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McKee defends £3.6m cost of methadone for Lothian addicts



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Published Date: 14 November 2008
A FORMER GP turned politician today defended methadone treatment for drug addicts despite figures revealing a massive £3.6 million bill in Lothian.
SNP Lothians MSP Dr Ian McKee dismissed Tory calls to switch to a zero tolerance approach as "simplistic" and warned it would not work.

Figures released by the Scottish Government showed the cost of methadone treatment – including the drug itself
and fees for dispensing and supervision – reached £25.7m across Scotland last year.

Tory justice spokesman Bill Aitken claimed the figures showed Scotland was "over-dependent" on methadone as a treatment.

He said: "We must invest much more in rehabilitation but we must show no mercy, we must show a zero-tolerance approach and we must come down heavily on those who deal."

But Dr McKee, a GP in Wester Hailes and Sighthill for 34 years, said: "That's all very nice in theory. It just doesn't work. To call for zero tolerance and rehabilitation as if we haven't tried it is no answer. It is because we have tried it and it hasn't worked that we have turned to this.

"I have practised for many years with people with drug problems, if you push them down too quickly they go along with it and all of a sudden they go back to the black market and you're back at square one."

Dr McKee said when people turned to the black market, they faced being sold impure drugs and would commit crimes to get the money to pay for it.

"Bill Aitken could find himself bashed over the head as he leaves the parliament one night and he could have his wallet stolen.

"There would be more women going into prostitution. Is that what he wants?

"To imply people have been kept on methadone just to satisfy some professional control freakery is ludicrous."

Community Safety Minister Fergus Ewing said the Scottish Government's national drugs strategy, unanimously endorsed by parliament in June, made clear recovery had to be the focus of all drug treatment and rehabilitation.

He said: "Evidence shows that methadone can help stabilise those at risk of falling back into chaotic lifestyles and that it is both valuable and necessary.

"However, this must be integrated more effectively with wider support services – housing, employment, psychological support – to fully address an individual's needs and help them recover and rebuild their lives.

"The drugs strategy recognises the need to help people move on from methadone through other treatments.

"Different people with different circumstances inevitably means different routes to recovery.

"The challenge is to make sure that the right support is available at the time it is needed, rather than promoting one particular type of treatment."





The full article contains 455 words and appears in Edinburgh Evening News newspaper.
Page 1 of 1

  • Last Updated: 14 November 2008 11:03 AM
  • Source: Edinburgh Evening News
  • Location: Edinburgh
 
1

Decent,

14/11/2008 11:46:18
Yeah lets fully address their needs - give them free methadone save them paying for heroin, give them a free house, dole money - hey why not furnish it for them too then they can have their druggie pals round and cause trouble for all their decent neighbours.
Yeah - that's it sorted.
2

elayne,

14/11/2008 12:10:08
#1 yeah,its too easy for addicts,they get the lot,also has it not been proved that methadone is MORE addictive than heroin?and harder to get off?
3

danbob,

14/11/2008 12:13:58
Meanwhile we have the DWP trying their best to take money off disabled people by so called re-assessing their needs.
4

Teofilio Cubillas,

14/11/2008 12:18:28
"Dr McKee said when people turned to the black market, they faced being sold impure drugs and would commit crimes to get the money to pay for it."

As opposed to the current system whereby they are provided with methadone by the state AND continue to take black market impure drugs AND commit crimes to pay for it. Come on Dr McKee, how many junkies (because while on methadone that's what they still are) do you know getting their lives straightened out and coping well on Methadone alone?

5

zenith,

USA 14/11/2008 12:19:52
No, Elayne, it is NOT true that methadone is more addictive than heroin. Addictiveness of a drug is measured by the intensity of the urge to repeat the behavior. For example, crack cocaine is highly addictive in this manner. Heroin provides a sharp, intense rush and drops off fairly quickly, leaving the person desperate for more. Methadone, on the other hand, crosses the blood-brain barrier very slowly and remains at a stable, even level in the bloodstream, without causing a high or euphoria in stable patients (unlike heroin). As for it being harder to "detox" from, it is true that methadone takes longer to taper off of because of it's long half life, however it is a very do-able proposition. But the goal of MMT is NOT to get OFF methadone--it is to stabilize the brain chemistry and the lives of those who have NOT been able to remain abstinent.
6

alex paterson,

edinburgh 14/11/2008 12:28:35
Dr Ian McKee is a great GP and a man to be trusted,if he thinks Methadone is the answer and is working,so be it.
7

an interested party,

14/11/2008 12:31:02
at 3.6 mill i would be cheaper and more effective to give them the damn smack and then let them live as they please

with the added bonus of destroying the black market supply of the stuff
8

elayne,

14/11/2008 12:40:06
#5 so why do many addicts still use heroin while on methadone programme if the effects of methadone are longer lasting and are supposed to stabalize?surely if they use BOTH at the same time is it not extemely dangerous?
9

SV650s,

14/11/2008 12:47:54
I'm no drug expert (ie I have sense) - but can we not just let them go "cold turkey" ?
10

