Tuesday, July 13, 2010

Call for "Audit" of Methadone Maintenance Programs in PA

According to an article in the July 1 issue of the Pittsburgh Tribune-Review, Pennsylvania lawmakers have called for an "audit" of methadone maintenance programs in the state to help them consider a half-dozen proposed laws to restrict the eligibility for, maximum duration of, and a host of other restrictions to be imposed in methadone treatment for opiate dependence. It is always appropriate for government to audit services for which taxpayers provide the funding, but the article reflects a fundamental misunderstanding when it states, “The review will examine . . . whether methadone is used as part of a treatment plan aimed at recovery or as a maintenance plan.”

The concepts and goals of “recovery” and “maintenance” are not mutually exclusive. By analogy: would one consider AA to be geared towards “recovery,” or simply “maintaining” an alcoholic’s dependence on meetings, mutual support, etc.?

Similarly, diabetics are “maintained” with insulin, but that does not mean they or their physicians reject “recovery” from the host of complications that diabetics can have. Like diabetes and alcoholism addiction is a disease that we cannot – as yet – “cure,” but can treat with great effectiveness; methadone maintenance is clearly recognized as the gold standard of the treatment options.


At 1:41 PM, Anonymous Anonymous said...

Why this simple explanation, making total sense, is so difficult to grasp and so beyond the ability of 95% of this country to understand flabbergasts me.

At 7:58 AM, Blogger f.paul said...

Maintenance pricing is a percentage of the SRP of the product for which maintenance is being purchased for the first twelve months typically around 20.Maintenance ProgramsMaintenance will always be quoted as a percentage of SRP rather than of netor purchase price. Purchasing twenty-four months of maintenance and support is a better option from a pricing standpoint,if you would like the longer term coverage. Pricing for maintenance terms beyond twenty-four months will be provided upon request.


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