By Clark Miller

Published January 15, 2020

Updated April 15, 2021

America, on the assurances of top medical authorities and institutions entrusted wtih public healthcare funds,

has invested billions and billions of dollars over decades in developing medical cures for the condition of addiction – established, we are assured, to be a medical condition, a chronic disease of the brain. That level of investment of public resources and medical science, of course, would have to guarantee gains against any disease.

Nora Volkow

In definitive major media reports and features, like this award-winning HBO special on “Addiction” from 12 years ago, America’s top scientific and medical authorities provide assurances that the “right medicines”, based on our medical understanding of the disease of addiction, serve as effective treatments for the disease.

Twelve years ago.

Watch the introductory video segment with America’s top addictions authorities (beginning around the 2:36 mark) assuring America of their “understanding” of “a medical condition with “real medical solutions”.

And imagine the progress that must have been made against substance use problems and their public health costs since then!

But somehow, those medical treatments and their promise of progress haven’t worked out.

At all.

Instead have resulted in steadily worsening – with increasing mortality and illness – epidemics of not only opioid misuse, but of alcohol, methamphetamine, and other substances.

The Hill Study: Opioids could kill nearly 500k Americans in the next decade
Science Daily No magic pill to cure alcohol dependence yet
Meth NYT headercomp2
Vape header NPR composite

What crises?

But there is little reason to be concerned we are assured – because as announced by the U.S. Department of Health and Human Services (HHS) and the National Institutes of Health (NIH) last month – about $2 billion in public healthcare funds ($900 million administered by the Centers for Disease Control, CDC and $900 million administered by the Substance Abuse and Mental Health Services Administration, SAMHSA) is about to be used to create different, new “innovative” medical cures for the lethal opioid epidemic created by America’s medical institutions and practitioners. (Not created – despite the best efforts of America’s Medical-Media collusion to portray otherwise, by Big Pharma, actually – because not a single opioid pill was provided to an American by a pharmaceutical company or employee. Instead every single opioid pill was provided by a licensed medical professional whose professional responsibility was to access and inform their practice by what was apparent for decades prior to creation of the crisis – every relevant line of longstanding evidence that prescription of those opioids was grossly substandard practice and predicted harm and the opioid crisis.)

The cures, those “real medical  solutions”

that diverted $billions in public healthcare resources over past decades were great, are really effective, and well worth the investment of public healthcare funds, we’ve been assured, but the new cures will be even better, the $ 2 billion cost well worth it, because America’s top medical and public health authorities are assuring us:

Approximately 375 awards in 41 states will accelerate scientific solutions.

The scientific solutions that America’s medical authorities and institutions have been providing to cure vulnerable  Americans of the medical brain disease of addiction – will be accelerated  (will provide positive outcomes even more rapidly) with the new use of additional public funds.

That’s a bargain for $2 billion.

Isn’t it?

And we know, are assured by America’s top medical authorities and institutions, that these new, accelerated medical advances will be –

Helping to End Addiction Long-term


No wonder everyone in the pictures look so hopeful and happy!

Scientific solutions, we are led to believe, even more lasting and scientific than the evidence-based gold standard medical cure that’s been provided America’s diseased brains over past decades for the opioid problem.


What could conceivably go wrong ?

(from The Guardian – November 29, 2018)

And what better time to divert more $billions of public healthcare resources in medical fixes, because the more that medical, scientific solutions are applied to diseased brains, the more deaths mount.


Trends in Kentucky in opioid overdoses and treatment

What could go wrong, could get much worse, more lethal?

Beyond continuation of fabricated sham medical “treatments” administered to vulnerable Americans trapped in the entirely non-medical condition of compulsive substance use?

Beyond those medical “treatments” fueling worsening crises and mounting death counts?

Beyond the inevitable, lethal and tragic public health outcomes that were predictable from application of medical thinking and intervention to non-medical problems like substance use, depression, and common chronic pain?

As medical science and practice crush on, protected by the same collusion with mass media, institutional criminality, and social pathology that created the opioid crisis – all bets are off.

The images used to construct the protective lies that perpetuate control of social resources and capital for the served interests and institutions tell the story, brand and  sell the toxic snake oil.

Here’s a biomedical researcher, one suspects, looking at the brain tissue of a diseased, addicted brain, her work very close to identifying the medical cure that is just around the corner.

No, really.

