Drugs “Legal ... Illegal ... and Otherwise” 2005 Town Hall October 23-26 in Norman Introduction © 2005 The Oklahoma Academy 1-1 Created for the Oklahoma Academy by David Simpson 1-2 © 2005 The Oklahoma Academy Introduction OUR 2005 TOWN HALL Our 2005 Town Hall Michael Lapolla, University of Oklahoma; & Craig Knutson, e-conographic Consulting Services..... 1-8 Pre-Town Hall Thoughts Ross U. Robinson, Norman Economic Development Coalition ......................................................... 1-9 The Big Picture in Oklahoma Terry Cline, PhD, Oklahoma Secretary of Health ............................................................................ 1-10 Who’s Coming Into My ER? Mark Brandenburg, MD, Saint Francis Hospital, Tulsa.................................................................... 1-12 Who’s Coming Into My Office? Rosemary Priest, M.S., Tulsa .......................................................................................................... 1-15 LEGAL DRUGS: PRESCRIPTION MEDICINES THE BIG PICTURE Rethinking Prescription Drugs Malcolm Gladwell, The New Yorker. .................................................................................................. 2-2 Generation Rx? Pharmacy Today: American Pharmacists Association ....................................................................... 2-8 Productivity (Attributable to Biomedical Research) in the 21st Century Frank Lichtenberg, Professor, Columbia University School of Business.......................................... 2-9 THE INDUSTRY The Trouble With Cheap Drugs The Economist................................................................................................................................. 2-12 Pharmaceutical Drugs: Conception to Commercialization and Beyond Thomas C. Kupiec, Ph.D., Oklahoma City ...................................................................................... 2-14 Pill-Gotten Gains? The Economist................................................................................................................................. 2-17 Safety in Numbers The Economist................................................................................................................................. 2-18 The Newest War On Drugs Elizabeth Querna, USAToday ......................................................................................................... 2-20 Pharmaceutical R&D: The Next 25 Years H. David Bergman, RPh, PhD, Dean, College of Pharmacy, SWOSU ............................................ 2-22 Psychopharmacology and Mental Health Therapy Oklahoma Department of Mental Health and Substance Abuse Services ...................................... 2-25 CONSUMERS Oklahoma as Consumer Nancy Nesser, PharmD, JD, Pharmacy Director, Oklahoma Health Care Authority ....................... 2-27 Things Consumers Should Know About Nonprescription Medications W. Steven Pray, Ph.D., D.Ph.,College of Pharmacy, SWOSU ........................................................ 2-30 RPh Oklahoma - Helping The Consumer Jack Coffey, D.Ph., Associate Dean, OU College of Pharmacy ...................................................... 2-33 The Smart Consumer’s Checklist California Board of Pharmacy.......................................................................................................... 2-36 Introduction © 2005 The Oklahoma Academy 1-3 RECYCLING MEDICINE Recycling of Prescription Medicine in Tulsa Angie Jackson and Missy Kruse, Tulsa People............................................................................... 2-39 Interim Report House Bill 1268 Linda Johnston, Director of Social Services, Tulsa County............................................................. 2-41 Old Pills Finding New Medicine Cabinets Stephanie Strom, New York Times .................................................................................................. 2-46 IMPORTING MEDICINES Re-importation: A Canadian Perspective Christopher Ward, Ward Health Strategies...................................................................................... 2-49 Canadian Ban On Bulk Drug Exports Urged Lower House, Canadian Parliament................................................................................................ 2-53 Supporting Reimportation of Prescription Medicine Challenging the Status Quo of High Prescription Drug Costs Brad Henry, Governor, State of Oklahoma ...................................................................................... 2-54 Supporting Reimportation of Prescription Medicine Canadian International Pharmacy Association ................................................................................ 2-56 Opposing Reimportation of Prescription Medicine Nina Owcharenko, The Heritage Foundation .................................................................................. 2-58 Opposing Reimportation of Prescription Medicine Carmen A. Catizone, MS, RPh, DPh, National Association of Boards of Pharmacy ....................... 2-63 ILLEGAL DRUGS AND ALCOHOL THE BIG PICTURE Rethinking Illegal Drugs and Alcohol Julian K. Fite, Tahlequah ................................................................................................................... 3-2 The Governor’s and Attorney General’s Task Force Costs Related to Substance Abuse in Oklahoma .............................................................................. 3-8 The Governor’s and Attorney General’s Task Force Public Policy Recommendations For Oklahoma ............................................................................... 3-9 WDCD: (What Does Canada Do?) Nancy Miller Chenier, Canadian Library of Parliament.................................................................... 3-15 Ten Drug and Alcohol Policies That Will Save Lives Join Together is a project of Boston University School of Public Health.......................................... 3-18 I Lost My Sister ... Because of Drug Abuse Anonymous Contributor, Altus ......................................................................................................... 3-20 I’m Raising My Grandchild ... Because of Drug Abuse Anonymous Contributor, Ponca City............................................................................................... 3-22 Federal Drug Wars George Will, Washington Post Writer’s Group................................................................................. 3-24 Illegal Drugs in Oklahoma 2005 U.S. Drug Enforcement Administration ............................................................................................ 3-26 1-4 © 2005 The Oklahoma Academy Introduction WORKPLACE AND SCHOOLS Drugs & Alcohol in Workplace By Sector US DHHS, Substance Abuse and Mental Health Services Administration...................................... 3-29 The Perspective of a Corporate Executive Ed Farrell, Tulsa .............................................................................................................................. 3-34 Drug-Free Workplace Programs Calvina L. Fay, Drug Free America Foundation www.sarnia.com/groups/antidrug/argument/street.html .................................................................. 3-36 Workplace Drug Problems? Proactive Businesses Needed Mary Mélon, Publisher, The Journal Record Publishing Company ................................................. 3-38 Public Schools and Drugs Lloyd Snow, Superintendent, Sand Springs (OK) School District.................................................... 3-40 Alcohol’s Three Strikes at OU Clarke A. Stroud, Vice President, University of Oklahoma .............................................................. 3-43 ALCOHOL My Platform Jennifer Berry, Tulsa, Miss Oklahoma 2005 .................................................................................... 3-48 Another Look at “Firewater” Lee Hester, PhD, Director of American Indian Studies, USAO........................................................ 3-49 A Prevention of Youth Access to Alcohol Act Thad Balkman, State Representative, District 45, East Norman..................................................... 3-52 Alcohol: The Dangerous Legal Drug Ben Brown, Deputy Director for Substance Abuse, ODMHSAS, Oklahoma City ............................ 3-54 New Mexico and Alcohol ........................................................................................................................ 3-57 TESTING Drug Testing: Forensic Toxicology at the Forefront Thomas C. Kupiec, Ph.D. ................................................................................................................ 3-58 Drug Testing in Schools Dr. Garland Keithley, Superintendent, Enid Public Schools............................................................. 3-61 PREVENTION Drug Prevention & Treatment in Oklahoma Indian Country B. J. Boyd & Levi Keehler, Cherokee Nation Behavioral Health Services....................................... 3-63 Yu Can at Yukon Casey Worthen, Director, Yu Can Coalition, Yukon Public Schools ................................................ 3-66 DETENTION Drugs and Crime in Britain The Economist................................................................................................................................. 3-68 Drugs and Incarceration in Oklahoma: An Arresting Problem Arthur G. LeFrancois, Professor of Law, Oklahoma City University ................................................ 3-69 Drug Court Expansion On Tap Julie Del Cour, Tulsa World ............................................................................................................