Tag Archives: opioid addiction

Morning Ethics Warm-Up: 6/25/17

1. On the same New York Times front page (June 21) that announced the Georgia 6 result, surrounded by Times’ agenda-advancing stories with slanted headlines (climate change, North Korea, the Obamacare overhaul,  the “divided GOP,” and Michael Flynn) was the kind of story that once made the Times’ reputation. It was headlined, “Haven for Recovery Becomes A Relapse Capitol,” Will this story be discussed today by the Sunday talking-head shows? Of course not. The implications of it are not friendly to progressive mythology.

The story explains how Delray Beach, Florida has become a Mecca for drug addicts and a bonanza for treatment centers and “sober houses,” group living facilities for addicts. Some quotes will provide a sense of the report, but you should read it all:

Unlike other places in the United States that have been clobbered by the opioid crisis, most of the young people who overdose in Delray Beach are not from here. They are visitors, mostly from the Northeast and Midwest, and they come for opioid addiction treatment and recovery help to a town that has long been hailed as a lifeline for substance abusers. But what many of these addicts find here today is a crippled and dangerous system, fueled in the past three years by insurance fraud, abuse, minimal oversight and lax laws. The result in Palm Beach County has been the rapid proliferation of troubled treatment centers, labs and group homes where unknowing addicts, exploited for insurance money, fall deeper into addiction.

Hundreds of sober homes — some reputable, many of them fraud mills and flop houses for drug users — sprawl across Delray Beach and several surrounding cities. No one knows exactly how many exist because they do not require certification, only city approval if they want to house more than three unrelated people. Hoping for a fresh start, thousands of young addicts from outside Florida wind up here in places that benefit from relapse rather than the recovery they advertise.

…the proliferation of fraudulent sober homes was in part also the result of two well-intentioned federal laws. First came a 2008 law that gave addicts more generous insurance benefits; then the Affordable Care Act, which permits adults under 26 to use their parents’ insurance, requires insurance companies to cover people with pre-existing conditions and allows for multiple drug relapses.

The result was a whole new category of young addicts with access to insurance benefits. This gave rise to a new class of abusive operator, as painstakingly chronicled in The Palm Beach Post: the corrupt sober house owner. Many drug treatment centers — which also treated inpatients — started paying sober-home owners “bonuses” from insurance money and fees for referring outpatients to their centers while they underwent therapy, according to law enforcement, a grand jury report and court records.

Sober homes, which are not covered by insurance, can get thousands of dollars a month for each recovering addict, in large part from treatment providers, law enforcement and city officials said. Much of it goes into the owners’ pockets. But it is also used to pay rent so patients can live free and to provide perks that lure patients from other sober houses: manicures, mopeds, gym memberships and, worst of all, drugs. Relapses are welcome because they restart the benefits clock.

To increase profits, many treatment centers and labs overbill insurance companies for unnecessary tests, including of urine, blood and DNA. Some have billed insurance companies thousands of dollars for a urine test screen. Patients often unnecessarily undergo multiple urine tests a week.

Ah, glorious compassion! So those of us who managed to not break laws and cripple ourselves while doing so get to pay for not only the self-inflicted problems of those who did, but also get to enrich  the scam-artists who live off of their addictions, protected by compassionate, expensive insurance guarantees that require no personal responsibility or accountability. Meanwhile, “federal disability and housing anti-discrimination laws offer strong protections to recovering addicts who live in them.”

This is the better “treatment” alternative to the “war on drugs” that the compassionate people harangued us about for decades. Continue reading

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