Here we have more medical researchers, likely just a few $hundred million away from a new medical gold standard cure for the entirely non-medical problem of common chronic pain. Previous medical gold standard cures for chronic pain have included –

and surgery.

Here’s another medical researcher who looks happy. Why wouldn’t he?

He’s on the verge of developing a new vaccine that will likely solve the opioid problem, will be the new gold standard medical treatment.

“Our hope is that the vaccine, consisting of one shot and two boosters, will help recipients develop antibodies against opioids. It will alleviate the symptom of the high generated by the brain.”

Zhang and his team have been awarded a two-year $3,091,192 grant from the National Institutes of Health’s National Institute on Drug Abuse. If the proposed milestones of the first two years are met, the grant will be expanded to a five-year award totaling $8,783,147.

Compulsive substance users who become immunized by vaccination from gaining reward from opioids, would never be likely to shift to another substance – benzos, alcohol, medically prescribed and increasingly abused quetiapine or gabapentin . . . – to manage the desperate need to numb, to escape from inner distress.

Compulsive users just don’t do that. Do they?

And problem opioid users would likely quickly line up to be provided such a vaccine, just as problem substance users, their lives at risk of ruin from their compulsive use, have lined up to use longstanding, widely available medical cures for opioid or alcohol use like naltrexone or Acamprosate.

Oh . . . wait. Right. They haven’t. 

For some reason. 

$8,783,147, publicly funded.

Well worth it for the vaccines just around the corner that will soon cure Americans of their substance use problems. 

There will be medical cures and they’re just around the corner, we can be assured of that.

That goes without saying.

Crisis is a necessary condition for a questioning of doxa, but is not in itself a sufficient condition for the production of a critical discourse.”

– Pierre Bourdieu  Outline of a Theory of Practice (1972)

In Bourdieu’s Theory of Practice, heterodoxy is dissent, challenge to what “goes without saying” – the accepted, constructed doxa, “knowledge”, reality, that goes without saying precisely because it “comes without saying”, without real scrutiny, untested, unquestioned. The function of doxa is not knowledge or truth or promotion of the collective good, but to protect and serve the interests of those with the power, the cultural capital, to create it.

It’s just that . . . .

It’s all a lie.

A highly profitable, lethal, criminal lie. Created and protected by an American Medical-Media collusion that is pathological in its level of negligence, incompetence and mendacity.

Longstanding research paints a clear picture: the compulsive behavior of problem use of mood-altering substances as well as most chronic pain (centralized, non-cancer chronic pain) are psychogenic (driven by distressing and unbalanced inner states including thinking and feeling) and psychosocial (driven by outside stressors and effects of past disturbing events) in nature, not biomedical (physical), the indicated treatments are longstanding evidence-based effective psychotherapies like cognitive behavioral therapy (CBT) and psychodynamic therapy to address the emotional, environmental and cognitive deficits and disturbances driving them, with no effective medical treatments supported by evidence.

There are no medications and never will be.

Because there is no disease, brain condition, or condition at all to treat with any medical intervention.

Because compulsive substance use is not remotely a medical condition – on any critical examination, the “evidence” for the fictional brain disease model dissolves, is invalidated by all longstanding lines of relevant evidence and reasoning.

The outcomes of the fabricated medical model and medical approach – just as for the runaway prescription of addictive opioid medications for common chronic pain, an entirely non-medical condition with no biomedical treatments – were predictable from the start.


The evidence lies all around, and buried, on a national crime scene.

Why A Critical Discourse?

Because an uncontrolled epidemic of desperate and deadly use of pain-numbing opioid drugs is just the most visible of America’s lethal crises of drug misuse, suicide, depression, of obesity and sickness, of social illness. Because the matrix of health experts and institutions constructed and identified by mass media as trusted authorities – publicly funded and entrusted to protect public health – instead collude to fabricate false assurances like those that created an opioid crisis, while promising medical cures that never come and can never come, while epidemics worsen. Because the “journalists” responsible for protecting public well-being have failed to fight for truth, traded that duty away for their careers, their abdication and cowardice rewarded daily in corporate news offices, attempts to expose that failure and their fabrications punished.

Open, critical examination, exposure, and deconstruction of their lethal matrix of fabrications is a matter of survival, is cure for mass illness and crisis, demands of us a critical discourse.

Crisis is a necessary condition for a questioning of doxa, but is not in itself a sufficient condition for the production of a critical discourse.

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