The narcotic drug problemBishop, Ernest S. (Ernest Simons)
Science
The narcotic drug problem
Bishop, Ernest S. (Ernest Simons)
Drug addiction
In the narcotic drug situation we are confronted by fact and not
by theory. Intelligent comprehension and unbiased investigation
are needed far more than we need premature conclusions drawn from
insufficient experience or too narrow observation along special lines.
The fundamental fact is this, as has been repeatedly stated, that
the narcotic addict, until his disease mechanism can be competently
and successfully arrested physically, needs the daily administration
of sufficient quantities of the drug of his addiction to meet the
indications of his disease. If the drug is not administered to him in
sufficient amounts to meet these disease indications, he cannot be
blamed if, in the agony of his suffering and the desperateness of his
plight, he is forced into the underworld and the illicit channels of
supply for the continuance of a physically endurable and economically
possible existence. Until the medical profession and the medical
institutions--hospital and otherwise--have in competent execution
methods of handling and treatment of the narcotic addict which are
more humane and more effective than those shown by ample testimony
to be in common use, the supply of narcotic drug to the responsible
narcotic addict to the extent of physical need, without unjustifiable
exploitation, financial or otherwise, is the duty of the medical
man. Any law which to this extent limits the supply of opiate drug
to the addict should receive the support of the medical profession.
Any law which renders it difficult or impossible for a physician to
conscientiously and rationally meet, to this extent, the indications of
narcotic drug disease, should meet from the medical profession with a
united and honest attempt at its modification.
Above all there should be fostered and promoted by the medical
profession an intelligent, unbiased investigation into the actual
facts surrounding the problem of narcotic drug addiction as a definite
disease. Such information concerning the physical and clinical facts of
this disease, as we should be in a position to give, would be eagerly
welcomed by the law-makers and the administrators and the judiciary;
and we should be in a position to co-operate with them in the making
and interpreting of narcotic drug laws. Lack of such information has
played an important part in whatever mistakes our police, legislative
and administrative bodies have made, and forced them to proceed as best
they could to meet the demand of a public menace that could no longer
be denied.
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