But over the last decade, drug makers see potential in all that free healing. Increasingly, it is "partnering" with rehab facilities to monetize addiction recovery, especially by facilitating "dual diagnoses" that require expensive pills. A patient is no longer just an alcoholic, he is an alcoholic with bipolar disease or major depressive disorder. Ka-ching.
It's easy to see why drug makers wanted a new revenue stream, especially before those who now produce Covid vaccines. Their blockbusters like Lipitor, Seroquel, Zyprexa, Singulair and Concerta have gone off patent and Medicare and Medicaid are starting to balk at paying for brand drugs that are no better than generics. (Some states are even suing for reimbursement for what they spent on brand drugs.) Huge fraud settlements in recent years against Abbott, Pfizer, GSK, Johnson & Johnson, Eli Lilly, AstraZeneca and Merck have also taken their toll.
Less easy to see is why the National Institute on Drug Abuse (NIDA), often working closely with Pharma, is trying to fix one of the few things in the health care system that is not broken-free, anonymous treatment for alcoholics and addicts. "All addictions can be eliminated if the brain's receptors can be controlled," said an ominous NIDA flier last year announcing a speech by its director. Yes, "all."
Behind the search for bio solutions like a vaccine to treat addictions is Nora Volkow, NIDA director, called "an early champion of the idea that drug addiction is a medical problem, rather than a lack of willpower or moral fiber" which actually was the founding precept of Alcoholics Anonymous in 1935. But unlike AA founders who discovered that free, anonymous moral support-without drugs and outside of traditional medicine-worked in almost all cases, Volkow seeks high-tech interventions. "We have identified many of the biological and environmental factors [of addiction] and are beginning to search for the genetic variations that contribute to the development and progression of the disease," she says with Orwellian fervor.
Why is seeking genetic causes and bio treatments Orwellian? First, because addiction and alcoholism are diseases of denial and few would take a vaccine voluntarily (which is why Antabuse failed). You would think NIDA as the government's top drug agency would know that. Secondly, because drug makers, with whom Volkow has published many papers, love the profits from marketing to people "at risk" of conditions like heart disease, diabetes, bone thinning, and, of course psychiatric diseases and a genetic overlay helps: you may feel fine but your genes say you are "at risk"? Let's treat early! We keep you on meds for life and you'll never know if you even needed them. Trust us.
Another reasons drug makers' pursuit of biotech answer to alcoholism and drug addiction is Orwellian is the government and drug makers subject animals to painful, unnecessary experiments like the recent "Beaglegate."
Making animals "addicts" to treat the uniquely human phenomenon is a fool's errand and a cruel one at that. One paper co-written by Volkow shows a bloody "pregnant bonnet macaque in transverse position within HR+ PET scanner" positioned so that maternal and fetal organs were within same field of view." The paper concludes that when primates are dosed with cocaine, fetuses are affected too. No kidding.
NIDA's pursuit of a bio treatment for addictions and alcoholism is not only stupid and cruel, it wastes money that could be spent on diseases that can't be treated with a cup of coffee in a church basement. So many scientists object to Volkow's "magic bullet" vaccine for addiction and alcoholism, she was compelled to defend the funding as "stable...despite concerns expressed by some researchers that funding in other areas is being sacrificed to support the medication development portfolio."
The isolation, disconnection and fear caused by the Covid pandemic has increased the number of people suffering from alcoholism and drug addiction. Yet NIDA proposes a high-tech treatment few will take voluntarily that treats a condition already treated with low-tech non-medical means, killing non-human primates in the process? Drug makers thank you, NIDA.
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