{"id":13598,"date":"2017-10-27T23:35:00","date_gmt":"2017-10-27T23:35:00","guid":{"rendered":"http:\/\/associatednews.us\/content\/2017\/10\/27\/counting-the-heavy-cost-of-care-in-the-age-of-opioids\/"},"modified":"2017-10-27T23:35:00","modified_gmt":"2017-10-27T23:35:00","slug":"counting-the-heavy-cost-of-care-in-the-age-of-opioids","status":"publish","type":"post","link":"https:\/\/associatednews.us\/content\/counting-the-heavy-cost-of-care-in-the-age-of-opioids\/","title":{"rendered":"Counting The Heavy Cost Of Care In The Age Of Opioids"},"content":{"rendered":"<p><span style=\"font-style:italic;font-size:16px\">By  <a class=\"colorbox\" href=\"http:\/\/www.npr.org\/sections\/health-shots\/2017\/10\/27\/560459157\/counting-the-heavy-cost-of-care-in-the-age-of-opioids?utm_medium=RSS&amp;utm_campaign=healthcare\">Allison Aubrey<\/a><\/span>  <\/p>\n<div class=\"ftpimagefix\" style=\"float:left\"><a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.npr.org\/sections\/health-shots\/2017\/10\/27\/560459157\/counting-the-heavy-cost-of-care-in-the-age-of-opioids?utm_medium=RSS&amp;utm_campaign=healthcare\"><img decoding=\"async\" width=\"150\" src=\"https:\/\/media.npr.org\/assets\/img\/2017\/10\/27\/leana-portrait-2_custom-158c434f5173ac951af45be586e3f81c78f7fc5f-s1100-c15.jpg\" alt><\/p>\n<div><a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/media.npr.org\/assets\/img\/2017\/10\/27\/leana-portrait-2_enl-158c434f5173ac951af45be586e3f81c78f7fc5f-s1200.jpg\"><\/a><\/div>\n<div>\n<div>\n<div><a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/media.npr.org\/assets\/img\/2017\/10\/27\/leana-portrait-2_enl-158c434f5173ac951af45be586e3f81c78f7fc5f-s1200.jpg\">Enlarge this image<\/a><\/div>\n<\/div>\n<div>\n<div>\n<div>\n<p>\n                Dr. Leana Wen, Baltimore&#8217;s health commissioner, says the federal government should help pay for a lifesaving drug that reverses opioid overdose.<\/p>\n<p>                <b><\/p>\n<p>                    Meredith Rizzo\/NPR<\/p>\n<p>                <\/b><b><b>hide caption<\/b><\/b><\/p>\n<\/div>\n<p><b><b>toggle caption<\/b><\/b><\/div>\n<p><span><\/p>\n<p>        Meredith Rizzo\/NPR<\/p>\n<p>    <\/span><\/div>\n<\/div>\n<p>As deaths from opioid overdoses <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.cdc.gov\/drugoverdose\/epidemic\/index.html\">rise<\/a> around the country, the city of Baltimore feels the weight of the epidemic.<\/p>\n<p>&#8220;I see the impact every single day,&#8221; says<a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/health.baltimorecity.gov\/node\/35\"> Leana Wen<\/a>, the city health commissioner. &#8220;We have two people in our city dying from overdose every day.&#8221;<\/p>\n<p>As part of Baltimore&#8217;s strategy to tackle the problem, Wen issued a <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/health.baltimorecity.gov\/news\/press-releases\/2017-06-01-baltimore-city-health-commissioner-signs-new-standing-order-opioid\">blanket prescription<\/a> for the opioid overdose drug naloxone, which often comes in a nasal spray, to all city residents in 2015.<\/p>\n<p>She says many deaths have been prevented by getting the drug into the hands of more people. But now, there&#8217;s a problem:<\/p>\n<p><!-- END ID=\"RES560519464\" CLASS=\"BUCKETWRAP INTERNALLINK INSETTWOCOLUMN INSET2COL \" --><\/p>\n<p>&#8220;We&#8217;re out of money for purchasing Narcan [a brand of naloxone]. We&#8217;re having to ration this medication,&#8221; Wen says.<\/p>\n<p>People can purchase Narcan at pharmacies on their own. As we&#8217;ve <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.npr.org\/sections\/thetwo-way\/2017\/10\/26\/560180901\/walgreens-stocks-narcan-opioid-overdose-spray-in-all-pharmacies\">reported<\/a>, it&#8217;s now sold at all Walgreens. But at a cost of about $125 a pop, many people can&#8217;t afford it.<\/p>\n<p>Thursday, the Trump administration declared the opioid crisis <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.npr.org\/2017\/10\/26\/560083795\/president-trump-may-declare-opioid-epidemic-national-emergency\">a public health emergency<\/a>, but many critics say it doesn&#8217;t go far enough when it comes to funding.