Social Policy

Drug-Related Cases Burden Hospital Emergency Rooms

According to a recent study from the Department of Health and Human Services' Drug Abuse Warning Network, drugs are placing an increasing burden on the nation's hospital emergency rooms. Congressional critics blame inaction on the part of the Clinton administration as part of the problem in a losing war against drugs.

From the first half of 1994 to the first half of 1995:

  • Total drug related episodes were up 10 percent -- and they grew 30 percent from the first half of 1992.

  • Cocaine-related episodes increased 12 percent -- up 33 percent -- since early 1992.

  • Heroin-related episodes were up 27 percent -- and increased 77 percent from 1992 to 1995.

  • Methamphetamine (speed) episodes rose 35 percent -- and 308 percent since early 1992.
According to the University of Michigan's Monitoring the Future study, use of marijuana, hallucinogens, cocaine and heroin are all up among 8th, 10th and 12th graders. The study found that teens don't believe drug use is as dangerous as they did during the 1980s.

Critics of the President's antidrug program cite the fact that antidrug military personnel have been cut back, as have positions in the Drug Enforcement Agency. And interdictions of drug trafficking have fallen since the Coast Guard was forced to mothball a cutter, five patrol boats, three other ships and seven aircraft.

In 1992, 25,033 individuals were prosecuted by the federal government for drug violations -- which number fell 8.4 percent to 22,926 in 1995.

Source Matthew Robinson, "C1inton's Losing War on Drugs," Investor's Business Daily, June 26, 1996.

Aids Population Smaller Than Government Estimates

A new study by National Cancer Institute statistician Philip Rosenberg, published in Science magazine, says that the AIDS epidemic is considerably smaller than official government estimates claim.

  • Rather than the 1 million current infections claimed by the federal government, the study finds a range of 630,000 to 897,000 Americans living with HIV.

  • As of January 1993, HIV infections were one in 2,000 for white American females age 18 to 59 and one in 204 for white males.

  • The rate was one in 135 for black females and one in 44 for black males.
AIDS cases have not developed as fast as the Centers for Disease Control and Prevention first feared, and it has lowered its earlier estimate of 1 million to 1.5 million in favor of the current flat one million figure.

Source: Michael Fumento (Reason Magazine), "AIDS: The Truth at Last?" Investor's Business Daily, December 11, 1995.

Marketplace Finds New Sources of Anti-Cancer Drug

In the late 1980s, scientists found that taxol, from the bark of the Pacific yew tree, is effective in treating ovarian cancer. Since ovarian cancer kills more than 12,000 women annually in the United States, demand for the Pacific yew exploded, creating a seemingly unsolvable conflict between the needs of cancer patients and the concerns of environmentalists.

  • The Pacific yews were sprinkled throughout the old-growth forests of the Northwest, the home of the northern spotted owl.

  • The bark had to be stripped from three 100-year-old trees to treat a single patient.

  • Environmentalists, fearful that pristine forests would be mowed down, lobbied against harvesting.

However, market forces -- specifically people's desire to make money -- helped solve the problem.

  • Drugmakers found that a hybrid of European and Japanese yews (a common ornamental in front yards) could produce a semisynthetic version of taxol.

  • They discovered that they didn't need trees that were 100 years old and that the drug could be extracted from the whole tree, not just the bark.

  • In 1993, the lumber company Weyerhaeuser began harvesting nursery-grown yews, and in late 1995 harvested 12 million of the two-foot high trees.

Taxol is one of the most expensive anti-cancer drugs; but next year, when the Bristol-Myers Squibb monopoly expires, anyone will be able to manufacture and sell it. This will unleash the full force of the market as firms compete to satisfy the $1 billion a year worldwide demand. The result could be lower costs and improved versions of the drug.

A Squibb competitor, Rhone-Poulence Rorer, is seeking approval for a related drug known as taxotere. Drug companies are investigating other plants, biotech firms are trying to extract it from a fungus found on yew trees and scientists are working on a synthetic taxol. New uses are also being found for the drug, which has shown promise in treating breast cancer and lung cancer.