ZipptJeffrey,

Castle 14/11/2008 12:54:40
Questions: How many addicts have come off of Heroin through the Methadone program? How many? I would wager, not one addcit on he methadone program will leave their addcition because of the lack of coherent policy of the use of Methadone in scotland. Look how bad Glasgow has been for the last 30 years with heroin adcition, and that has been maintained by the socail engineering of misapplied methadone programs that "Dr" McKee is defending. He ismerely covering his back. nothing more. The methadone programs of the last 30 to 40 years in Scotland HAVE NOT WORKED. And saying they do is a big lie. Nothing has done more to destabilse scottish society than the state use of methadone, and it cant be condoned any longer.
11

noswod,

Honestas 14/11/2008 13:10:13
Another £27m for the dependency society which means that we cannot afford cancer drugs to lenghten lifespans of loved ones. It is only of use if there is a highly structured programme to get the addicts off their dependency. The other agruement is that in spending the £27m you are protecting society at large because the addicts don't need to mug you to get their fix. An imposssible situation. Detoxification programmes and lifestyle mangement and some serious social engineering is required to get this whole class off drugs to prevent them cresting the next generation of addicts.
12

elayne,

14/11/2008 13:16:22
#11 too late!it sounds harsh but i think drug addicts,should not have children until they are clean and remain clean for a long time,proving that they can change their lifestyle and contribute to society.there are too many kids brought up in dirty,chaotic,unstable homes with addict parents.however loving a parent is, a drug addict lifestyle is not a good environment for kids to be brought up in!
13

ddmc,

14/11/2008 13:31:27
i agree #12 give them as much jungle juice as they want as long as it has contraceptives added !
14

Jasbar,

14/11/2008 14:05:24
A complete waste of money. Addicts will never kick the habit until they kick the situation they live in that feeds the habit.

Only after a genuine lifestyle and location change would any methodone treatment have a hope in hell of being effective.

All that happens now is that the state is supplying the drugs and we're paying for it.

15

FF,

Edinburgh 14/11/2008 14:17:28
I have never understood the prescription of one addictive drug against the addiction of another. People would end up being addicted to both. I wonder if methadone is prescribed because it's presented as a medicinal drug and therefore respectable, unlike the recreational drug heroin.

Also, I detect a confusion of motives here. Obviously, heroin is bad and we should help anyone who wants to get off it. But not all addicts see a problem, which then falls back onto the state to manage. Given all that, wouldn't it be better for the state to supply heroin under controlled conditions to the addicts who want it? This would then remove some of the criminality in supply and funding of the addiction as well as mitigating the health hazards to users.

Anyway, an interesting set of comments and no easy answers.

16

an interested party,

14/11/2008 14:30:17
#15 and all

it was a prescription drug up until the papers made a ho ha about it in the early 70's

another case of prohibition exacerbating the problem


give them the stuff, it will cut crime, improve communities and save lifes
17

johnsmith77,

wester hailes, edinburgh 14/11/2008 14:46:29
This money could be spent on other things e.g. hospitals. Some addicts enjoy taking drugs, commiting crimes, being bad to people and abusing alcohol
18

Cynicaltalk,

14/11/2008 15:31:27
Give them bleach to drink. Or Paraquat.
19

elayne,

14/11/2008 17:38:31
#19,sadly the craving for heroin is all consuming,the kids come lower down the persons list of priorities,and its the grandparents,sisters,aunties etc of the addict who are left to pick up the pieces and look after the kids(if the person is lucky enough to have family support)
20

For a good cause.,

edinburgh 14/11/2008 18:07:27
cant help them kill them all!
21

Decent,

14/11/2008 18:25:44
20 As you said before they shouldn't be allowed to have kids and if they do take them off them until they get their priorities sorted out.
22

MoiraMac,

14/11/2008 18:28:42
#1 News for you. That is what we do.

#3 I understand Drug Addicts are considered 'disabled' and that is why they receive around £180 per week (tax free) in benefits along with all the goodies outlined by #1 'Decent' Not forgetting the dosh they get from begging in the street.

Not a lot of incentive to come off drugs when the British tax payer is so willing to generously fund their lifestyle and put up with their anti-social behaviour.
23

elayne,

14/11/2008 18:44:12
#23 how can addiction be classed as a disability?its kind of self inflicted,people who are genuinely disabled dont choose to be so but people who are addicted,fair enough they may have underlying issues which may cause them to seek solace through drugs,but no one forces them to do it,so is disability benefit not perhaps being directed away from those who have a real disability and are more deserving of a bit extra money?
24

Decent,

14/11/2008 18:56:37
Because thats the way this country works. Even alcoholics get extra money as do families with kids with ADHD. We all have underlying issues but don't all turn to drugs.
25

La5t_minit,

14/11/2008 22:22:33
Can anyone point me in the direction of a pusher?. I fancy some free stuff so I dont have to work my ass off. Or how about getting me a job as a councillor?. Even more free stuff and even less work.
26

La5t_minit,

14/11/2008 22:26:33
...better still, swap all the Methodone bottle contents for potassium chloride.. Wipe the city clean of these wastes of time, space and money.
27

The real dracula,

15/11/2008 00:28:14
Right Im no expert but the way I understand it is,,,methadone starts as a programme to be used in lowering doses to get the addict off the drug heroin.
Apparently they are supposed to provide urine specimens clear of heroin in order to stay on methadone programme.
Methadone is as addictive and toxic as heroin but if people are put on it itin theory reduces the crime figures.
It has a 96% failure rate for actually getting people off the drug.
Babies born to methadone users still have awful withdrawal symptoms at birth.
Drug addicts and alcoholics can be registered for DLA due to their condition ( something I dont agree with and demeans genuine disabled people who cant change their condition)
There is another drug I think its called naltroxone which blocks the effects of opiate drugs that can be used for withdrawal but they will have to go 'cold turkey' so its not popular.

Anyway the poster from usa unfortuately is very wrong methadone is highly addictive and potentially life threatening drug. ButI think the reason its handed out is to stop addicts from obtaining money / drugs illegally.
28

COLINTON.MAINS,

Oakville Ontario 15/11/2008 02:48:00
IT.IS.HARD.TO.BELIEVE.WHATS.HAPPENED.TO.SCOTLAND

 

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