<\/p>\n<p>Wen says she would like a commitment from the administration to help pay for this drug. She says the administration could also negotiate directly with manufacturers to lower the price of naloxone. &#8220;We know treatment works, but we don&#8217;t have [the] money,&#8221; Wen says.<\/p>\n<aside>\n<div><\/div>\n<\/aside>\n<aside>\n<div><\/div>\n<\/aside>\n<p><!-- END ID=\"RES560460614\" CLASS=\"BUCKETWRAP INTERNALLINK INSETTWOCOLUMN INSET2COL \" --><\/p>\n<p>Paying for rapid reversal drugs is certainly not the only challenge health officials face in tackling the opioid epidemic.<\/p>\n<p>A recent nationwide study <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/28800256\">published<\/a> in the <em>Annals of the American Thoracic Society <\/em>points to<em><\/em>a significant increase in the cost of treating overdose patients who are admitted to hospital intensive care units.<\/p>\n<div>\n<div><img decoding=\"async\" src=\"https:\/\/media.npr.org\/assets\/img\/2017\/10\/27\/naloxone-3_custom-febfebc0528a47d51498f56a69344477832e7f5f-s1100-c15.jpg\" alt><\/p>\n<div><a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/media.npr.org\/assets\/img\/2017\/10\/27\/naloxone-3_enl-791d36b2cbae374a722efb539ae54a21106e6f2c-s1200.jpg\">Enlarge this image<\/a><\/div>\n<\/div>\n<div>\n<div>\n<div>\n<p>\n                An overdose rescue kit handed out at an overdose prevention class this summer in New York City includes an injectable form of the drug naloxone.<\/p>\n<p>                <b><\/p>\n<p>                    Spencer Platt\/Getty Images<\/p>\n<p>                <\/b><b><b>hide caption<\/b><\/b><\/p>\n<\/div>\n<p><b><b>toggle caption<\/b><\/b><\/div>\n<p><span><\/p>\n<p>        Spencer Platt\/Getty Images<\/p>\n<p>    <\/span><\/div>\n<\/div>\n<p>&#8220;These are patients who have survived admission [to the hospital] and have significant complications from an overdose,&#8221; says study author <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/findadoc.bidmc.org\/details\/2184\/jennifer-stevens-pulmonary_disease-boston\">Jennifer Stevens<\/a>, a critical care doctor at Beth Israel Deaconess Medical Center. She says complications can include kidney failure and infection. Some patients require a ventilator during hospitalization to support breathing.<\/p>\n<p>Researchers analyzed billing data from more than 150 hospitals in 44 states, and they evaluated all the opioid-associated overdose admissions to ICUs between 2009 and 2015.<\/p>\n<p><!-- END ID=\"RES560519468\" CLASS=\"BUCKETWRAP INTERNALLINK INSETTWOCOLUMN INSET2COL \" --><\/p>\n<p>The study found a 34 percent increase in overdose-related ICU admissions during that period. And costs rose by almost 60 percent. In 2009, the average cost of care per admission was about $58,000. By 2015, the cost had risen to about $92,000.<\/p>\n<p>In addition, the study points to almost a doubling of deaths among opioid overdose patients in hospital ICUs during the study period.<\/p>\n<p>&#8220;It&#8217;s a call to arms that everything we&#8217;re doing is not enough,&#8221; Stevens says.<\/p>\n<p>Stevens says she thinks a lot about the services patients may need once they&#8217;re released from the hospital. &#8220;They need long-term support,&#8221; she says.<\/p>\n<p>Many experts say this must include expanded access to addiction treatment.<\/p>\n<p>&#8220;The key to unlocking the opioid crisis is the availability of quality treatment beds,&#8221; <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/iop.harvard.edu\/fellows\/gil-kerlikowske\">Gil Kerlikowske<\/a>, a former drug policy adviser to President Obama, tells us in an email. &#8220;We know treatment works and is far less expensive than jail or hospitalization.&#8221;<\/p>\n<p><strong><a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/blockads.fivefilters.org\/\">Let&#8217;s block ads!<\/a><\/strong> <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/blockads.fivefilters.org\/acceptable.html\">(Why?)