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Hosted on Acast. See acast.com/privacy for more information.
Hosted on Acast. See acast.com/privacy for more information.
Hosted on Acast. See acast.com/privacy for more information.
Prescription drug monitoring programs (PDMPs) operate in all 50 states and the District of Columbia. These statewide electronic databases of prescriptions dispensed for controlled substances were established in response to the opioid overdose crisis. Their purpose is to facilitate drug diversion investigations by law enforcement, change prescribing behavior, and reduce “doctor shopping” by patients who seek drugs for nonmedical use. In 28 states it is mandatory for providers to access the database and screen each time before prescribing any controlled substance to any patient. There is evidence that PDMPs have contributed to the dramatic 42 percent decline in prescription opioid volume since 2011. Many healthcare practitioners cite the inconvenience and workflow disruptions of mandatory-access PDMPs as deterrents to prescribing, while others fear scrutiny from law enforcement and licensing authorities — even for appropriate medical prescribing. This is unintentionally causing the undertreatment of patients with acute and chronic pain and, in some cases, the abrupt withdrawal of treatment from chronic pain patients. There is also evidence that PDMPs increase crime by driving nonmedical users from diverted prescription opioids to more harmful heroin and fentanyl, thus fueling overdoses. Finally, PDMPs pose a serious risk to medical privacy by allowing law enforcement to access confidential medical records without a warrant based on probable cause, which may be in violation of the Fourth Amendment.
An expert panel will examine the positive and negative effects of PDMPs on patient care, patient privacy, the overdose rate, and crime, hoping to learn whether they do more harm than good.
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Daniel Ellsberg. Edward Snowden. Elin Baklid-Kunz. Lynn Stout. Diane Roark. Franz Gayl. They and others like them come from all across the country. Some worked for the federal government; others worked in the private sector. All have one thing in common: in the organizations for which they worked, they saw things they knew were morally and legally wrong. Each made a life-altering decision to do something about it.
In his new book, Crisis of Conscience: Whistleblowing in an Age of Fraud, journalist Tom Mueller takes us into the world of the whistleblower. What makes them different? Why did they elect to act when others would not? Do the pathologies in large organizations — whether in government or the private sector — inevitably produce whistleblowers? Is Congress serious about protecting whistleblowers? How do protections for federal whistleblowers differ from agency to agency and from the private sector? Are new federal “insider threat” programs just a bureaucrat smokescreen for cracking down on internal dissent?
Join us as an expert panel talks with Mueller about his book and the state of government and corporate whistleblowing in the Trump era.
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Naloxone—an opioid antagonist that reverses overdoses—is a safe, effective, critical tool for preventing opioid-overdose deaths. The U.S. Food and Drug Administration nevertheless continues to require a prescription for each naloxone purchase, an unnecessary requirement that limits access to this life-saving drug.
On October 2, the Cato Institute will hold a two-part Capitol Hill Briefing to discuss how naloxone can save even more lives. First, Cato senior fellow Jeffrey A. Singer and Cato adjunct scholar David A. Hyman will discuss the effectiveness of naloxone and the effect of, and reasons for, the FDA’s prescription requirement. Second, the Washington, DC, Department of Health will conduct naloxone training for all willing adult attendees and will distribute easy-to-use Narcan, a nasal-spray version of naloxone, to those who complete the training.
Attending this event could help you save a life. We encourage each congressional office to designate at least one staffer to attend this event, train in naloxone administration, and keep this life-saving drug on hand anywhere someone may need it.
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Data are the lifeblood of public policy analysis. In criminal justice policy, crime data can be used to determine whether crime victimization is trending up or down in a given area or whether an innovative type of policing is effective. But how data are analyzed can have extraordinary effects on policy outcomes and future recommendations.
In his re-released award-winning book, The Condemnation of Blackness: Race, Crime, and the Making of Modern Urban America (Harvard University Press, 2019), Khalil Gibran Muhammad details the history of how crime data became evidence of racial inferiority that helped shape criminal justice policy and American thought for more than 100 years.
While urban elites viewed crime committed by European immigrants as a call for palliative social remedy, crime by black migrants from the American South was considered racially endemic and thus was to be dealt with punitively. Condemnation of Blackness is essential reading to understand how ideas of black dangerousness and criminality are legacies of slavery, racism, and discrimination.
Please join us on Thursday, September 26, for a conversation with Muhammad as he discusses his extraordinary book with the Cato Institute's Jonathan Blanks.
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