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This country would be a lot better off if drug testing was mandatory for welfare recipients . . .
O bummer would never let it happen! He would loose all his votes. If I have to take one every one should have too. I am retired now but most of my later working years Drug Tests! I have had to work with people that was clear out of their heads almost every day.
At 12:54 PM on 17 February, JohnWayne writes:
How? More importantly, why?
I’m a primary care physician with decades of experience in Emergency Medicine, geriatrics (nursing home work), public health clinics, and private office practice. Guys like me see tons of patients who are “welfare recipients” and we know that lots of them couldn’t pass the “drug testing” (which is qualitative, not quantitative, and says very little about whether or not their drug use actually impairs their mental functions) you want them to undergo.
Would failing such “drug testing” reduce these patients’ drug use? Nope. Not to any significant extent. There are convicted felons out there on parole and probation who know that turning in a “hot urine” will send them to prison to serve out the rest of their sentences, and yet this knowledge doesn’t reliably prevent them from drinking, toking, snorting or popping just about any psychoactive substance they really want to ingest.
The majority of convicted felons don’t have very good impulse control.
Now what about the majority of those “welfare recipients” whom you hate so much?
Okay, so you get your extremely expensive program of mandatory drug testing for all those people who receive some form of welfare. (What? You hadn’t even tried to estimate the costs of that testing – with all the laboratory errors involved and the requirements for much, much more costly confirmatory serochemical studies that’ll be insisted upon before anybody can be thrown off the welfare rolls – before mouthing off?)
Lots of people are on welfare because they’re impaired by psychoactive substance abuse. Even more of them are profoundly depressed and anxious (both endogenously and as the result of the circumstances in which they live), and prescription medicines – when they can get them, and prescribing isn’t as straightforward as most people seem to believe – aren’t fully effective for them.
These folks “self-medicate” with alcohol and street drugs, including diverted prescription meds, most of which will show up in that “drug testing” you want to impose. It’s not a medically sound way of coping, but it’s what they have, and such behavior is both persistent and prevalent. Only politicians and credulous fools claim that it can be suppressed by laws and other kinds of government fiat.
Us doctors have to function in the real world. We don’t live or practice in your Fantasyland.
In medical school and during later training, we’re constantly reminded that whenever you order a diagnostic study of any kind, you have to think of the following:
(a) What are you going to do for the patient if the test is negative?
(b) What are you going to do for the patient if the test is positive?
If what you’re going to do is the same in both cases, why the hell are you ordering the test?
So what are you, “JohnWayne” (gawd…) proposing to do if these “welfare recipients” undergo “drug testing” and show qualitative evidence of illicit substances use?
Punish them for it? How? Why?
Welfare recipients drug testing may a reasonable thing to do however the more reasonable cure for the nation would be to drug test all 535 government representatives….Start with the president.
At 3:09 PM on 18 February, msbetz had commented:
Gawd, we could only hope that the cause of what they’ve been doing is merely mental impairment due to psychoactive substance abuse.
Unfortunately, there aren’t any lab tests for corruption, which is the far more likely etiology of this thieving bastidliness.
For that, I’m afraid, there’s no benefit in putting them through rehabilitation, and we’ve got to consider instead all those lampposts lining the streets of Washington, D.C., and how they can best be decorated.
Good half-inch hemp rope is cheap enough when you buy it in quantity.