Intervention Where Are They Now – Dying from Opioid Overdose While Waiting for Treatment: Politics in Real Life Heroin and opioid drugs kill more than 100 people a day. It is an issue that candidates are discussing up and down.
Courtney Griffin died at the age of 20 from an overdose of heroin and fentanyl. He was rushed to a treatment center two months ago when his insurance was denied. Courtesy of the Griffin family hide caption
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Courtney Griffin died at the age of 20 from an overdose of heroin and fentanyl. He was rushed to a treatment center two months ago when his insurance was denied.
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Courtney Griffin was addicted to heroin and was ready to get help. He packed his things, and his mother took him to a shelter an hour from their home in New Hampshire. There was a bed waiting for him.
But unfortunately, that’s not where his story ends. Ninety minutes later, Pamela Griffin said, her daughter was back in the waiting room, shaking her head. Their health insurance company refused to cover the treatment.
“They refused, saying it was not a matter of life and death,” said Pamela Griffin, describing the refusal. “And Courtney said, ‘These drugs are killing me.’ He knew.”
Without insurance, the treatment can cost up to $12,000. They left not knowing what to do. The prospect of help and the frustration of not being able to get it was devastating for the Griffin family.
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“When you’re the parent of an addict, you’re afraid to call,” said Doug Griffin, who signs his emails “Courtney’s Dad.”
Doug Griffin, whose daughter Courtney died of an overdose, attends a church for people affected by addiction. Tamara Keith/ hide voice
Doug Griffin, whose daughter Courtney died of an overdose, attends a church for people affected by addiction.
He said, “you always knew the call was coming,” but when it did, he was still surprised. When the phone rang, Doug Griffin was at home, hopeful, looking at photos of Courtney from a happy time. With the help of a local police officer and some time on the waiting list, Courtney was supposed to start treatment the next day.
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His story highlights the challenges many face – insufficient capacity in health care programs, and insurance that doesn’t pay for the care people want or need.
And that delay can be fatal, said Tym Rourke, chairman of the New Hampshire Governor’s Commission on Drug Abuse. He said waiting lists and insurance denials send the wrong message to people who need help.
“So the belief is, ‘Nobody’s going to help me, and I’m hooked, and nobody’s going to help me,’ so they use again, and with the opiate epidemic, there’s no safe job,” Rourke said. “The next time someone uses it, it can kill them.”
There is no real-time tracking of treatment availability or insurance denial rates, but one recent study found about 20 percent of people with moderate or severe substance use disorders received treatment. And when you talk to family members of people struggling with addiction, you hear stories like Courtney Griffin’s.
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One issue is that when most people think of treatment, they think of a bed schedule, 28 days, abstinence and 12 steps. And there are not enough beds to support all the people who need this type of treatment. Many do not realize that there are other options, such as medical treatment. But there are not enough doctors who do that. So there is a waiting list for all kinds of medicine.
In 2012, Dean Lemire had been using heroin for 18 months when he decided he needed to quit.
“Heroin didn’t do what I wanted,” Lemire said. “When I wasn’t high, I was suicidal.”
“I called every day three times a day for three weeks,” Lemire said. “At the end of two and a half weeks, I quit.”
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He said he downed a fifth of cheap Canadian whiskey in a plastic bottle and got into his car looking for heroin.
“I got into three car accidents, totaled my car. The third time, I woke up in jail,” Lemire said. “And when I got home I called rehab, and I think they thought I was too important to help them, so they beat me up and put me in.”
It worked. Lemire is in recovery for a long time now. Married with a young child, she is a substance abuse educator at Goodwin Community Health in New Hampshire, working to help others like her. But Mr. Lemire said things are not going well.
The problem with these waiting lists, as Dean Lemire’s experience makes clear, is the apparent time it takes for someone on the drug to reach out for help can be brief. And the system as it exists now does not always exist with a warm embrace.
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Elected officials are now scrambling to remove barriers to access. States have special jurisdictions. The United States Senate has already passed a bipartisan package of bills to deal with the opioid crisis, and the House is taking up 18 separate bills this week related to opioids. The Centers for Disease Control and Prevention has just released new guidelines for doctors prescribing the drug. There is also a working group at the White House that provides insurance for drug treatment.
In the inside pocket of his suit jacket, Michael Botticelli, the director of National Drug Control Policy (known as the White House “drug czar”) carries a small card with a smiling picture of Courtney Griffin. It’s a prayer card from his funeral. Doug Griffin gave it to Botticelli when he met briefly to discuss his favorite challenge. Botticelli carries a few of them every day to remind him of the more than 120 people every day, on average, who die from overdoses in America.
“I pull them out of my pocket at night and say, ‘What have you done today to make a difference?’ said Botticelli. “There are real people behind these numbers.”
“Very few people are asking for help,” said Botticelli, who is also recovering for a while. “And it’s very sad that people can’t get help and often die while on the waiting list. We know that addiction is a disease. Any other disease, you get help when you need it, and that’s what we want.”
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When the group started going to New Hampshire last year, they were surprised by how much they heard about the story. They quickly began to include in their campaigns, talking about their experiences, friends or relatives who stopped smoking.
Donald Trump says he will get people as much help as he can, but he won’t get much more than that. They say the proposed border wall will also stop drugs from coming in from Mexico. He wants to repeal the Affordable Care Act, a law that has expanded access to health care for many people who didn’t have it in the past, but insists that changing it is something “dangerous.”
Hillary Clinton released a policy last year that contains information about what the White House and Congress are working on now. It wanted to force insurance to treat mental health the same way as other illnesses – making treatment available, and emphasizing treatment and rehabilitation in prisons. He has participated in a number of town hall-style forums on topics of interest.
“When someone with an addiction needs help, they shouldn’t have to wait three, four months to get help,” Sanders said during an interview with ABC News earlier this year. “They have to walk in the door tomorrow and find different drugs that help them.”
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States where this has become a major problem – such as New Hampshire, Ohio, Pennsylvania and West Virginia – should be target states.
It seems like a campaign story up and down the polls, too. Ohio, Pennsylvania and New Hampshire all have Senate races.
In New Hampshire, two of the gubernatorial candidates launched their campaigns at the same drug manufacturing facility. I took him there.
Mulaney admitted that he was addicted to drugs, and he used a lot of cocaine when a group of 12 friends in the sports community gathered privately in New York and on Zoom, under the guise of “eating with a friend from college, “Encouraging him to enter rehab.
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Calling it “‘We Are the World'” for other actors over the age of 40, Mulaney said everyone from Fred Armisen to Nick Kroll were there to share their concerns about Mulaney’s life.
In addition to Armisen and Kroll, he said that Seth Meyers, Bill Hader, and Natasha Lyonne were there.
“Let me just say this now, I don’t mean to be.”
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