<\/a><\/p>\n<p>Source:: <a href=\"http:\/\/www.npr.org\/sections\/health-shots\/2017\/10\/27\/560459157\/counting-the-heavy-cost-of-care-in-the-age-of-opioids?utm_medium=RSS&amp;utm_campaign=healthcare\" class=\"colorbox\" title=\"Counting The Heavy Cost Of Care In The Age Of Opioids\" rel=\"nofollow\">http:\/\/www.npr.org\/sections\/health-shots\/2017\/10\/27\/560459157\/counting-the-heavy-cost-of-care-in-the-age-of-opioids?utm_medium=RSS&amp;utm_campaign=healthcare<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"ftpimagefix\" style=\"float:left\"><a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.npr.org\/sections\/health-shots\/2017\/10\/27\/560459157\/counting-the-heavy-cost-of-care-in-the-age-of-opioids?utm_medium=RSS&amp;utm_campaign=healthcare\"><img decoding=\"async\" width=\"150\" src=\"https:\/\/media.npr.org\/assets\/img\/2017\/10\/27\/leana-portrait-2_custom-158c434f5173ac951af45be586e3f81c78f7fc5f-s1100-c15.jpg\" alt><\/p>\n<div><a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/media.npr.org\/assets\/img\/2017\/10\/27\/leana-portrait-2_enl-158c434f5173ac951af45be586e3f81c78f7fc5f-s1200.jpg\"><\/a><\/div>\n<div>\n<div>\n<div><a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/media.npr.org\/assets\/img\/2017\/10\/27\/leana-portrait-2_enl-158c434f5173ac951af45be586e3f81c78f7fc5f-s1200.jpg\">Enlarge this image<\/a><\/div>\n<\/div>\n<div>\n<div>\n<div>\n<p>\n                Dr. Leana Wen, Baltimore&#8217;s health commissioner, says the federal government should help pay for a lifesaving drug that reverses opioid overdose.<\/p>\n<p>                <b><\/p>\n<p>                    Meredith Rizzo\/NPR<\/p>\n<p>                <\/b><b><b>hide caption<\/b><\/b><\/p>\n<\/div>\n<p><b><b>toggle caption<\/b><\/b><\/div>\n<p><span><\/p>\n<p>        Meredith Rizzo\/NPR<\/p>\n<p>    <\/span><\/div>\n<\/div>\n<p>As deaths from opioid overdoses <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.cdc.gov\/drugoverdose\/epidemic\/index.html\">rise<\/a> around the country, the city of Baltimore feels the weight of the epidemic.<\/p>\n<p>&#8220;I see the impact every single day,&#8221; says<a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/health.baltimorecity.gov\/node\/35\"> Leana Wen<\/a>, the city health commissioner. &#8220;We have two people in our city dying from overdose every day.&#8221;<\/p>\n<p>As part of Baltimore&#8217;s strategy to tackle the problem, Wen issued a <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/health.baltimorecity.gov\/news\/press-releases\/2017-06-01-baltimore-city-health-commissioner-signs-new-standing-order-opioid\">blanket prescription<\/a> for the opioid overdose drug naloxone, which often comes in a nasal spray, to all city residents in 2015.<\/p>\n<p>She says many deaths have been prevented by getting the drug into the hands of more people. But now, there&#8217;s a problem:<\/p>\n<p><!-- END ID=\"RES560519464\" CLASS=\"BUCKETWRAP INTERNALLINK INSETTWOCOLUMN INSET2COL \" --><\/p>\n<p>&#8220;We&#8217;re out of money for purchasing Narcan [a brand of naloxone]. We&#8217;re having to ration this medication,&#8221; Wen says.<\/p>\n<p>People can purchase Narcan at pharmacies on their own. As we&#8217;ve <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.npr.org\/sections\/thetwo-way\/2017\/10\/26\/560180901\/walgreens-stocks-narcan-opioid-overdose-spray-in-all-pharmacies\">reported<\/a>, it&#8217;s now sold at all Walgreens. But at a cost of about $125 a pop, many people can&#8217;t afford it.<\/p>\n<p>Thursday, the Trump administration declared the opioid crisis <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.npr.org\/2017\/10\/26\/560083795\/president-trump-may-declare-opioid-epidemic-national-emergency\">a public health emergency<\/a>, but many critics say it doesn&#8217;t go far enough when it comes to funding.<\/p>\n<p>Wen says she would like a commitment from the administration to help pay for this drug. She says the administration could also negotiate directly with manufacturers to lower the price of naloxone. &#8220;We know treatment works, but we don&#8217;t have [the] money,&#8221; Wen says.<\/p>\n<aside>\n<div><\/div>\n<\/aside>\n<aside>\n<div><\/div>\n<\/aside>\n<p><!-- END ID=\"RES560460614\" CLASS=\"BUCKETWRAP INTERNALLINK INSETTWOCOLUMN INSET2COL \" --><\/p>\n<p>Paying for rapid reversal drugs is certainly not the only challenge health officials face in tackling the opioid epidemic.