Why can’t more physicians prescribe medicines to treat addiction? Elizabeth Tracey reportsWhy can’t more physicians prescribe medicines to treat addiction? Elizabeth Tracey reports
Alcohol And Drug Abuse – Johns Hopkins Medicine Podcasts
The Modernizing Opioid Treatment and Access Act, or MOTAA, was presented to Congress in March 2023, as a means to expand access to medicines used in opioid use disorder treatment. Clearly such legislation is needed in light of the 100,
1:04•22 Feb 2024
Why More Physicians Can't Prescribe Addiction Medicines
Episode Overview
- MOTAA aimed to expand access to addiction medicines.
- Over 100,000 opioid overdose deaths reported by CDC in 2022.
- For-profit methadone treatment programs lobbied against key provisions.
- Importance of initiating treatment at various healthcare touchpoints.
- Systemic challenges in making addiction treatments more accessible.
“Any touch point where you can try to help patients take a first step in recovery is really crucial”
Ever wondered why more physicians can't prescribe medicines to treat addiction? This episode of the Johns Hopkins Medicine Podcast sheds light on the complexities behind this issue. Elizabeth Tracey speaks with Michael Fingerhood, a substance use disorders expert, about the Modernizing Opioid Treatment and Access Act (MOTAA) and its journey through Congress.
Presented in March 2023, MOTAA aimed to broaden access to medications for opioid use disorder, a necessity given the staggering 100,000-plus opioid overdose deaths reported by the CDC in 2022. Fingerhood explains that MOTAA initially included provisions allowing certified primary care providers to prescribe methadone for opioid use disorder. However, intense lobbying by for-profit methadone treatment programs thwarted this critical aspect of the bill.
Fingerhood emphasises the importance of finding multiple avenues to assist patients in their recovery journey, such as initiating methadone or buprenorphine treatments in emergency departments or through EMS services. This episode dives deep into the legislative hurdles and the urgent need for more accessible treatment options. You'll gain a clear understanding of why expanding prescription rights for addiction medications is so crucial and the obstacles that stand in the way.
If you're interested in addiction medicine or simply want to understand the systemic challenges in treating opioid use disorder, this episode is a must-listen. So, why should you tune in? Because every touchpoint in the healthcare system could be an opportunity to help someone take their first step towards recovery. Don't miss out on this eye-opening discussion!

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