Pubdate: Wed, 10 Sep 2008 Source: Province, The (CN BC) Copyright: 2008 Canwest Publishing Inc. Contact: http://www.canada.com/theprovince/letters.html Website: http://www.canada.com/theprovince/ Details: http://www.mapinc.org/media/476 Referenced: http://www.mapinc.org/drugnews/v08/n848/a05.html Author: Benedikt Fischer METHADONE LESSONS The kickback schemes in community-based methadone distribution schemes are highly disconcerting, yet point to important lessons learned elsewhere. Firstly, public health measures like opioid maintenance treatment and for-profit entrepreneurism do not mix well. Secondly, B.C. urgently needs treatment alternatives to methadone which effectively address both stimulant and chronic heroin addiction. At the same time, it's time for measured responses to the current situation. Having some 8,000 addicts receive methadone from community-based pharmacies involved in a bit of improper advertising is preferable to the consequences of overdose rates and drug-related crime as a result of restricting methadone distribution -- which is where methadone treatment in B.C. was until a few years ago. Benedikt Fischer, Chair, Applied Public Health, Simon Fraser Univ. - --- MAP posted-by: Richard Lake