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                  <text>nunsawv Wm—“

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,

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,

May

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,

“‘\.n.'~.

16, 1970

Mr. Max Singer
Hudson Institute

Croton~on~Fudson, N.Y.

Dear Max,

E

k

E

E

‘

r

l,

I have read the "First Draft of Final Report”, dated

interest, enthusiasm and some eventual disappointment.
Interest, because the report is well-written and some expressions(such
as the need for better enforcement against heroin) are clearly stated.
Enthusiasm, because I know the problem is urgent and any thoughtful

Hay

1970 with

approach should be listened to with care. Disappointment, because I
find the medical aspects treated tritely, even diffidently, and with
an immaturity that casts doubt on the value of the effort. Perhaps my
original doubts are re-enforced by this report. Let me give you a few
examples.
"Moreover, physical damage from even

protracted use of heroin

is rarely serious or irreversible.” (pg 16,par. 1); and, "Current addiction
. . . . is a dﬁseaee one can treat, and in most cases is not terribly
serious even if untreated." (pg 19, par. 2). What fatuous comments !
Death is irreversible, and death is an ever~present aspect of opiate
dependence. So is liver dysfunction and heart disease and post~traumatic
}

g

‘

brain disease. Your views of opiate dependence are the views of the
upper classes who rarely saw the dangers of syphilis or tuberculosis,
diseases of 'those other people', and therefore could say that they
were unimportant—~ until it affected their children. Heroin addiction
is a serious, fatal disease, especially among the young.

seems likely that many or most of those who take up heroin
are weal or immature personalities, perhaps psychologically dependent
types. It also seems likely that the addiction experience strongly

"It

reinforces the tendency tpvard immaturity, weakening the character of
those who might have been stronger when they began." (pg 19, par 1).
There is no evidence for these views, and they are eqyllly fatuous.
How

does

it

help to see the

ill

as "psychologically weak" except to

superiority. I suppose it makes you feel better, for after
not
addicted, therefore you must be 'strong' or have a
are
you
all,
'mature personality'. Come off it, Mr. Jack Armstrong, All—American
assert your

own

Nixon hero.

There is more. I am disappointed that we know so much that
research is not needed. I am delighted that there is little danger
of methadone spillage, especially if the delivery system is computerized.

more

-ps

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,

Singer OOOIOOIOOC-l-QOODOI...P8882

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mv~w¢rmau~z("4" ‘W“&lt;:Vm"rm

COCOOOCUODOOCOOIOUBIay16’

It is valuable to

know that a methadone delivery system can be
and
indeed could eventually replace off~track
self—supporting,
as a source of state revenues.

"Wm—W

Remind me

1970

betting

There is some hppe in the future, I am glad to see.
to have faith in the democratic process, if does work.

"WWW.

v...

I

thanks for sharing this preliminary report, and
sure you will appreciate the candor.
My

WW...

am

..

My

Wmvvaum

best regards.

_-

--

Sincerely yours,

E

Max

Fink, M.D.

Professor of Psychiatry

[

mf/

P.S.

Truitt position paper on legalization of marijuana is
equally trite and superficial. The issue is not the medical
data on marijuana, where I agree we need more information, and we
are participating in obtaining the necessary data. The present crisis
is the disparity between the severity of the legal penalties for
marijuana use and possession and the complete lack of evidence of
any harm from occasional use (or the harsh comparison with alcohol
use and its prominent medical complications). The political issue
is in a relaxation of legal penalties for marijuana use and the
clear separation of its relative safety with the severe harm of the
The

opiates.

"1'

~.

w«unm.~n~vw~

many-r

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