The Medscape article Physician Health Programs- More Harm Than Good? by Pauline Anderson shed some light on coercive, controlling secretive lair of Physician Health Programs. Coercive v. supportive is the question Alissa Katz presents in todays Emergency Medicine News. Supporting coercion, John Knight and J. Wesley Boyd claim that any doctor caught in the maw of their state PHP must abide by whatever the PHP requests in order to continue practicing medicine. Susan Haney concurs who notes the unwary self-referrer who unwarily steps into the lions den.
Former White House Drug Czar (1973-1977) Robert Dupont, M.D. disagrees claiming the programs are worth the price of a “lifetime of well-being.”
You don’t say? Robert Dupont’s ties to the Drug and Alcohol Testing Association (DATIA) are thick and the designs of the former National Institute on Drug Abuse Director are spelled out in the ASAM White Paper on Drug Testing as well as his keynote speech before DATIA proposing expansion of this paradigm to other populations including workplace, healthcare, and schools. He profits from both drug tests and employee assistance program management. The “PHP-blueprint” is simply Straight, inc. for doctors and the same propaganda, fabricated studies, 12-step indoctrination, coercion, control and abuse remain unfettered and just as vile.
Dupont wants to swindle the PHP system into other EAPs such as as DOT proclaiming the “need to reach more of the 1.5 million Americans who annually enter substance abuse treatment, which now is all too often a revolving door.”1 They conclude:
This model of care management for substance use disorders has been pioneered by a small and innovative group of the nation’s physicians in their determination to help other physicians save their careers and families while also protecting their patients from the harmful consequences of continued substance abuse. In fulfilling the professional admonition “physician: first heal thyself,” these physicians have created a model with wide applicability and great promise.1
“Based on abundant evidence, a “new paradigm” for substance abuse treatment has evolved that is the exact opposite of harm reduction. This paradigm enforces a standard of zero tolerance for alcohol and drug use that is enforced by monitoring with frequent random drug and alcohol tests. Detection of any drug or alcohol use is met with swift, certain, but not draconian, consequences.”