it would provide every addict ho registered with complete information about addiction and at could be done for it . Seco d, it Would place 1m photograph and fmgerprints on file. The primary purpose would be to prevent duplicate registration in another clinic. But it would also be easier to catch up with addicts who ih spite of the removal of the needs for big money get into trouble. d, while criminal a diets could be caught more easily, this program would it­ self make crime quite un­ necessary for most addicts as indicated above. In addition it would make addicts very wary of criminal activities because no only would they most cer­ tainly get caught but once caught they would be subject to the ordeal addicts most fear - immediate, total withdrawl of their drug supply. It might even, in some cases, lead to speedy reform of minor aiminal tendencies. FOUJ1h, many experts Iy answered. believe that the program The dosage established would virtually wipe out the il- would always be dispensed at legal drug traffic by removing the clinic. Neither presaip- the profit from it (Only ad- tioas norea supply - not even diets afraid to register would enough for one day would be have to pay igh illegal putin the hands of the addict prices.) If no stigma and no to carry a aYe Whether the publicity (the news media price of each dose, regard1e would have to give' their full of the size, would be nominal .co-operation) were: attached Thi actual to registry few would avoid it r _.....r!Ioo .. d th u un- --·:'--""'�treated or I·. e-r 'n I addicts Each registered addict would become far easier. would be given a boo et on Fifth, the program would the first visit explaining the give youths the tru facts of medical facts of his/her af- addiction and make them flication. (he) would watch more amenable to cures, educational films and listen to which re much easier for 1 t S(h ) ld h young peop than for old and ec ures. e wou av much easi r for new addicts what psychiatric help could be made available. His/her pe�_ than for tho of long stand- sonal, home, employment if ing. Thus it would reduce both any, nd other problems the number of addicts and the would be discussed with social degree of their addiction. workers and job specialists. . ixtb and this' rno t im- Efforts uld made to find portant - it would tend to him/her a job. S( e) wou d be save teenager from addic .. referred to religio counsel tion, At present teenagers ge of his \her choice. Whether their fIC t do e free. Once contrite or not, s(he) would be "hooked" ey must pay and treated as a person with through the n e. However, seri us problems, as a medical from the peddlers point of and social case, not as a view, what w uld be the use of criminal, giving away expen ivc drugs to o registrant would ever get' another customer, if the formally be told s(he) w in- minute addiction was 'estab- curable, even though the doc- lished s(he) was I t to the tors thought so. Hospitals federal clinics? And the ped- treating drug u er would dlers who sold drugs only get remain open and would be his own supply, as many do, more effective because the would immediately remove , clinics would provide follow- himself/herself from the up treatment, � and . d market. It would no longer be not now available to the dis-' necessary to make Ie by in- charged addict Patients of fecting young people who both hospital and clinics knew no better. S (be) could would· fact be required to get bislher own supply at the report to the clinic for check- clinic, and help advise with it . (; . ft t it uld provide ups at mterv or sometime medical information which we after ei cure had been c- romp' bed, if indeed it had no dJy lack. been accomplished. Certainly, the propo ed federal clinics ould n solve all the drug problems. Hospi­ tals oul still be needed, and . narcotics police to prosecute the illegal traffic and interna- Abuses sudl overd and , 'resale of upplies were very commo ) The prob m must no be handled in a different way in order to meet today's mudl more diffiaJlt OOI1ditioos. The federal government, probably through the U.S. Public Health Service, should . be ble to opeb clinics . places where the prob m . acute and to permit desig­ nated physicians to t e over similar functions in smaller places. The purpo of these clinics ould be to cure or al­ liviate addiction, to wipe out the illegal narcotics traffic and to eliminate crime by addicts in need of drugs. Any person regard of age, should be able to come into one of these federal clinics and register as an ad­ dict filling out a form. (he) would required to state that it as his/her desire to be cured of addiction and would pledge co-operation with the ph icians. aturally, because