<\/p>\n<p>A recent nationwide study <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/28800256\">published<\/a> in the <em>Annals of the American Thoracic Society <\/em>points to<em><\/em>a significant increase in the cost of treating overdose patients who are admitted to hospital intensive care units.<\/p>\n<div>\n<div><img decoding=\"async\" src=\"https:\/\/media.npr.org\/assets\/img\/2017\/10\/27\/naloxone-3_custom-febfebc0528a47d51498f56a69344477832e7f5f-s1100-c15.jpg\" alt><\/p>\n<div><a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/media.npr.org\/assets\/img\/2017\/10\/27\/naloxone-3_enl-791d36b2cbae374a722efb539ae54a21106e6f2c-s1200.jpg\">Enlarge this image<\/a><\/div>\n<\/div>\n<div>\n<div>\n<div>\n<p>\n                An overdose rescue kit handed out at an overdose prevention class this summer in New York City includes an injectable form of the drug naloxone.<\/p>\n<p>                <b><\/p>\n<p>                    Spencer Platt\/Getty Images<\/p>\n<p>                <\/b><b><b>hide caption<\/b><\/b><\/p>\n<\/div>\n<p><b><b>toggle caption<\/b><\/b><\/div>\n<p><span><\/p>\n<p>        Spencer Platt\/Getty Images<\/p>\n<p>    <\/span><\/div>\n<\/div>\n<p>&#8220;These are patients who have survived admission [to the hospital] and have significant complications from an overdose,&#8221; says study author <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/findadoc.bidmc.org\/details\/2184\/jennifer-stevens-pulmonary_disease-boston\">Jennifer Stevens<\/a>, a critical care doctor at Beth Israel Deaconess Medical Center. She says complications can include kidney failure and infection. Some patients require a ventilator during hospitalization to support breathing.<\/p>\n<p>Researchers analyzed billing data from more than 150 hospitals in 44 states, and they evaluated all the opioid-associated overdose admissions to ICUs between 2009 and 2015.<\/p>\n<p><!-- END ID=\"RES560519468\" CLASS=\"BUCKETWRAP INTERNALLINK INSETTWOCOLUMN INSET2COL \" --><\/p>\n<p>The study found a 34 percent increase in overdose-related ICU admissions during that period. And costs rose by almost 60 percent. In 2009, the average cost of care per admission was about $58,000. By 2015, the cost had risen to about $92,000.<\/p>\n<p>In addition, the study points to almost a doubling of deaths among opioid overdose patients in hospital ICUs during the study period.<\/p>\n<p>&#8220;It&#8217;s a call to arms that everything we&#8217;re doing is not enough,&#8221; Stevens says.<\/p>\n<p>Stevens says she thinks a lot about the services patients may need once they&#8217;re released from the hospital. &#8220;They need long-term support,&#8221; she says.<\/p>\n<p>Many experts say this must include expanded access to addiction treatment.<\/p>\n<p>&#8220;The key to unlocking the opioid crisis is the availability of quality treatment beds,&#8221; <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/iop.harvard.edu\/fellows\/gil-kerlikowske\">Gil Kerlikowske<\/a>, a former drug policy adviser to President Obama, tells us in an email. &#8220;We know treatment works and is far less expensive than jail or hospitalization.&#8221;<\/p>\n<p><strong><a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/blockads.fivefilters.org\/\">Let&#8217;s block ads!<\/a><\/strong> <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/blockads.fivefilters.org\/acceptable.html\">(Why?)<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[47],"tags":[],"class_list":["post-13598","post","type-post","status-publish","format-standard","hentry","category-health"],"_links":{"self":[{"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/posts\/13598","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/comments?post=13598"}],"version-history":[{"count":0,"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/posts\/13598\/revisions"}],"wp:attachment":[{"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/media?parent=13598"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/categories?post=13598"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/tags?post=13598"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}