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Updated May 16, 2001
More for Addiction Treatment; But Tobacco off the Hook?

Ask Dr. Bill

Dear Readers,
Today's column is one of possible good news and definitely bad news. First, the possible good news reported by the The American Society of Addiction Medicine, ASAMNEWS (March-April 2001):

The Bush administration budget summary for Fiscal 2002 calls for additional funding for addiction treatment and increased spending for the prevention-oriented Drug-Free Communities Support Program; largely in line with a $2.767 billion proposal Mr. Bush outlined during the campaign last October. Entitled "A Blueprint for New Beginnings," it estimates the cost of drug abuse to society at $100 million annually, adding that "this figure does not capture the human costs associated with drug abuse-wasted opportunities, families torn apart, and lives lost."

Overall, the new administration's first antidrug budget includes a significant increase(!!) ($111 million) in federal spending to "increase access to substance abuse treatment and help to close the treatment gap, the difference between the number of individuals who would benefit from treatment and the number who receive it; and targeting treatment to adolescents." Of the proposed funds, $60 million would be added to the Substance Abuse Block Grant, $40 million would be delivered through Targeted Capacity Expansion Grants, and $11 million would be added to the Residential Substance Abuse Treatment program.

In the research arena, President Bush used his recent address to Congress to announce his support for a plan to double the research budget of the National Institutes of Health (NIH) by 2003. This could mean substantial funding increases for the National Institute on Drug Abuse and the National Institute on Alcoholism and Alcohol Abuse, which are NIH agencies. The budget also proposes adding $10 million to the $40 million Drug-Free Communities Support Program.

Somebody in the executive branch seems to be paying some attention to cries by drug treatment professionals for more federal funds for prevention and treatment. And maybe.... just maybe, congress won't pull it apart...But, I wouldn't bet on it. Why the doubts? See my column next week for telecast comments by one of my most unfavorite congressmen: Rep.James Barr.

Now, the bad news: On April 26th, The Washington Post revealed that the Justice department lawyers assigned to the federal government's multi-billion dollar lawsuit against the tobacco industry sent a memo to Attorney General Ashcroft on March 12th stating that they may have to be abandon the case because the Bush administration has not proposed enough funding to continue the litigation . They added that, without sufficient funding, "we cannot maintain the action" and "there are no realistic prospects for a settlement." Although Ashcroft had not yet replied to the memo, a top Justice official stated on the 27th that "the litigation team handling the tobacco suit has not done a good job in the opinion of many in the Justice Department," and that "there is a lack of confidence in some of the people involved. A change in personnel is being considered."

Why am I not surprised about this clearest indication yet of how the Bush admiistration may proceed on the lawsuit? As senator, Ashcroft was a staunch foe of the litigation. On the same day as the Justice Department official's comment was released, in an interview with Fox News, Bush said, "I do worry about a litigious society.......at some point enough is enough."

Number of deaths each year in New Jersey from smoking: 12,800. Number of Jersey kids, now under 18, who will die from smoking: 135,000. Annual tobacco industry spent on advertising, marketing and political donations: $5.2 billion. Compassionate conservatism indeed!


Dr. Willian Van Ost, M.D., is a Co-founder of The Van Ost Institute for Family Living, a non-profit outpatient center for treatment of addictive illnesses. Located in Englewood, it offers continuing, free weekly educational lectures. (Call 201-569-6667, e-mail to vanost@msn.com or visit www.vanostinstitute.org). Dr. Bill welcomes questions about addiction and effects on the family.

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Address inquiries:
Dr. Bill
Care of The Van Ost Institute
150 East Palisade Ave.
Englewood, NJ 07631-3010
Phone inquiries: (201) 569-6667
E-mail to: drbill@vanostinstitute.org

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