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Thousands of heroin addicts have kicked the habit with the help of the synthetic drug methadone. But lately methadone clinics in major U.S. cities have become centers of increasing controversy. Last week critics of the methadone program got some unexpected support. It came from the same doctors who did more than anyone else to create the massive U.S. methadone program, which is currently treating some 80,000 addicts. In a special report to JAMA, Drs. Vincent P. Dole and Marie Nyswander of Rockefeller University acknowledge that the methadone program, however sound in theory, has failed abysmally in practice...
...husband-wife team's bleak as sessment came ten years after the original, optimistic report on their own pioneering experiments, which showed methadone could satisfy an addict's craving for heroin without causing its dazelike highs or hellish lows and helped inspire the nationwide methadone program. Blaming its failure directly on the Government, they complain bitterly of many "politically inspired controls." Relegated to jammed clinics, addicts are often processed on a "take-it-or-leave-it basis"; little or no effort is made to provide the supportive counseling or job help that made the original Dole-Nyswander experiments...
Many addicts themselves are fed up with the programs, Dole and Nyswander contend, largely because of the rigidity of the bureaucratic rules and the indifference and sometimes contempt of clinic staffs. The result: "The great majority of heroin addicts remain on the streets, and the programs have lost their ability to attract them to treatment...
...DuPont, director of the National Institute on Drug Abuse, notes that there were at least 800 methadone-related deaths last year involving "street" methadone-a fact the authors ignored. Thus there may be increasing clamor for other ways of dealing with the nation's estimated half a million heroin addicts. Among them: a new crackdown on dealers and "cold-turkey" detoxification of addicts-a tough but effective tactic (TIME, June 19,1972) that practically wiped out heroin addiction in Japan...
...probe involved police tolerance of flagrant offenses in Cincinnati's taverns. One of them was the Clock Bar, a joint that offered free meals and booze to cops who overlooked the flourishing trade in hard drugs carried on there (one report said 646 bags of heroin were seized there in an eight-month period last year). Yet the Clock kept ticking; it did not close until a plainclothesman was shot to death near by last summer...