Typically, the debate over harvesting Pacific yews made front page headlines and the solution didn't. But it was proof, once again, that the market will help find a supply to satisfy a demand, and an unforeseen solution to a puzzling problem.

Source: Rob Norton, "Owls, Trees, and Ovarian Cancer," Fortune, February 5, 1996.

The Link Between Abortion and Breast Cancer

Medical researchers generally agree that a full-term pregnancy reduces the risk of breast cancer. However, there is controversy over a number of studies indicating that women who have induced abortions face an increased risk of developing breast cancer.

One recent study reported in the Journal of the American Medical Association found "a weak positive association" between abortion and breast cancer, indicating an increased risk of between 10 percent and 50 percent. It also found a smaller increased risk from miscarriage.

Other studies have found a similar link between breast cancer and abortion. However, these studies have been criticized because the women surveyed may have underreported abortions.

In the past, the safety of abortion has been favorably compared to childbearing. However, legislation addressing the breast cancer link, such as requiring disclosure of risks as part of informed consent for an abortion, has been introduced in at least 10 states.

  • The American Medical Association has long maintained that the risk of dying in childbirth, which is less than 5 in 100,000, is 12 times greater than the risk of dying from an abortion.

  • It is estimated that breast cancer will strike 12 percent of American women.

  • If the overall increased breast cancer risk due to abortion is 50 percent, that would raise the lifetime risk of breast cancer to 18 percent, yielding an increased incidence of 6,000 per 100,000 to women who have had any abortions.

  • Even with a breast cancer cure rate of 75 percent, the increase in breast cancer deaths linked to induced abortion would make abortion 300 times more likely to result in death than childbirth.

One expert has suggested that the increased risk may come from estrogen, a known breast cancer risk, released into a woman's system early in pregnancy, while the protective effect of a full-term pregnancy may be due to hormones released later in pregnancy which enable the breasts to produce milk. Spontaneous abortions, however, may not present the same risk, since miscarriages are most often the result of an abnormally low secretion of estrogen by the ovaries.

Sources: Polly A. Newcomb, et al., "Pregnancy Termination in Relation to Risk of Breast Cancer," and Marilie D. Gammon, et al., "Abortion and the Risk of Breast Cancer: Is There a Believable Association?" Journal of the American Medical Association, Vol. 275, No. 4, January 24-31, 1996; and Joel Brind, "May Cause Cancer," National Review, December 25, 1995.

Animal Rights Activism Delay Aids Research

Certain Hollywood celebrities like to wear red AIDS ribbons while also supporting militant animal rights groups. However, research for cures to diseases like AIDS, breast cancer or diabetes requires animal testing.

Animal rights extremists use distortion, intimidation, harassment and in some cases violence and have effectively delayed significant AIDS research. For example:

  • People for the Ethical Treatment of Animals (PETA) has announced it will oppose any cure for AIDS that comes from research with animals.

  • AIDS patient Jeff Getty reports he received death wishes from so-called animal lovers while he was hospitalized for an experimental bone marrow transplant from a baboon.

  • AIDS researchers at Stanford University were forced to build labs and complexes underground following attacks on university property by animal rights terrorists.

  • Excessively restrictive animal rights laws prohibit follow-up biopsies on any of the animals used in AIDS research transplanting thymus tissue from infant to adult animals, which at least one Northeastern immunologist says delayed his research.

  • The Progressive Animal Welfare Society (PAWS) shut down research for a time involving mother-to-child transmission of simian immunodeficiency virus among macaque monkeys -- which led to AZT treatment of human newborns to block HIV.
Animal rights advocates claim computer simulations can replace animals in drug safety testing and research, but scientists emphatically disagree. It's been suggested that if PETA had been active 50 years ago, today we would be talking about hundreds of thousands of people dying from polio as well as AIDS.
Source: Jeff Getty, "The Tragic Hypocrisy of 'Animal Rights',"Wall Street Journal, June 13, 1996.



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