of th nature of his \her af­ flication, this pledge would in no way relax the extreme care nd clo e supervision which is al ays necessary. In other words, the physicians it) , charge would not agree to believ ev rything they were told Th ddict would then get a thorough physical examina­ tion to determine whether (he) w truly an ddict and to what degre . Great care ould be necessary to prevent th deli r t p' eking up of th h hi or reversion to it by th for r ddiets, and thi crupulo medical ttcntion ould be photographed and hislher fingerp . ts se at FBI to the legitimacy of hislher identification and to prevent registry at another clinic under another name. Each registrant would receive a tamperproof card with hislher signature, address if any, photography, and fingerprint on it Correspond­ ing records with space for recording each medication given ould be kep at the clinic office, The addict's identificaiton cleared, the phy icians in charge would pro d to' det . e -1QIIs.&��1I drug s e) d been and what quantity might lead to a balanced dosage. A balanced dosage is the smal­ test amount which will keep an addict reasonably free from nightmarish withdrawal symptoms. Its establishment is far from easy and may take ee , even months, or care­ ful watching, recording and analysis. But it is an important step on the ng hard road to recovery. At this point three impor­ t nt things will have been ac­ complished for the addict himselfzherself. First s(he) will have gone onto the Ie t harmful drug which will satisfy . hi !her need; second, s(he) kno ho much s(he) really needs; third, s(he) will be released from the tension of worry over where the next dose is coming from. A gradual relaxation may be ex­ pected to foUo . which will make a balanced dosage and a reasonable attitude e ier to establi h. An actual cure would not be attempted uotil much later, in a few cases per­ haps never. There would be no urgency to get an addict off drugs in a hurry, since this would defeat the W 0 pur­ pose of the clinic by driving him b ck to the i11ega.l market D es would be careful- ly measured and recorded, no cut, . �y done in the illegal traffic. Instruments would be terile not con­ timinatod Advise would be freely given, questiOllS ho est- tional agreement and co­ operation. But ithout such clinics all our present efIOFts are useless; with them as an in­ tegral part of the plan th re i · promise of a solution. tare an? Many people feel that nothing should be done for the addicts, that they are wo th­ I vicious, and dangerous . and that the only real answer is to wipe them off the face of the earth. In 1936 the Chinese. government of Chiang Kai� she was calmly shooting as many as a hundred of them at a time for no aime other than smoking opium - which ac­ tually kept them out of troubl by putting them sound asleep, Our Western culture would recoil from sum inhumane methods even if they were ef­ fective. In 0:U.n they were not effective. The reason is quite simple. You can no just kill aU addicts because you can no find all addicts and tlte ones you don't find will infect others to protect their own . supply. You can kill people of whom. you are blindly afraid for no good reason but when you have finished you will be no better off. You simply have a fresh crop, Other people r ise their hands in horror at the sum - tion that the federal govern­ ment dispense drugs to d­ diets. Well, addicts get their drugs anyway. Why not give it to der controlled safe conditions instead of driving them into the criminal jungle? Why shouldn't the govern­ ment dispense drugs, if by so doing it can better the condi­ tion f the addicts, sharply reduce crime, b t the illegal narcotics racket and, most im- portant of all, save its youth from a living death? "Addicts won't register" say other critics. Maybe a few of them won't. But on the first day the ew York City clinic opened in 1919, not Ie than 1,500 did register, and others trooped in on the foUowing days. everal addicts objected to the idea of getting dope only at th clinic. om need a shot every three or four hours," they said But uofortunately the experience of the twenties indicates .that this is the only way doses can be given without cheating by addicts. It's more trouble nd more costly but it is the only way to prevent fraud and safe guard the program. Ho ver, there are various ways of inaeasing the intervals between doses when pysicians are in charge and it is quite unlikely that this uld be a serious problem except in a few cases which ought to be hospitalized . anyw y. These clinics would be run I for comfort and convenience of ddicts than for the good of the nation. "It would OO6t too much." Continued on P 16 to 13 • •