CC is helping spread the message we heard on the Mall. The silence needs to end. The silence will end. 30,000 people were there to change the attitude of America about a dread disease. We will spread our message. We WILL prevail. If we build it they will come. Thanks for your help CC.