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10/07/11 5:07am

The Quick Fix: A Real-Time Round-Up of Today's News

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Heroin Kingpin Ahmed Wali Karzai also worked for the CIA. Photo via

By Will Godfrey

prescription drugs

10/06/11 6:03am

Medicare Charged with Paying for Pill Habits and Fake Patients

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Not all patients are what they seem. Photo via

A new report scheduled to be heard by the Senate next week charges Medicare with underwriting the addictions of about 170,000 doctor-shopping beneficiaries who have bought scripts for addictive drugs on Medicare’s tab. Patients obtain the drugs through Medicare Part D, which pays for prescription medications. Drugs most commonly abused, the report says, are prescription painkillers including oxycodone and hydrocodone—AKA OxyContin and Percocet. Here's what doctor-shopping looks like: in one year, a Georgia Medicare beneficiary received prescriptions for more than 3,500 oxycodone tablets from 58 different physicians, filled at more than 40 pharmacies. A Texas man got more than 4,500 hydrocodone pills from 25 different doctors in a year, and a Medicare beneficiary in California received prescriptions for 1,397 fentanyl patches and pills from 21 different doctors. That’s a lot of drugs—more than one person could safely use, according to one of the doctors who prescribed for the Texas patient. Medicare officials have apparently hesitated to put limits on patients receiving drugs in such quantity—for example, by limiting patients to one physician and one pharmacy—because they want to protect patients’ access to care. However, there have been growing reports of elderly patients selling drugs to bring in extra income. And those who work in addiction treatment know that some people pose as patients to get drugs. “There are people who work as professional patients,” Neil Capretto, DO, medical director of Gateway Rehabilitation Center, Pittsburgh, told The Fix. “They go to multiple doctors every day, they get fake X-rays and scans—they’re real pros.”

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By Jennifer Matesa

underage drinking

10/06/11 5:57am

Gummi Bear Menace Threatens Teen Sobriety

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Taking no prisoners Photo via

Teenagers in the Detroit area—and many others—have recently found a new way to fool parents, teachers and even cops, enabling them to "drink" any time without arousing suspicion: "boozy bears." Gummi bears or worms—or even rats in honor of the Halloween season—are soaked overnight in vodka. The candy absorbs the booze remarkably well and becomes a high-octane treat. Just as vodka has always been favored by teens because it has relatively little tell-tale smell, these drunken Gummis are surging in popularity because only careful inspection—or tasting—will enable adults to discover that they contain anything more dangerous than sugar. Just a few handfuls can be enough to get drunk—and a major concern is that kids have no way of telling how much they have consumed. What's more, it's easy to consume a lot very quickly, posing serious health risks to kids. How-to sites are full of instructions for making boozy bears and YouTube instructional videos have also been popping up for at least the past few months. But the trend is on the rise, and earlier this week the story was featured on NBC in Detroit. However, a Detroit teenager, "TheNikbagtvZone," recently asked in a YouTube video whether all the publicity generated wouldn't simply power the problem further: "Why would y'all do a story on this? You know kids are like, 'Word? Gummi bears and vodka?  Never thought about that. We're doing that right now!'"



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By Jeff Forester

Crystal Meth

10/06/11 5:27am

Video: Meth Lab Explosion Near School Was Total Surprise

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One-pot method is simple and risky. Photo via

An innocuous-looking suburban house was the unexpected source of a loud explosion in Lafayette, Indiana, on Monday night. Neighbors who were woken by the blast reported noticing no suspicious activity beforehand: "There's not [normally] a lot of ruckus around here," one comments. A man was sent to the hospital for chemical burns, and police arrested 26-year-old Steven Hanna for manufacturing meth. A chemical smell lingered in the air nearby for at least 24 hours afterward. The fact that the meth lab was within 1,000 feet of a school increases Hanna's potential sentence from 20 to 50 years. The "one-pot" method of cooking meth which was used in this lab has recently grown in popularity in Indiana and nationwide. Also known as "shake and bake," the technique involves pouring all the ingredients into one small container, such as a two-liter soda bottle. The advantage of this is that only relatively small amounts of the cold medicine pseudoephedrine are needed, sidestepping state laws created to regulate its sale. The disadvantage is the increased likelihood of explosions and chemical fires, caused by the proximity of the ingredients to a potential source of ignition. The one-pot method is also popular in mobile meth labs, such as one discovered during a routine traffic stop in Georgia last weekend.

 

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By Will Godfrey

News

10/06/11 5:12am

The Quick Fix: A Real-Time Round-Up of Today's News

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Try telling them. Photo via

By Will Godfrey

Drunk driving

10/05/11 3:36pm

Bad Economy Could Be Curbing Drunk Driving

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Now less affordable Thinkstock

The tough economy might cause many to hit the bottle, but a new federal study suggests a silver-lining effect could also be keeping them from getting behind the wheel. The Centers for Disease Control and Prevention reported a major decline in alcohol-impaired driving on Tuesday, which could be almost directly related to the economic slowdown, much as New York's cocaine consumption was found to have slumped in line with the economy. People with less disposable income may well be likelier to drink at home, rather than go out and get on the roads. The evidence for the drunk driving slowdown includes a 2010 national telephone survey of 451,000 people that estimated an approximate 112 million alcohol-impaired driving incidents last year—a 30% plunge since its peak in 2006, and the lowest level of incidents since 1993. Dr. Thomas R. Frieden, director of the CDC, explained that although the exact cause of the dramatic decline is uncertain, “One possibility is that people are drinking at home and therefore driving less after drinking.” The good news did not, however, suggest a significant drop in overall drinking, cautioned Gwen Bergen, a CDC behavioral scientist. According to the study, an estimated four million adults, or 1.8% of the US adult population, admitted to driving while intoxicated at least once in the last year—so there's still room for improvement. Men are responsible for 81% of all drinking and driving incidents, with young men aged between 21 and 34 racking up 32% of total incidents. White and unmarried people are also likelier than average to drive when drunk. The Midwest is America's drunk-drivingest region, with an eye-opening 643 self-reported episodes per 1,000 population in 2010. The CDC recommends taking additional measures to further reduce these incidents. Drinkers who still get behind the wheel can most likely expect more sobriety checkpoints and raised alcohol taxes, while establishments that serve alcohol can anticipate stricter liability laws. 

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